ABSTRACT

Exercise can be dened as systematic physical activity undertaken to promote favorable adaptations in physical attributes such as muscular strength, muscular power, muscular endurance, cardiorespiratory tness, and body composition. Each of these physical attributes has been shown to be negatively affected in persons with Parkinson’s disease (PD; Allen et al. 2009; Beyer et al. 1995; Inkster et al. 2003; Kakinuma et al. 1998; Koller and Kase 1986; Nallegowda et al. 2004; Paasuke et al. 2002, 2004; Pedersen and Oberg 1997; Pedersen et al. 1997; Petroni et al. 2003; Schilling et al. 2009b; Uc et al. 2006) and can lead to a concomitant loss of function. The use of physical therapy/exercise as a potential treatment for these symptoms in PD dates back to the late 1950s and early 1960s (Doshay 1962); however, the complexity of the disease along with the varied approach to exercise and its potential effects have left many unanswered questions. Regardless of the form, broadly dened physical activity appears to reduce mortality in PD (Kuroda et al. 1992).