Corporate Fitness and Active Aging

The prevalence of Parkinson’s Disease is on the rise. Previous numbers indicated that 60,000 Americans are diagnosed each year and new research from the Parkinson’s Foundation indicates a steep 50% increase with 90,000 Americans now diagnosed annually. For senior living providers if you aren’t seeing Parkinson’s amongst your resident population yet, it is on the horizon as diagnosis is directly associated with increased age. This may result in less than a dozen or so residents living with Parkinson’s in your community at a time, but if you consider how Parkinson’s may also be impacting spouses of those diagnosed, the impact is deep. In addition, there is a good chance you have employees and residents with loved ones impacted as Parkinson’s remains the second most common age-related neurological disorder behind Alzheimer’s Disease.

Much like Alzheimer’s, there is no cure, and the treatment path is to control symptoms. One of the best treatments to not only manage symptoms but also delay the onset is through exercise. In NIFS work supporting dozens of senior living communities across the US, I shared previously how we were receiving requests from our clients for quality exercise resources to support residents with Parkinson’s and NIFS development of our signature program Bold Moves.

As April is Parkinson’s Disease Awareness Month, many communities are looking for resources to provide Parkinson’s education to their residents and staff as well as options for quality fitness programs to cater to the unique training needs of residents with Parkinson’s. This is why we are pumped to host Pump it for Parkinson’s!

This event on Tuesday, April 11 will unite the senior living industry for a common cause. The National Institute for Fitness and Sport (NIFS) and our partners at NuStep, ICAA and Wellzesta are inviting communities to join us for this education-based fitness event. Pump it for Parkinson’s is a day-long NuStep-a-thon where we accumulate steps from senior living providers across the US with a goal of achieving 1 million steps to honor the 1 million Americans living with Parkinson’s. NIFS will be providing communities with a packet in the mail of promotional items as well as a digital resource library that can help them customize an event unique to the interests of their residents. With informative resources for your Parkinson’s Education Station, employees, residents and families can learn more about Parkinson’s, grab exercise resources and healthy recipes while also contributing steps on the NuStep!

Registration is free and a great way for a community to introduce wellness resources for Parkinson’s or celebrate the hard work of residents who are already fighting back against the disease! Take advantage of this opportunity to demonstrate your community’s commitment to being an industry leader in helping residents live well!

Every step counts and we would love for your community to join us and contribute to our goal of one million steps. Participating locations will have a chance to win a NuStep T6 Cross Trainer and will also receive a digital toolkit of Parkinson’s fitness resources including exercise videos, handouts and tips from NIFS registered dietitian. 

Register your community for our FREE educational event and get your residents pumping for Parkinson's Disease as we raise awareness!

Over 15 years ago, I remember sitting down at the computer in my senior living client’s fitness center and Googling, “exercises for Parkinson’s disease”. I had a new resident move-in with Parkinson’s and though I’m a certified and degreed exercise physiologist, I wanted to make sure I understood how to support her needs. Her name was Carolyn and I still remember her smile.

I now work at the operational level for NIFS supporting dozens of senior living clients and team members across the country. I benefit from a bird’s eye view of hearing successes and challenges impacting our communities and what residents want in their fitness center. I was continuing to hear requests from clients and staff for Parkinson’s resources. Our clients wanting a quality, yet manageable program that stands up to their brand promise in helping residents live well, and from our staff feeling like there were missed opportunities to better engage these residents.

Our staff are degreed fitness professionals, but those credentials don’t tell the full story of who they are as people. They are intuitive and gifted in relationship building with their members. They shared stories of individuals with Parkinson’s trying an existing balance class and noticing they weren’t coming back. They shared stories of what they were witnessing in the emotional needs of these residents who can also experience fatigue and depression.

As a prospective or current resident with a diagnosis speaks to our clients or staff, we want them to feel confidently met with exercise options that they know are designed for their needs. This is where Bold Moves was born. We spent over a year researching, completing specialized certifications, and meeting with our team to learn not only how to better support the exercise needs of those with Parkinson’s, but in a way that we know is manageable in a senior living fitness environment. We know the equipment, spaces, personnel, and resources commonly in place and created safe and empowering programming with Bold Moves that our staff could apply across different client settings.

Many think they have classes and one-on-one services that residents with Parkinson’s can participate in already. This was our line of thinking too. But after implementing Bold Moves, the level of engagement by residents with Parkinson’s skyrocketed. In the first two months of the program, we saw a 96% increase in group fitness participation by these individuals having a dedicated class on the calendar uniquely designed for their training needs. We have also seen a 100%+ increase in completion of our one-on-one exercise prescription service. These residents are regularly engaging in their community’s fitness centers more and it’s amazing to see how far we’ve come since the days of that simple Google search looking for resources!

We were so pumped by these outcomes; we wanted to celebrate and share resources to help more communities support their residents. On World Parkinson’s Day, we are going BIG with Pump it for Parkinson’s. During this nationwide event on Tuesday, April 11, senior living providers will come together, utilize complimentary programming materials to host their NuStep step-a-thon, and receive expert resources from NIFS to continue supporting their residents with Parkinson’s. Don’t have a NuStep in your community? That’s OK. We can find opportunities utilizing the equipment you do have. It is estimated that one million people are living in the US with Parkinson’s and our goal is to come together and complete at least one million steps on the NuStep as we Pump it for Parkinson’s. In addition to the great Parkinson’s resources including instructional videos for your fitness staff and education from NIFS Registered Dietitian, your community will also have an opportunity to win a free NuStep T6 Cross Trainer in thanks to our partnership with NuStep! We are thankful for our industry partners with NuStep, ICAA and Wellzesta who are helping us spread the word about this event so more communities can join us. For more information and to register your community, visit our Pump it for Parkinson’s page here.

The National Institute for Fitness and Sport (NIFS) presents Pump It for Parkinson’s on World Parkinson’s Day, April 11, 2023. NIFS has partnered with NuStep inviting senior living communities across the country to take part in this event to raise awareness on the benefits of exercise for individuals with Parkinson’s. Pump It for Parkinson’s will be a day-long NuStep challenge for senior communities striving to achieve 30,000 steps on their NuStep.

Emily Davenport, NIFS Director of Fitness Center Management, said, “communities can rally their entire campus by bringing together their residents and employees to accomplish the goal!” NIFS will provide communities with a complimentary programming packet including tracking tools, promotional content, and educational resources they need to get their residents excited. The event’s goal is to accrue 1 million steps representing the 1 million people in the US living with Parkinson’s!

“Whether this event is a community’s first program dedicated to supporting residents with Parkinson’s or a fun add-on to existing offerings, we want to provide resources as they continue to help residents fight back against Parkinson’s,” said Davenport. Participating communities will also receive a Parkinson’s fitness toolkit of resources and videos they can use in their fitness center. Communities that want to get involved need to register here.

“We’re pleased to partner with NIFS and support their event, Pump It for Parkinson’s. And we’re honored that participants will be using NuStep cross trainers throughout the day to demonstrate the importance of exercise for people with Parkinson’s," said NuStep Vice President of Marketing and Product Development, Tobey Thelen. As an added incentive, thanks to NuStep and NIFS, communities may be eligible to win a NuStep T6 Cross Trainer for participating in Pump It for Parkinson's.

Nearly 10 million individuals are living with Parkinson’s Disease worldwide and each year 90,000 Americans are diagnosed with this degenerative condition. Three years ago, NIFS embarked on developing a comprehensive fitness program to meet the unique needs of residents with Parkinson’s Disease for their senior living community clients. From this, Bold Moves programming specifically designed for residents with Parkinson’s was born.

NIFS would like to thank strategic partners, NuStep and Wellzesta, for supporting Pump It for Parkinson’s and their help in creating awareness of the unique fitness needs residents with Parkinson’s Disease have.

To find out more about Fitness Center Management by NIFS, call (317) 274-3432, email Emily Davenport.

NuStep is a leading manufacturer of recumbent cross-trainers used in healthcare, senior living, and fitness settings worldwide.

Communities can learn more about this complimentary program and register for the event by clicking the button below!

Follow the event on our Facebook page: Pump It for Parkinson's

“What keeps NIFS from inviting folks with varying neurological conditions into our Bold Moves for Parkinson’s class since it is also a neurological disease??”

This is a great question because it is a priority for our clients (and for us) to make sure programs and services are as inclusive as possible. But in this situation, Bold Moves is specifically designed for those who have Parkinson’s Disease and here are a few considerations on why that is the case!

Did You Know...

• ...Parkinson’s Disease is progressive and without a cure?
• ...medications and surgical procedures are only to help minimize symptoms?
• ...those same medications start to wear off and do not help as much as they did at the start of use?
• ...exercise is prescribed just as much if not more than medication for symptom management?

NIFS Bold Moves group fitness class is exclusively available to residents with Parkinson’s because the training modalities they need to manage symptoms are unique. We followed the science to make sure we were bringing our clients and their residents an evidence-based program for their fitness center and while exercise is GREAT for anyone, that doesn’t mean ALL exercises are meant for everyone. Some training modalities that benefit those with Parkinson’s in Bold Moves may be contraindicated for individuals with other neurological conditions.

Our goal with Bold Moves is to provide a safe space that encourages the types of exercise that will assist those with Parkinson’s to ease symptoms of the disease. For example, large, big, (dare we say, bold 😉,) movements are encouraged for range of motion and fighting rigidity, but did you know we should not encourage cross over steps for these participants? Another example of a warmup we might include is for facial muscles due to the symptoms that limit muscle movement in the face which can lead to further problems with swallowing and talking. Yes, we will include fitness staples like cardiovascular exercise, full body strength, and flexibility exercises, but they will each be nuanced for the symptoms individuals experience with Parkinson’s. Furthermore, if a group setting isn’t enjoyable for a resident, they can receive an individualized Bold Moves fitness program utilizing the equipment in the fitness center or the pool!

While these exercise considerations are clear in the Bold Moves training NIFS team members receive, how they format their classes remains unique for their participants. We don’t take a cookie cutter approach across our communities in how we format a fitness class, plan an exercise challenge, or promote the next big splash in aquatics programming and Bold Moves is no exception. Our skilled staff learn from their residents at each community and create a program that meets participants where they are with Bold Moves classes looking different at every client site NIFS serves. We love seeing how our team applies their Bold Moves training to give the program its own unique flavor at every community!

Recently, NIFS interviewed several members at varying client locations to get their feedback on why they participate in this program and if it has helped them. The answer is a resounding yes! They are feeling the difference in how their body moves and feels after their sessions. They are paying attention more to the cues NIFS fitness staff provide them during class and remind themselves when they are out in the community. Most importantly, they are thankful someone has the understanding that they cannot control these movement symptoms and they have confidence that they are performing the best exercises unique to their needs as part of their symptom management.

Learn more about our program for residents with Parkinson's Disease by clicking below.

Exercise continues to be one of the best tools to slow the progression and combat symptoms of Parkinson’s Disease and the need for senior living communities to have dedicated exercise programs for residents with Parkinson’s is increasing. According to the Parkinson’s Foundation, 60,000 Americans are diagnosed annually and 96% of those diagnosed are over the age of 50 leaving seniors looking for best-in-class amenities and services including fitness professionals who understand their condition and can help them safely maximize the benefits of exercise.

Executive directors and marketing directors in the senior living communities NIFS serves were asking us for a marketable program they could offer in their fitness centers to support both current and prospective residents with a Parkinson’s diagnosis. NIFS culminated our years of experience developing expert health and fitness programming, supporting residents with Parkinson’s, and immersing ourselves in the science and research to develop Bold Moves™ a Parkinson’s Program by NIFS.

While NIFS had the resources to develop such a program, it was no easy feat and as usual we relied on our expert staff to help us learn what works, what doesn’t, and what resources and education we needed to enhance our department. Our staffs’ passion and commitment to finding exercise solutions to support the needs of their residents is boundless and supporting those with Parkinson’s is no exception as they helped us develop Bold Moves to incorporate:

We were able to learn from the experiences of team members across the US and industry experts in the field of exercise and Parkinson’s to create a truly unique program for our residents. Best of all, it’s making an impact with how much residents are engaging in exercise generating a 96% increase in group fitness visits by participants and 92% of them rating Bold Moves as good to outstanding. These statistics are from residents already residing at these communities which indicates a dedicated Parkinson’s program supports these residents in moving more!

Today, NIFS team members complete a comprehensive 8-week training including a specialty certification in Parkinson’s & Exercise to effectively launch Bold Moves for our clients. We collaborate with community personnel to incorporate an interdisciplinary team approach to bridge resources and care where needed. Residents with PD have confidence in the credentials of their fitness staff and a program uniquely designed to meet them wherever they are in their fitness journey. In turn, NIFS senior living clients have a marketable service that helps them create distinction in their marketplace with 100% of participants rating Bold Moves as a great feature of a great community!

Here are a few questions to evaluate on how your community could take steps to support residents with Parkinson’s:

• What are the credentials of my fitness staff to deliver effective and safe Parkinson’s fitness programs?
• Do we have a class on the group fitness schedule that provides the training modalities, equipment and safety factors to support residents with Parkinson’s in a class setting?
• For those who don’t like group exercise, how can we provide exercise options for them in the fitness center or pool that can help them manage symptoms?
• What pathways to bridge resources are established with other disciplines in your community like physical, occupational or speech therapy, dietitians, or healthcare navigators?
  
  

What is Parkinson’s? It is neurodegenerative disorder that affects movement. An individual might start with a gradual tremor in one hand, but this disease can result in numerous symptoms at different levels of severity including stiffness, slowing of movement, and disturbances to his/ her sense of balance. It cannot be cured but medications are given to try to improve symptoms. Exercises can be prescribed to help improve strength, flexibility, and balance and adherence to a regular exercise program is one of the best treatments options in managing symptoms and empowering those with Parkinson’s to fight back against the disease!

There are multiple benefits of exercise for those with Parkinson’s including:

• increasing muscle strength, flexibility, and balance
• improving well-being by reducing depression and anxiety
• slowing down the disease and controlling symptoms
• reducing pain and helping with emotional well-being
• preventing falls by building strength and decreasing fatigue
• improving sleep

The specificity of an exercise program for those with Parkinson’s is important to adequately manage symptoms and prevent fatigue.

• Most people should try to reach a goal of 30-40 min per week of cardiovascular exercise such as walking, biking, and swimming.
• As Parkinson’s can affect your posture, it is important to also add strength training and a stretch program to improve your core strength and overall range of motion.

There are different stages of the disease and medications will affect an individual suffering from Parkinson’s differently. Consulting with a qualified exercise physiologist who understands the unique needs of someone with Parkinson’s is important to ensure a safe and effective plan is being followed and tailored as needs change. An individual needs to be mindful of their movements, and at times, it can be overwhelming. A supportive exercise physiologist to observe, adjust and encourage participation can be a significant help! An individual with Parkinson’s needs to focus on walking heal to toe, taking large steps, swinging their arms, building core strength and upper back strength, and continue a quality stretch program. It is also best to continue sequential movements for brain health such as line dancing (crossing your feet and moving backwards might be a challenge) or boxing can also aid in brain health. Most importantly, find something you enjoy doing that contains all of these benefits, and make it apart of your lifestyle, ask your friends to join you!

See how NIFS wellness program, Bold Moves supports the physical, social and emotional needs of residents managing life with Parkinson's by clicking below!

We make no bones about it that our staff are the best in the business not only in their creativity but in their expert knowledge and appetite for continued learning. It takes this combination to make the most impact in reaching residents with engaging health and fitness programs in the senior living communities we serve. As NIFS was developing our Parkinson’s program, Bold Moves, we knew that equipping our staff with new certifications would not only boost their confidence, but the success of the program and we were right! Here’s some insight from three of our degreed fitness managers on how NIFS Bold Moves training aided them in elevating how they support the unique needs of their residents with Parkinson’s.

Becca G. – Bold Moves Coach in Indianapolis, Indiana

There was an abundant request at our community for a class for Parkinson’s Disease.  I researched some things on my own, but I felt like I needed more to effectively offer a class for PD.  The Bold Moves program helped me feel confident to lead class.  I feel like it gave more information about the disease, for example, how medication timing is imperative to consider when building an exercise program and encouraging participants to keep pushing. Prior to the Bold Moves training, I did not know to avoid cross over exercises, like the grapevine, or that PD causes impaired exercise-induced blood pressure levels.  After completion, I felt qualified to lead group classes and guide individuals in tailored exercise plans. Also, because of the education and training behind the program, the residents are ensured they are receiving safe, effective, and appropriate workouts from us.  I’m happy NIFS built the Bold Moves program with tools and resources to help us serve our residents with PD! It’s more than just the initial education, I have the sustained support and materials to manage the duration of this ongoing program.

Alyssa O. – Bold Moves Coach in Raleigh, NC

I feel the training was great because it educated us on the disease of Parkinson’s, the symptoms to be aware of, and walked us through several different exercises geared to manage those symptoms for maintenance or improvement in quality of life. It was very comprehensive in listing which exercises were better and why those exercises benefit this population of people.

They incorporated studies as well as example exercise programs for Parkinson’s that emphasized symptoms to look for when exercising this group of people. The training also guided intensity level and provided ways to structure the class so that it is conducted smoothly. The Bold Moves training was very helpful in my opinion!

 Charles B. – Bold Moves Coach in Atlanta, GA

As someone with a background in physical therapy, I already had some prior training and education for working with residents with Parkinson’s. However, Bold Moves training did give me a new list of Do’s and Don’ts for working with this population (avoiding grapevines and other advanced balance exercises while needing to implement exaggerated movements and elevate heart rates). The training also gave us the idea to install balance bars all along the back wall of our aerobics room, which has made our training much safer and accessible. I have 2 residents in wheelchairs and 3 in walkers who can perform standing exercises thanks to having these bars installed!

We are proud of our staff and their continued commitment to finding exercise solutions that work for all residents! For more information on NIFS Fitness Management services and our expert staff, contact Emily Davenport!

In this blog, we covered some of the basics of how exercise is vital to those living with Parkinson’s Disease (PD) in slowing the progression of the disease and managing symptoms. Now let’s chat about creating a Parkinson’s specific group fitness class for your members with PD. For me, group fitness is one of my favorite ways to exercise – something about the fun and engaging group atmosphere, accountability, motivation, and support from peers makes solo-exercise feel especially unappealing some days. Participating in group exercise can have huge benefits for your PD population too, but not just any group class is appropriate. Parkinson’s specific exercise classes can address common symptoms of PD including impaired balance and coordination, stiffness, freezing, poor posture, and limited flexibility/mobility which can in turn help to improve quality of life and help perform ADL’s more easily. Through a carefully developed exercise routine, individuals with PD may be able to slow the progression of the disease and improve their mobility and independence.

First, ensure that you (if you are the instructor), or your fitness staff have had adequate training and educational background on PD and are specialized in the training of individuals with PD to ensure classes are both safe and effective. You’ll want to encourage your members to check with their physician prior to starting a program and we recommend obtaining medical clearance as well.

While considering the unique training needs of members with PD, classes should be adapted to accommodate a variety of ability levels and include a variety of exercises which require both focus and effort. Each member should also be working at a moderate to vigorous intensity for the most effective workout. Utilize the RPE scale to ensure they are feeling somewhere between a 4-6 (moderate) or 7-8 (vigorous) out of 10. The components you want to include are aerobic, strength, balance, multitasking and flexibility for a complete workout. We recommend timing classes to be 50+ minutes in length so you have adequate time to warm up and training time inclusive of all components.

Structuring your classes: Start off with a warmup which includes raising the heart rate, warming up the body, stretching and flexibility exercises and of course some deep breathing. We want our PD members to really focus on deep breaths so they can relax and get a good stretch which in turn will combat muscle rigidity and assist in ADL’s.

Next, shift your focus to include aerobic training and strengthening exercises. Again, for aerobic exercise we want our participants to be working hard! This might be a time to consider adding in some dual tasks for cognition and coordination too! Dual tasks can be combined with any of the other training modalities so make sure to pepper those in often throughout your class. Try things like walking while counting backwards, catching a ball, standing on a foam pad while answering questions, or a variety of compound exercises. For this, just think “multitask” and have participants do two (or more!) things at once. For strengthening exercises, aim to hit the major muscle groups, but at the very least, you want to strongly address the muscles of the core, quads, glutes, back and triceps as they all lose strength and lead to poor postural changes.

Balance training is another essential training component in class as members with PD are two times more likely to fall when compared to those without PD due to slower reaction time, freezing, decline in mobility and balance, and lower body muscle weakness. You’ll definitely want to practice balance exercises and safe movement techniques in every exercise session!

Some other movements to add into your classes include boxing movements, yoga or tai chi practices, big movements, utilizing the voice loudly by counting or singing, and brain teasers or cognitive challenges. As always, end with adequate time to allow the body to cool down, stretch and some more deep breathing.

A few additional considerations as you develop your PD class include choreography and music! Studies have shown dancing and choreographed movements can help with balance, gait, confidence, movement initiation and QOL. Similarly, using music can reduce stress, improve breathing and voice quality, and make it FUN for you participants!

We already know that exercise is a key contributor to a healthy lifestyle overall, but for those with Parkinson’s Disease (PD) this is no exception! In fact, exercise is extremely critical for people with PD, and research shows that participating in an exercise program can not only help to maintain balance and mobility, but can also slow the progression of the disease, and improve many of its symptoms! Establishing an exercise routine early on in diagnosis is key for PD management, but for any fitness level or disease stage, just getting up and moving is helpful.

Common symptoms of PD include tremors, rigidity, slowed movement, and balance and coordination impairment. Those symptoms coupled with the fatigue, muscle weakness and low power that people with PD frequently exhibit have the power to greatly affect day to day life, but they don’t have to.

It is recommended by The American College of Sports Medicine and The Parkinson’s Foundation that individuals with PD participate in 150 minutes of moderate-to-vigorous exercise per week. For the greatest benefit, exercise should be intentional, and you should look to include cardiovascular endurance, strength/resistance, balance, and flexibility exercises into a training program. Together, these modalities create a comprehensive fitness regimen and will help reduce the risk of falling and improve the ability to perform activities of daily life – like getting dressed, reaching for an object, or standing up from a chair.

Where to Start:

• Safety First! Always consult your doctor before starting an exercise program.
• Pick exercises that you will enjoy! It doesn’t matter how “great” your program is if you don’t plan to stick to it. The most important thing is to make sure you exercise regularly, so try to have a little fun while you’re at it!
• Consider joining a group exercise class! Joining in on Parkinson’s specific classes will offer you added motivation, support and socialization with others who also have PD. Additionally, you will receive instruction and any necessary modifications from trained experts.
• Exercise at an intensity that feels like a challenge.

Still unsure of how to start exercising with Parkinson’s Disease? Starting, or restarting, an exercise program alone can be intimidating, and with PD requiring some special considerations it can be even more difficult to truly know where to begin. There are numerous benefits associated with working with a qualified fitness professional – ideally a fitness professional who has an educational background and experience working with PD – that span far beyond added motivation and accountability. Working with an educated and credentialed professional is essential in properly progressing exercises, reducing risk of injury, and maximizing effectiveness for all individuals, but especially those with unique needs. Qualified professionals can not only advise you on where and how to start, but will also be able to progress you accordingly, and adapt your exercise program to meet your individual needs. They will be able check and correct your form, while also educating you on which muscles are being targeted, and why that is important in maintenance and slowing of your PD progression so that you can continue to perform daily tasks and activities.