Another deficit which I feel in Parkinson's is coordination. Because PD begins on one side and is marked by bradykinesia -(slowness of movement), the hands and feet don't work well together side to side. Interestingly a 2008 study by Schectmwnn et al. demonstrated that visuomotor problems in PD were actually due to problems in organizing tracking movements and in programming their control rather than in motor ability issues. So the problem can be attributed to cognitive issues. Actions that are made difficult by this deficit include buttoning buttons, using zippers, tying shoes, cutting food, writing, shaving -- lots of everyday activities. To work on these kinds of problems, an OT once told me to make my movements (we were talking about getting only out of a wallet) to make every movement deliberate and strong. This goes for any exercise as well. It doesn't mean it will get easier, but it certainly won't improve if you give up and don't work on it. As Becky Farley says, "use it to improve it!"
Back to the gym this morning . . .
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