Exercise is a vital part of maintaining balance, flexibility, and mobility in those with Parkinson disease. Exercise can also help you continue with the activities of daily living. Generally, a mix of four types of exercises may be used:

• Aerobic activity
• Strength training
• Balance
• Flexibility

Your doctor or physical therapist will work with you to develop an exercise program that is right for you, based on your symptoms and challenges. Some common exercises illustrated below may be a good place to start.

Do the exercises once a day at first, then build up to several times a day. Being consistent is important. Exercise slowly, and stop if you feel pain. Studies have shown that those exercising earlier in their disease course for at least 2.5 hours per week have a better quality of life.

Follow these steps:

• Sit in a chair, facing forward. Place your hands on your shoulders.
• Turn your head and body to the side as far as possible, as if you were trying to look behind you.
• Return to starting position, then turn to the other side.
• Repeat 10 times.

Follow these steps:

• Sit in a chair, facing forward.
• Slowly lift one knee as high as you can, then lower your foot to the floor.
• Do the same with your other leg.
• Repeat 10 times with each leg.

Follow these steps:

• Stand or sit with your back straight.
• Hold your arms in front of you. Put your hands and elbows together, hands pointing toward the ceiling.
• Move your arms apart as far as possible, pushing your shoulder blades together.
• Slowly move your hands back together.
• Repeat 10 times.