We're back for another episode this week! This one is bringing you practical clinical tools you can start incorporating right now. It's based on new evidence with intense exercise and its effect on increasing dopamine transporter and neuromelanin concentrations in the substantia nigra in Parkinson's disease. While Rogue has always been known to implement the research into practice, a transition at the clinic and inspiration from a recent article (small "n" yet still inspiring) results in a new class format that just started at Rogue PT and Wellness, Claire's gym for people with PD. Claire introduces the new high-intensity class at Rogue called "Hi Fi" for "high intensity" and "functional." It incorporates cardio, strength and functional exercises into intervals with modifications. The format follows recent research on intense exercise improving neuromelanin in Parkinson's. Find the link below to the full text free article.

Hi Fi includes a warm-up before intervals alternating between two high-intensity exercises and five skilled exercises. Exercises target mobility, balance and strength. Visual cues and straps help improve participants' form.

Claire discusses adapting the class based on themes like last week's focus on mobility. Exercises included burpees, lunges and power moves using straps and chairs.

Check it out and let us know what you learned and what you're going to try!

Intense exercise increases dopamine transporter and neuromelanin concentrations in the substantia nigra in Parkinson's disease. Npj Parkinson's disease. Published 09 February 2024