Is key in parkinsons disease and the long term benefits can redact and quality of life. Dopamine is a neurotransmitter and old brain its important for muscle movements patients with parkinsons disease leg dopamine therefore they suffer from Movement Disorder so its a good idea to give them to open mean as a medication but its also a good idea to prescribe some exercise. Suddenly he found himself short of breath it proved to be the 1st symptom of parkinsons. It was still young when he was diagnosed but was 15 years ago but he keeps fit. And exercise helps him counter the effects of the disease he can still run 10 k. Easily you know what i think everybody has to decide for themselves how to deal with it sometimes i even forget that i have parkinsons. Parkinsons disease is a degenerative neurological disorder the cause is still unknown. But we do know that the brain cells that produced open mind gradually die off. A lack of dopamine disturbs the link between the brain and muscles physical activity becomes more difficult. Danniella bag a parkinsons expert at the university of keele in northern germany knows that exercise can protect nerve cells thats why she rides her bike to the clinic every day and i wouldnt be kind yet if you exercise a lot new neural pathways in the brain which we see in imaging studies and then certain areas of the brain are reorganized to me yet. Nathanson nerve cells make new connections and movements can be performed in better in different ways. And then the brain has to learn to do that and only learns by exercising 13 and by exercising you can mobilize unused potential in your brain and thats particularly important for parkinsons patients those who start early can possibly help slow the progression of the disease. Overall mobility in everyday life and the progression over a period of months or years is simply much improved. Claud has become more agile has improved his balance and is less prone to falling than other parkinsons patients who dont move much. His progress is monitored in the motor functions lab. And the sense of my form my 1st impression as soon as a patient walks through the door some people help themselves others dont every day activities are psychologically beneficial to people who are active cope with the disease much better and enjoy life much more. It was devastated when she found out she had parkinsons but that changed after she came to the paracelsus clinic and i was not book where they have a special parkinsons program. And i notice the times when i dont exercise regularly. But when i do exercise it starts to become easier to stretch my body everything expounds. Get. The socalled big therapy has patients make big movements media loud and start of the therapy right after getting her diagnosis. On the to her prior to the therapy ms loughton i could see that you were able to swing your right arm much. Less than your left arm. Around your gate was a bit unsteady it wasnt a certain and focused as it was later on. For weeks later after taking medication and taking part in big therapy she was much better. As it comes to you walking symmetrically with both arms swinging its completely balanced you have a very large stride and youre walking straight as if you were on a line. With medication alone improvements like that arent possible. Only refusing medication levels or just starting therapy isnt nearly as successful as big there appeared to be. Parkinsons disease and sports dont preclude one another they belong together. And heres the burden charity was dr coles in new cold war games and a group of parkinsons patients and what happens here so we try to close the gap between the in and Outpatient Clinic care so far we offer our patients Multidisciplinary Team consisting of the physician the parkinson speech and physiotherapists nutritionists and of course the training of titty and there we would like to analyze the individual needs and resources of each patient after admission and to then creates an individual and so to say customized treatment for each patient very close to every day life to vittie so this is kind of exercise here is touchy exercise how important is exercise and parkinsons disease. Exercise is important in your logical does or does nearly at any time and parkinsons disease is a Movement Disorder and so patients really benefit from any kind of movement edition to lead to medication medical pounds or deep brain stimulation. And we have recommend any any activity. On the on the patient so lets focus 1st on so and know what you like to join us please so you do. Cause here and its very important in the treatment of parkinsons but why does it help. Take cheese and if you want child she is a form of movement that originated in china it was a martial art developed for the battlefield today the martial aspect is less important because nowadays we tend to focus on health and living a healthy and balanced life and tight she has a lot of benefits in that respect it can help improve balance in motor control and its relaxing and improves concentration thats exactly what parkinsons patients need all so its a special form of tenchi called keep moving and whats special about it. This is what type she movements look like if i do them myself or were tight she sequences might look like this is a bit too complicated for participants so complex for the time and they dont need to do this to start out of this here is a simpler version of the focus here is on improving balance and of course strengthening your leg muscles along. Large convinced all spawn are. By muscular towards 51 this is what the keep moving principle is all about until you reduce or eliminate the superfluid aspects in make it all simpler one big for the patients that serves as a bridge a point to get access to tie gene as a form of exercise of course they can later expand on this some of my patients at the arm movements but to start with that doesnt make much sense. There was a study that showed that parkinsonian patients who were training regularly type she were better off with their daily activities after just half a year of training so thats check out that. So does it really help. It helps a lot ships had parkinsons for 10 years and has been doing tai chee for about 2 and a half years when you look at i look relatively normal. Not if i skip 3 weeks or so for example on a holiday i feel was. Important because it improves my balance for me i can definitely recommend it. As a. Thank you so youre motivated and dont have to force yourself no not at all along with the exercise i really appreciate how it relaxes me how you find inner peace thats just as valuable. For. Us but what does tie chee do for you. Concentrating langs a mother who has been treated slow movements help me relax right away and i know and its a diet and that gives me a kind of inner peace and balance. Or and. Meowed let brings a sense of calm and serenity to my life and. I took to it immediately. Action. Theres really amazing but there are different exercises that could be really helpful like dancing and this one dance which is especially helpful its tango. First the warm up. 5 and then its time to get down to business. In our in pairs. Recent clinical studies indicate that the tango can help fight parkinsons disease. Scientists have discovered that it significantly improves the patients gates and balance. Into hopes that hell benefit greatly from tango dancing to m. P. I dont mind im struggling with my posture on the one hand and then i have to get my legs to do what they should be doing. Unfortunately i dont always manage but my partner is helping me and that makes things better on the side. And the dancers really have to keep on their toes. The tango therapist often throws in new exercises. We clean the was like this thats how the therapist to solve all comes our list describes this coordination exercise. And catch it. So i would. 1st make it disappear because. Thats good. For. The goals are to take bigger steps unusual and achieve the best possible posture. Teacher and student are both pleased. My friend next week youll come here and be taller than i am could want you to be. After 2 hours of tango could really walk tall. Studies show that tango improves balance and notorious abilities and dancing is fun you can do it in groups so whole importance of Group Activity and fun. Group activities always help too to maintain to the program and to keep motivated and they may help the network socially and on the other hand dancing is a very helpful for patients with parkinsons disease as external cues such as visual or acoustic use help in. Improving movement and she is about concentration and focusing on the task is important to. Yes of infile yes definitely its totally important because the body can only function if it can relax sponsor relaxation is the basis for everything and parkinsons patients often suffer from muscle rigidity so relaxation is especially good for them and its the same when it comes to concentration but on a good. Its accepted wisdom in asia that when body and spirit harmonize or Work Together in a directed manner then daily life functions better than unfortunate for instance you want stumbles who often or forget where you put your keys. So what other kinds of movements and exercise and sports what you recommend for parkinsons patients so in general no limits are set when youre not healthy you should start with prescription for physical therapy for example and on the air when when when youre healthy you can go jogging you can do nordic walking cycling weight training as i said earlier or you just use the said home or even Computer Games imitating sports so if our viewers want to start now whats the 1st step theyre so should as of you the 1st step is to leave the house the longest journey begins with a single step when youve signed a tight cheech or close to where you live to do a trial session to get an impression and if you like it theres nothing to stop you so its all just about doing it and get moving so please get moving get up and go to your computer and send us all your questions to our experts. On an upcoming show well be looking at the power of meditation breathing and relaxation exercises are said to help reduce stress in everyday situations how does meditation work and what kinds are there questions to in good shape at the dawn. Dot com just right meditation in the subject line we look forward to hearing from. Many people think that they are constipated one out of 3 things that he or she has a lazy colon but the real data are different just one out of 10 is really constipated so its up to the patient just a gut feeling. Is a doctors assistant so shes on the move the entire day it doesnt matter if she stands or sits or moves a lot the 49 year old has been suffering from constipation for decades ive always had problems going to the toilet as a young girl during my pregnancies and afterwards as well she has the most problems when she needs bread and meat at 1st she thought it had something to do with her diet so she tried changing it. Finished soaker i reduced my sugar intake and ate a lot of vegetables and fiber in things to get my bow moving ive tried it all but its never really worked 100 percent could be at about 1 oclock said he is and. Even though daughter truckies lots of vegetables and whole Grain Products she only has about one movement every 5 days and that has weighed on her quality of life. The problem is when i have constipation i begin to have flatulence and thats not very pleasant gap which has been this is the understand. For years she has felt constipated shes turned to doctors for a gastroscopy has colonoscopies pancreas examinations as well as tests for lactose and fruit dose intolerance all without success she still has constipation and her infrequent bell movements have led to another problem. I feel the urge to go to the toilet but i can. On a visit to another doctor dugard is told that its often quite difficult to find the exact cause of constipation so additional tests are needed. There are many different causes of constipation such as medication and other diseases for example Neurological Disorders and parkinsons disease. Multiple sclerosis hypothyroidism and diabetes can also lead to constipation. Dr is able to rule out all of these as the causes for it. Now a simple x. Ray with these capsules that contain metal markers should show whether the problem in the intestine. The human colon is always in motion shoving clumps of partially digested food back and forth 6 to 12 times a day there are stronger muscle movements that move along the digestive tract. Motor neurons control the process and sometimes this is disturbed in people with chronic constipation. That causes can also be found in the colon itself changes in the homans nervous system or the muscles and. That can lead to less peristalsis reduced intestinal movement so there is a delay in the transport digestive tracts content. A neurological or muscle disorder can cause constipation suddenly. Its also possible that infections in the intestinal area that we encountered during our lives can lead to changes chronic changes to the intestinal nervous system causing chronic constipation. X. Ray indicates that she doesnt have a serious neurological disorder in her intestine because only a few metal markers are left in there that means the colon is slow but not diseased. So if its not a neurological disorder what is the cause and examination of her rectum indicates that she suffers from an intestinal voiding disorder shes unable to have a proper bell move. d the problem often concerns the pelvic floor muscles responsible for opening the sphincter during a Bowel Movement often dont function properly and thats related to a pelvic floor weakness. A change of diet didnt help towards luck so now shes undergoing a combination therapy a laxative as a surpass atory will help empty her rectum psyllium a soluble fiber helps the passage. It was on him if he absorbs 40 times its own volume and this water will remain in the fecal matter so it doesnt become hard and the intestine can transport it better transport you can. Now do on the right path shes more physically active and following a healthier diet. She takes the psyllium every day and every 2 or 3 days a laxative if you dont have any if i could go to the toilet every other day that would be a success i hope things get going. And. Do you sometimes feel without an obvious reason or have joint problems or risk in grass the reasons for this and mostly harmless but this could be signs of a dangerous disease like lupus. Going down a long flight of stairs can be a Risky Business for as out about tom she sometimes stumbles for no obvious reason. The smart ones would affect my cant always feel my body so well especially on the left side and then if i dont watch out i can have problems with my coordination quickness thats what happened this time one moment of inattention i put my foot down wrong and it was broken on the sets and on my ankle for. Example as mysterious condition 1st appeared 11 years ago she came down with scarlet fever then she kept getting sinus infections she had surgery and took lots of antibiotics but the infection kept recurring along with bouts of debilitating fatigue. It was the 1st of the king to get up its like coming down with the flu quotes when i get a High Temperature and all the other symptoms that go along with it i wasnt terribly tired its not just a bit sleepy but really exhausted and. That leads to problems with concentration even looking for small changes tiring so here you have a pays with the bill but shes glad she has the energy to go shopping at all and is no longer suffering from extreme fatigue. She had the condition for 6 years before rheumatologist had much zones and finally diagnosed it as systemic lupus rhythm atos us an autoimmune disease servants and says diagnosis isnt easy the symptoms can be so varied and diffuse that patients are not always taken seriously. Because how you feeling today you ask it i can feel its time for an infusion for the fear of sitting down lots of doctors think the patients of mentally ill if you have to feel a figure that anyone who has so many complaints is mentally unstable and conclude theres nothing really wrong with them its all in their head. And thats what happened with her and this is the office she has. One quite typical symptom a butterfly shaped facial rash went unnoticed. In lupus the bodys immune system produces antibodies that attack the persons own tissues. That can result in inflammation of the eyes skin and joints. The brain and internal organs such as the kidneys lungs and hearts can also be affected. But there is some hope for sufferers a medication called. A Monoclonal Antibody is the 1st drug developed especially for lupus. Detour get certain immune cells known as b. Lymphocytes thereby suppressing the excessive immune response and reducing some of the symptoms. Every 3 weeks her gets an infusion of the drug suppressing her immune system has side effects that makes her more vulnerable to infections. The advantage is that she doesnt need to take as much immunosuppressant cortisone. And this sort of a listen back its not as if its all gone but i need far less cortisone and fewer painkillers and that in houses my quality of life due to the t. V. Is less intense so i can actually get out of bed it is over 8 victims but you know the kind of fatigue i had before was indescribable you have to i couldnt take care of myself at all but now i can again 100 percent. Tend as hired the person hit doesnt cure lupus there is no cure for these conditions but it does reduce the symptoms. And it protects the organs from further damage that seems to be established with no horse car but i did see that kidney inflammation has reduced and kidney function improves its clearly very effective as a dance class c. Of work some. Heads now have been treated earlier she might have been able to continue to pursue her profession as an occupational therapist but now thanks to the drug she can at least work in an office for a few hours at a time. Thats it for today. And until then lets all try to stay in good shape. Coming. Up. The phone. Booth. Harald. In the north. Had going on. Germanys only island on the open sea a day trip is nice but its better to stay to offer a days on the island that makes a real difference its the ideal place to slow down and relax check in the. Next. Innovation. Founders rally. The controllers responded those in asia the crisis caught up in a call to social entrepreneurs are changing the lives of the poor providing schooling and haul. Me years 3 years getting to the moon goes in and says look today is a voluntary more from the parents. In 60 minutes long t w. A r. Armstrong really walk on the moon. Isnt the earth really flies hafter on. The government to jims planes to poison us. Conspiracy theories are spread like wildfire on the internet. Instant transparency fairies can provide comfort in times like reality create another. Assume about knowledge and belief trust and deception. Democracy of t