Methodology of exercise resources development for professionals providing services for people with Parkinson’s: a technical report

The complexity of motor and non-motor symptoms seen in Parkinson’s, with their variability and progressive nature, have a significant and potentially detrimental effect on mobility and subsequently quality of life for those with Parkinson’s. A considerable body of evidence now exists advocating the positive value of physical activity and exercise on both the motor and non-motor symptoms of Parkinson’s, whilst limiting the impact and effects of the secondary complications. The literature is signposting to early adoption of higher intensity exercise, with reported benefits at a neurophysiological level, and a potential to influence a diminution in the rate of progression of the condition. It lacks clarity about structure of activity throughout the course of Parkinson’s, and occasionally raises conflicting information about the differences in physical activity and ‘best’ exercise. This report describes the method for development of two Parkinson’s exercise resources for professionals coordinated through the charity Parkinson’s UK. The process uses the six-step Analytic Hierarchy Process to understand how the growing number of questions asked by people with Parkinson’s, and by professionals about physical activity and exercise has informed: a) An Exercise Framework resource, which provides an understanding of what style of exercise might be beneficial, and just as significantly, takes into account the individual’s changing needs and abilities over the course of Parkinson’s, and b) An adaptable teaching template (PowerPoint Presentation) containing the supporting evidence for use by the exercise prescribing community