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COACHING
PROJECT UGANDA
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RESEARCH
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49
Parkinson's disease
DIAGNOSED
2013

Andrea K.

Training regimen
Brain Blast 1-2x per wk. Solo training session 2x per month. Pickle-ball avg. 10 hours per wk. cardio drumming & hiking 
Movement history
Cheerleader & Pilates 
challenge.
  • Variability on attentional tasks
  • Cognitive flexibility
  • Switching attention
  • Retrieval issues

goals.
  • Reduce on/off fluctuations
  • Reduce anxiety during off times
  • Improve productivity
  • Improve focus
  • Improve ability to multi task
  • Improve gait
  • Reduce meds

solution.
  • Off state strategies using creative cueing techniques to drive movement vigor
  • Empowerment through access of a tool box of attentional strategies
  • Integrate cognitive & motor task training to improve movement decrements, awareness of task prioritization, correcting errors by automatically accessing effective attentional strategies
  • Attentional strategies that address the affected side to better organize the gait patten
  • Empowering her through off times eliminated her need to dose up allowing her to extend her off periods and time between doses
results.
  • Reduced anxiety during on/off fluctuations which has resulted in less freezing episodes
  • Reduced overall off episodes
  • Faster reaction time has improved in PickleBall game
  • Reduced medication by 20%
  • Reciting 451 digits of Pi from memory while maintaining complex continuous movement

Video documentation

Reciting 131 digits of Pi from memory. Maintaining a steady tempo to reduce any mental/speech hesitations
Switching motor programs, adding words as an interference, reciting the digits backwards at the very end. 
Maintaining continuous & automatic movement while reciting digits of Pi in the correct order and passing off to the next person. They have to pick up at the correct digit where the previous person left off. This is extremely difficult. Pull up the first 200 digits of Pi and try to follow along. 
Marching while reciting 21 digits of Pi and a tempo that matches the movement. Then jogging and reciting the same digits at a much faster tempo connecting the digits to the speed of the jog. Then marching while reciting the digits faster than the tempo of the march and finally jogging and reciting the digits backwards at a tempo that is slower than the job.
"Thanks to Darbe's work with me, I have reached a whole new level of resiliency and feel more in control than I have in years." 
Andrea K.