Stationary Bike Riding for Management of Parkinson’s Disease

04/01/25 • 10 min

The article "Stationary Bike Riding for Management of Parkinson’s Disease" highlights the potential of variable-tempo recumbent bicycle training as a safe and effective way to improve motor function in individuals with Parkinson’s disease (PD). PD is a progressive neurodegenerative disorder affecting nearly 1 million Americans and incurring substantial annual costs. While conventional medical treatments offer symptom relief, they do not alter the disease's progression. Emerging evidence suggests that exercise, particularly tempo-driven cycling, can be a valuable adjunct to traditional therapies.

Interestingly, the discovery of this benefit was serendipitous, originating from a tandem bike ride where a PD patient experienced symptom improvement due to the faster cadence of the other rider. Subsequent studies on "forced exercise," involving cycling at a higher, variable cadence, demonstrated significant reductions (up to 35%) in PD motor symptoms compared to self-selected cadence exercise. This high-cadence cycling may strengthen neural pathways and trigger the release of neurotrophic factors. The benefits of such cycling routines, involving intervals of high and low cadence, may also extend to improving reaction time and agility in healthy older adults. The article provides practical guidance for incorporating variable-tempo cycling using recumbent bikes, even suggesting tandem cycling for those with advanced PD. Current research underscores the complexity of PD and the potential of well-designed exercise programs to benefit nearly everyone affected.

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When to Consider Orthotics: Research-Based Recommendations

Foot orthotics may be necessary when patients experience back problems worsened by activity, recurrent ankle sprains, or have a family history of foot issues. Athletes with lower extremity stress fractures, shin splints, or hamstring strains might also benefit. Examination findings like postural imbalances, gait asymmetry, or foot deformities can indicate a need for orthotics. X-ray findings, such as scoliosis or uneven sacral base, and a lack of response to conservative treatments are additional signs. Ultimately, orthotics can improve biomechanics, reduce stress on joints, and support musculoskeletal health. They can be especially helpful for recreationally active and elderly patients.

Full article:
https://dynamicchiropractic.com/article/55064-when-to-consider-orthotics-research-based-recommendations

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