Liberty Science LLC Vera Shury, B.A., I.C.F.T.,S.D.,A.C.H.M.

Rehabilitation Anthropology Fitness Therapy

Copyright 2012

Adult bones can be remodeled by applying weight -resistance at the correct angles

Walking> It is important to strike with the heel; knee straight > longer steps >

keeps hamstring long

Glutes do not get activated during walking (especially with small steps)

2.5 mph is the usual walk/run transition

To get dopaminergic effect 8min-30min 3X week

Or squats (1 legged) 12-20 reps, 2-3sets 3X week

Process of adding new bone in response to: -Damage -Changing patterns of stress -Increased loads

Record of your life

Osteon

Resists stress best when aligned parallel to force

Must adapt and change with behaviors

Periosteum

Membrane lining outer surface of bone

Progenator cells for osteoblasts

Nutrient supply and nerves

Attached to bone via sharpey’s fibers

Wolff’s Law ∆ mechanical environment ∆ structure

(primary function of bone is to be stiff):

MECHANICAL PROPERTIES

Stress (s) = force/area =F/A Strain (e) deformation =∆L/L positive strain (+) is tension negative strain (-) is compression

The ground fights

back…..

Why do you flex your knee when you run?

Running =strong gluts

Sprinting (anaerobic): >5-6 m/s

Endurance running (aerobic) <5-6 m/s (typical “jog” = 3-4 m/s)

Squats = strong quads

50

100

150

200

250

300

En

erg

y C

ost (J

ou

les /

me

ter)

1 2 3 4 5

Typically, we switch to a run above 2.5 m/s

Speed (m/s)

walk

run

Triceps=The power to lift the body ^ from chair & turn in bed

2 moves to build strength

Triceps dip

French press

Extensors of elbow (Triceps brachii)

Long head

Lateral head

Medial head

Tendon

superficial deep

Infraglenoid tubercle

Post. humeral shaft

--> olecranon process

Use nectar to lubricate the throat before swallowing pills For difficulty swallowing use chin down (cookie swallow) • make sure to follow with another swallow of nectar to assure the bolus is past all the “involuntary “ movement triggers To increase swallow & amplitude say: Good Cookie (G,K) All the vowels A,E,I,O,U, Push Back, (P,B) for lips Push tongue into cheeks 12-20repetitions for 3sets, 3X week Low octave and low tone cannot be heard by the human ear!

Salivation

Salivary glands: Parotid Sublingual Submandibular (+ various accessory glands: anterior lingual, labial, buccal, palatal)

Functions: breaks down some of the starch and fat; acts as a lubricant

Swallowing/Deglutition

Nasopharynx

Oropharynx

Laryngeo- pharynx

Soft palate

Upper esophageal sphincter to the stomach

to the lungs

tongue

genioglossus geniohyoid

body

root

epiglottis

Vallecula (space)

hyoglossus

palatoglossus

palatopharyngeus

styloglossus

DEGLUTITION

STAGE I (voluntary) 1. Tongue contacts palate, sweeps posteriorly, pushing back bolus (intrinsic muscles) 2. Hyoid elevated and stabilized by suprahyoid muscles 3. Bolus pushed into oropharynx (velleculi) by elevation/retraction of posterior tongue (m. styloglossus); Palatal arches stiffened (m. palatoglossus)

GH

MH

SH

D

DEGLUTITION

STAGE II (involuntary) 4. Induced by bolus in valleculae 5. Soft palate elevated (levator palati) & tensed (tensor veli palatini); upper esophageal sphincter constricted 6. Hyolaryngeal complex elevated and protracted, opening upper esophogeal sphincter.

DEGLUTITION

STAGE III (involuntary) 7. Trachea closed 8. Epiglottis depressed (folds downward) 150° in 1/15th sec. 9. Middle pharyngeal constrictors compress bolus through the upper esophageal sphincter.

DEGLUTITION

STAGE IV (involuntary) 10. Down the hatch… (inferior pharyngeal constrictor pushes bolus into esophagus

ADduction of vocal folds ABduction of vocal folds

Thyroid rotation: tense vocal folds MOVEMENTS

Aretynoid rotation:

ADduction of vocal folds ABduction of vocal folds

Thyroid rotation: tense vocal folds MOVEMENTS

Aretynoid rotation:

QUANTAL SPEECH

F1

F2

Vowels

Consonants

[p] [d] [g]

Configuration selectively boosts sound pressures 30- to 100-fold in the 2-3kHz range Db & Frequency

Most conversation occurs in this narrow range

Hair cells very similar to those in the cochlea

Sense linear accelerations

VS “Is Walking a line contraindicated for balance with PD”

“ I wouldn’t say it is contraindicated, but other balance options are better to address the deficits.

Since they have a narrow base of support already, practice balance in ways to promote wide base,

lateral and backwards weight shifting. Make it functional for best carryover. Tandem

stance would be ok, > again reinforcing wide or normal width base and

rocking. > :)” Becky Farley Ph. D. BG

Collecting information from light

The amygdala is an important part of the brain in neurological conditions>

Smell can help determine spatial location with both nostrils intact.

Smell can help learning (memory)

Smell ability can be enhanced with intensity & training while covering other senses.

2 days made a difference in an experiment> chronic condition interference probably 50% more

Imagining the movement as done by elite athletes such as Olympians do to train

Activate the plasticity of your brain

Imagine rehearsing movement in a strong healthy neuromuscular correct bio-mechanic movement

As much fruit (min 4 daily) Salad as Main Dish Vary greens to the max Few starchy(-corn, -potatoes) Beans, legumes (1 cup daily) Lean fish (twice weekly + 1 egg ) Flaxseed daily (1 T) Nuts + seeds (1 oz Raw) Mushrooms(phytochemicals) Beef , turkey, chicken, fish

Broccoli has the highest level protein

Romain based, dressing on side

Blue berries, straw, mellon

Broccoli, peas, kale, brussel

Butternut –acorn squash

Eggplant, beans

Flounder, sole, salmon

Or walnuts, soybeans

Pecan, walnuts, macadamia

Great flavor

12 oz max a week

Nutrition Supplements recommended

Brain Function Depends on adequate intake of : Short-term Memory Vitamin B12, vitamin C, Vitamin E Performance in Problem-solving tests Riboflavin, folate, vitamin B12, vitamin C Mental Health Thiamin, niacin, zinc, folate Cognition Folate, vitamin B6, vitamin 12, iron, vitamin E Vision Essential fatty acids, vitamin A Neurotransmitter synthesis Tyrosine, tryptophan, choline Omega 3 Magnesium, DHA, polyphenols, vitamin D

Glutamate, estrogen, glutathione, cytosine, Selenium, CoQ10, WATER/ELECTROLYTES Osteo 8 for osteoporosis rebuilding (Chinese Herb) clinical trial supported There are daily minimum requirements and Tolerable Upper Level intakes per day. I need age and weight to provide a personalized complete list of daily nutrient intake

Nutritional Stress Relief (Natural and Homeopathic )

To help calm the nervous system: taurine, glycine, and GABA (Zeff, 2007);

“Rescue Remedy” flower essence tincture: (Casler, 2010) available in health food stores like Warehouse Vitamins.

Herbs: Valerian, passionflower, or hops and chamomile (Zeff, 2007)

A New science measures Organic Acids in Urine, Specimen can be sent in by mail at www.Metametrix.com/organix (Casler, 2010)

Anthropology 324 The Human Machine Professor David Raichlen University of Arizona Argue, John. Parkinson's Disease & The Art of Moving. Oakland: New Harbinger Publications, Inc.,

2000. 95-99, 126-131. Farley Ph. D BG, Koshland GF, Prior MM (2004) Learning Big™ decrease bradykinesia in the upper

and lower limbs in people with Parkinson’s disease. Program No. 874.11. 2004 Abstract Viewer and Itinerary Planner. Washington, DC: Society for Neuroscience, Online.

Hatfield, Frederick C. Fitness: The Complete Guide. Rev. 7th ed. Santa Barbara: International Sports and Sciences, 2001. 2.7-2.14,15.1-15.16.

Bose MD, Sue. Sleep and Parkinson’s Disease Lecture to APDA. 2004. Montesorri, Maria. The Absorbent Mind. Oxford: ABC-CLIO Ltd., 1988. 130-135. Yessis Ph. D., Michael. Kinesiology of Exercise. Columbus: McGraw-Hill, 1992. xi, 3,17,22,49,123,146. Pearl, Bill. Keys to the Inner Universe. Pasadena: Physical Fitness Architects, 1982. 28-30. Prudden, Bonnie. Myotherapy: Bonnie Prudden's Complete Guide to Pain-Free Living. New York: Dial

Press, 1984. 75, 82. Fuhrman, M.D. Joel. Eat to Live, Hachettebookgroupusa.com Parolisi, NCCAOM Diplomat O.M. parolisi1@wbhsi.net Ackerly, MD Mary, mypassion4health.com marymd@mypassion4health.com Vera Shury is program director of PARKINSON’STRENGTH™, a program offered by Liberty Science LLC and

based upon the philosophy developed by John Argue in conjunction with Stanford Comprehensive Movement Disorder Center and the Department of Neurology at Kaiser Permanente. Vera can be contacted at vshury@libertyscience.com