Saturday, March 10, 2012

parkinson disease

About Parkinson's Disease


Parkinson’s disease is a chronic, progressive neurological disease. It belongs to a group of conditions called motor system disorders, which are the result of the loss of dopamine-producing brain cells. Dopamine, a neurochemical that controls communication between brain cells, is responsible for control of motor function. Nearly 80 percent of the dopamine producing cells in the brain die before the motor symptoms of Parkinson’s disease even appear. The four primary symptoms of Parkinson’s disease are tremor, or trembling in hands, arms, legs, jaw, and face; rigidity, or stiffness of the limbs and trunk; bradykinesia, or slowness of movement; and postural instability, or impaired balance and coordination. Other symptoms may include cognitive changes; difficulty in swallowing, chewing, and speaking; urinary problems or constipation; skin problems; and sleep disruptions. As these symptoms become more pronounced, patients may have difficulty walking, talking, or completing other simple tasks. Early symptoms of Parkinson’s are subtle and occur gradually. In some people the disease progresses more quickly than in others.

Currently there is no cure, therapy, or drug to slow or halt the progression of Parkinson’s disease. While medication masks some symptoms for a limited period, generally four to eight years, dose-limiting side-effects do occur after time. Eventually the medications lose their effectiveness, leaving the person unable to move, speak or swallow.

In 1817, a British scientist named James Parkinson first described “the shaking palsy” in an essay. It was through this essay that he defined what we know as Parkinson’s disease today: “involuntary tremulous motion, with lessened muscular power, in parts not in action and even when supported; with a propensity to bend the trunk forwards, and to pass from a walking to a running pace: the senses and intellects being uninjured.”

It is unknown exactly how many Americans live with Parkinson’s disease, but most estimates range from 500,000 to 1.5 million. It is believed that nearly 60,000 people are diagnosed each year in the U.S. with Parkinson’s. The average age of diagnosis for Parkinson’s disease is 60 years old, but people as young as 18 have been diagnosed. Typically, anyone diagnosed under the age of 50 is considered as having young-onset Parkinson’s disease.

The cause of Parkinson’s disease remains unknown, but scientists and researchers believe there to be both genetic and environmental factors. In October 2003, scientists at NIH discovered that too much of the alpha-synuclein gene may cause Parkinson’s disease. More recently, scientists at the University of California at Los Angeles discovered that some pesticides used on plants and crops that end up in well water are linked to an increased risk of Parkinson’s disease. The environmental and genetic links to Parkinson’s disease are diverse, but the science continues to progress.

In order to establish better numbers and understanding about people with Parkinson’s, Congress has taken up a bill, H.R. 2595/S. 425, the National Neurological Diseases Surveillance System Act, that will create national, coordinated registries for both Parkinson’s disease and all neurological disorders. When the registry is implemented, we will learn important information about Parkinson’s disease such as geographic prevalence, disease clusters, and the number of Americans living with Parkinson’s disease.

PAN continues to fight for better treatments and a cure for Parkinson’s disease. Click here to learn more about PAN’s legislative priorities for the Parkinson’s disease community.

Wednesday, March 7, 2012

secret recipe behind the mAK

Secret recipe behind the mask

Secret recipe behind the mask
Hero Teo
Kuala Lumpur, Malaysia

http://www.youtube.com/watch?v=sTpu_zBvDME
I often smiled when I watched the video recording of my kick-boxing exercise which I uploaded to You Tube. My trainers and videographer told me the same thing – “You do not look like a Parkinson’s patient at all”. Even my doctor shook his head in disbelief and said, “This is shocking. I can’t imagine a 70-year-old Parkinson’s patient doing a very strenuous exercise such as kickboxing. I am sure that you are the only Parkinson’s patient in Malaysia who is doing the kickboxing exercise.”
As early as 1998, I already had both the motor and non-motor symptoms. Since my diagnosis in 2002, I went through a period of depression, anxiety, denial and anger. Subsequently, I bounced back after discovering a secret recipe for fighting Parkinson’s, which consisted of: knowledge (is power), exercise, medications, nutrition / supplements and prayer. In my quest for knowledge, I surfed various Parkinson’s websites, raining them with questions, questions and questions. I even started the first Parkinson’s blog in Malaysia (www.heroteo.com). I tried to learn everything about Parkinson’s in order to overcome all complications - the Chinese heroes won the battles by understanding their enemy first.
Animal experiments showed that exercise may be neuroprotective. Rats which were forced to exercise had a lesser degree of brain damage after they were exposed to poison. In mice which were made to undergo treadmill exercise, there was increased production of dopamine.
Parkinson’s patients are comparable to the car. The medications are needed to help patients to start walking, while fuel or battery is needed to help start the car engine. Exercise is needed to improve the patients’ physical mobility and endurance, while driving helps to recharge the battery. Thus, exercise helps our “engines” warm up before leaving home and keep the “cars” going everyday. Even healthy people such as Bruce Lee, the Chinese Kung Fu master, know that exercise is beneficial.
As such, since 2005, I decided to “get physical”. I spend 3-4 hours everyday at the California Fitness gym, doing a wide range of “heavy” exercise such as kick-boxing, weight-training and spinning (indoor cycling). Twice a week, I do yoga exercise at home with the guidance of a trainer.
Since this year, my physical condition has drastically improved. I sleep and eat well (I eat to live, and live to eat). I enjoy driving around the Kuala Lumpur city with my wife everyday and going overseas for holiday. I managed to reduce the daily dose of Parkinson’s medications recently. Sometimes, I wonder whether I am just a “normal person” behind the mask.
I know that it is technically difficult to prove that exercise has neuroprotective effect in Parkinson’s patients. Despite this, I believe that exercise has slowed down my disease progression. I hope that my video recording will bring hope and happiness to all Parkinson’s patients in this world, by reminding them that they can still live a physically active life.

Monday, March 5, 2012

Breathing  exercises

Monday, February 20, 2012

muscles practice and saliva

There are suggestion that Lip muscle,tongue muscle and swallow practice are benefical than the medication taking without sideeffect Kindly elaborted to help the PD patients aware the diseases and encourage to set up support groups to educate the patients and their immediate families 0
ReportBack to top of the page up there ^ MultiQuote Reply Edit
I will post this for you. Michael S. Okun, M.D.National Medical Director NPFUF Center for Movement Disorders & NeurorestorationRead More about Dr. Okun at: mdc.mbi

Thursday, February 16, 2012

tremor

Dear Forum members here are a few facts on Parkinson's tremor:Tremor in Parkinson's disease is usually a resting tremor, that improves when performing tasks.Most PD patients have some intentional tremor (tremor at action), but it is usually minor in severity.A very small number of PD patients have co-existent essential tremor.Treatment for PD tremor is usually sinemet (levodopa), a dopamine agonist, or in rare cases an anticholinergic. Anticholinergics are usually avoided because of side effects, but can be useful in difficult to treat tremor.Once patients have tried maximally tolerated doses of sinemet, a dopamine agonist, and an anticholinergics---in a cocktail--if they still have bothersome tremor, many patients will try clozaril (which requires weekly blood monitoring), or deep brain stimulation as a treatment approach.20-40% of patients with PD have a tremor that responds only partially to medications, and in rare cases some tremors do not respond to medications

Monday, February 13, 2012

Tai Chi

Mild-to-moderate Parkinson's disease patients who practice
Tai Chi were found to experience significant benefits, including better posture,
fewer falls, and improved walking ability, researchers from the Oregon Research
Institute (ORI) reported in NEJM (New England Journal of Medicine). The
authors added that Tai Chi was superior for the Parkinson's patients than
stretching or resistance training regarding several symptoms related to the
disease.An individual with Parkinson's disease whose movements are
impaired, especially when standing balance is undermined, finds it considerably
harder to function in everyday life events and chores; their quality of life is
severely affected. As the disease progresses, balance becomes more of a problem,
and subsequently, so does walking.Experts say that physical activity,
i.e. exercise, helps slow down the deterioration of motor function, and allows
the patient to function for longer independently. The authors added, however,
that studies on the benefits of alternative exercises, such as Tai Chi, which
were thought to improve function, gait and balance in those with PD (Parkinson's
disease), have been very few and limited.Study leader, Fuzhong Li,
Ph.D., said:
"These results are clinically significant because they suggest that
Tai Chi, a low-to-moderate impact exercise, may be used, as an add-on to current
physical therapies, to address some of the key clinical problems in Parkinson's
disease, such as postural and gait instability.Since many training
features in the program are functionally oriented, the improvements in the
balance and gait measures that we demonstrated highlight the potential of Tai
Chi-based movements in rehabilitating patients with these types of problems and,
consequently, easing cardinal symptoms of Parkinson's disease and improving
mobility, flexibility, balance, and range of motion."Dr. Li
and team randomly divided 195 participants, all with Parkinson's, into three
groups:
The Tai Chi Group
The Stretching Group
The Resistance Training Group