Exercise is a wonderful way to improve both physical symptoms and overall quality of life for people living with Parkinson’s. However, starting or sticking with an exercise routine can feel challenging for many.

You cannot get someone to engage in a serious wellness plan, including exercise, until they feel that there is hope. They have to trust that there’s something meaningful to look forward to and live for. For people who are newly diagnosed and for anyone who is having trouble motivating themselves to exercise, I would reiterate that this is not the beginning of the end, but the beginning of a new journey that can be rewarding and happy, as long as you allow it to be.
– Steve Hovey, Davis Phinney Foundation Ambassador living well with Parkinson’s

Research shows that there are three main reasons people with Parkinson’s may hesitate to exercise:

1. Expecting little to no return for the effort
2. Doubting their ability to achieve benefits.
3. Fear of falling

These are understandable concerns, but it’s important to remember that, like Parkinson’s symptoms, each person’s barriers to exercise can be unique. Whether it’s related to health issues, personal circumstances, or external factors, we all face different challenges.

Health-related barriers for people with Parkinson’s can include stiffness, balance issues, anxiety, fatigue, and pain.

On a personal level, things like taking care of family members, work responsibilities, or not having enough time can make it tough to prioritise exercise.

External factors like living in a remote area, lack of public transportation, or bad weather can also get in the way.

But don’t worry! There are plenty of ways to overcome these obstacles and get moving. Here are a few suggestions:

• Seek Professional Guidance: If you’re struggling to exercise due to a specific symptom, it’s a good idea to talk to your doctor. They might adjust your Parkinson’s medication to help. You can also consult a Parkinson’s exercise specialist who can help you learn how to work around your barriers.
• Social Support: Join an exercise class designed for people with Parkinson’s, where the activities are safe and effective. Exercising with others can be motivating, and it adds a sense of accountability.
• Exercise When You Feel Your Best: Try to schedule your workouts when your medication is working well and you’re feeling at your peak. If your meds aren’t working as usual, feel free to adjust your routine.
• Reward Yourself: Celebrate small victories! Setting exercise goals and rewarding yourself when you meet them can be a great motivator.
• Mix Up Your Routine: Keep things fun by trying different types of exercise. Variety not only keeps you engaged but also helps you step outside your comfort zone and try new things.
• Adjust for Fatigue: On days when you feel more tired, choose lower-intensity activities like yoga or walking. When you’re feeling energized, go for something more intense, like swimming or dancing. Always make sure to rest and recover when needed.

Overcoming Personal Barriers

• Low Confidence/Fear of Falling: Keep track of your achievements, no matter how small, to build motivation. An exercise buddy can help make things feel less intimidating, too!
• Physical Discomfort: Listening to music during your workouts can help distract from any discomfort. And be ready to adjust your routine depending on how you feel physically and mentally each day.
• No Previous Exercise Experience: Try to make exercise part of your daily routine. If you’re new to it, start small and focus on consistency. You can break up your exercise into short sessions throughout the day and remember that even a little bit of exercise adds up!
• Lack of Time: If time is a barrier, consider integrating exercise into everyday tasks, like gardening or walking the dog. You can also try virtual exercise classes, which eliminate the need for transportation and can be done in the comfort of your own home.

Exercise doesn’t need to be overwhelming. Find what works for you and take it one step at a time. The important thing is to keep moving and enjoy the benefits that come with it!

References:

https://www.simplypsychology.org/self-efficacy.html

https://pmc.ncbi.nlm.nih.gov/articles/PMC3641403/

https://davisphinneyfoundation.org/how-to-encourage-people-with-parkinsons-to-exercise/