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A Simple Treatment for Parkinson’s Disease: Exercise
From VOA Learning English, this is the Health and Lifestyle Report.
More than six million people around the world suffer from Parkinson’s disease. Parkinson’s disease makes patients shake and their muscles difficult to move. The disease is incurable1 and only gets worse over time. Parkinson’s usually affects older people.
Current treatments for Parkinson’s are medicine and surgery. But lately many doctors and patients have become interested in a treatment that is simple, does not cost much and seems to be very effective. That treatment is exercise.
"Pick it back up. Put it down. Right leg. Straight arm. Way back. one ... two ... three ..."
What you hear are 20 senior citizens exercising. They stretch their arms forward and then swing them far back. The instructor2 watching them closely is a 75-year-old man named Gary Sobel.
"Here we go! Catch! Hurl3!..."
Mr. Sobel shows the class how to catch and throw -- or, as he says, hurl -- an imaginary ball. Everyone follows his instructions. But many of the students cannot stop their hands and feet from shaking. And some cannot straighten their bodies.
Everyone in the class has Parkinson's disease -- everyone -- even the instructor.
Parkinson's disease is an incurable brain, or neurologic, condition that can make walking and keeping your balance difficult. So, many patients avoid exercise. But these students exercise several times a week.
They say the exercise helps the symptoms of Parkinson’s. But they also come for another reason -- the friendship.
An instructor who understands
The exercise classes have been important for the instructor, too. When he was younger, Mr. Sobel was an athlete. In his early 60s, he was still running in long races. But in 2008, he was diagnosed with Parkinson's disease.
The condition became severe. He could not get out of bed without help. He could not walk easily. He could not drive a car.
"Walking was a problem because I would trip and fall. Getting in and out of a car - I couldn't drive anymore because my reflexes were too slow. I didn't trust myself if I had to make a sudden stop, you're just too slow with your movements."
Doctors told Mr. Sobel the best way to avoid accidents and injury was to avoid exercise.
"In 2008 when you were diagnosed, you were told not to crack a sweat, take it easy. I'm serious."
So Mr. Sobel stopped exercising. He also avoided medications because he was scared of the side effects, the bad things they might cause. Then one day, his hands were shaking so much, he could not sign his name to pay a bill.
"I hit bottom that day, and I said, this is absolutely ridiculous, that I can't even write a check."
After this happened Mr. Sobel started to take low doses of Parkinson's medicine to reduce the shaking. Once the shaking lessened4 he started squeezing water from wet towels to strengthen his hands. That simple exercise worked.
"It took about six weeks and I could write a check better than I ever did."
Mr. Sobel decided5 to build on his success. He moved on to exercises to strengthen his legs. Then he decided he wanted to help others. So, he trained to be an instructor.
Mr. Sobel has been teaching exercise classes for three years. In that time, he has helped thousands of people with Parkinson's.
In this class, he is teaching students how to walk fast, how to stop fast and even how to walk backwards6.
"..in the count of three. One, two, three ... Stop!"
He says he pushes all his students to do more than they think they can.
"I want them tired. At the end of the day, I ask them if they're tired, and if they say 'yes,' I'm happy."
The medical community noticed the success stories of Mr. Sobel and other Parkinson’s patients who exercised.
Heather Ene, Parkinson's researcherHeather Ene, Parkinson's researcher
Doctor Heather Ene is a doctor at the University of Colorado. She specializes in movement disorders7. She explains that many people have made a philosophical8 shift, or a change of thinking, about exercise and Parkinson’s disease.
"There's been a complete shift towards exercise as a mainstay in Parkinson's disease."
Ms. Ene says new research about Parkinson's is making doctors change their advice to patients. Now, doctors are telling people with Parkinson’s to exercise longer, more often and at higher intensity9. She says exercise may help people remain more active for longer.
"It's not necessarily going to slow the disease progression such that people don't need medications. In fact, it's very unlikely that it's going to create that much difference. But it can be very helpful in slowing the transition to disability. That's part of what we're trying to do."
And, Dr. Ene says Mr. Sobel’s exercise classes help the students with more than their physical health. She says the classes help students emotionally. They give the people a community. Students exercise among others with Parkinson's and learn from a man with Parkinson's.
"Five on the left. Five on the right. Are you ready? Here we go! Stop! Lift! Last one ... Stop! Lift! Stop! Lift!"
Back in the class, Mr. Sobel says the classes have also helped him fight this degenerative disease, a disease that gets worse over time.
"This is a degenerative disease that can get nasty. But I'm winning the battle right now, and I don't know how long I can continue to win the battle, but I'll do what I can."
As part of doing what he can, Mr. Sobel has trained over 100 instructors10 throughout the United States. These instructors use his methods of leading Parkinson's exercise classes. He has also helped start other classes for people with Parkinson's. These classes include yoga, Tai Chi and dancing.
Words in This Story
patients – n. people who receive medical care or treatment
stretch – v. to move your muscles in a way that makes them long and tight
swing – v. to move with a smooth, curving motion
reflexes – n. actions or movements of the body that happen automatically as a reaction to something
hit bottom– v. expression reach the lowest possible level or point
degenerative - adj. medical causing the body or part of the body to become weaker or less able to function as time passes
1 incurable | |
adj.不能医治的,不能矫正的,无救的;n.不治的病人,无救的人 | |
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2 instructor | |
n.指导者,教员,教练 | |
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3 hurl | |
vt.猛投,力掷,声叫骂 | |
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4 lessened | |
减少的,减弱的 | |
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5 decided | |
adj.决定了的,坚决的;明显的,明确的 | |
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6 backwards | |
adv.往回地,向原处,倒,相反,前后倒置地 | |
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7 disorders | |
n.混乱( disorder的名词复数 );凌乱;骚乱;(身心、机能)失调 | |
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8 philosophical | |
adj.哲学家的,哲学上的,达观的 | |
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9 intensity | |
n.强烈,剧烈;强度;烈度 | |
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10 instructors | |
指导者,教师( instructor的名词复数 ) | |
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