Mighty Nimble
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Intermediate Parkinson's Mobility

A 25-minute mobility and balance session focused on posture, gait mechanics, and large-amplitude movement.

Warm-Up

Prepare joints and posture with controlled, comfortable mobility. Focus on posture and range of motion.

Diaphragmatic Breathing
Diaphragmatic Breathing30 sec
Neck Rotation
Neck Rotation20 sec
Shoulder Roll
Shoulder Roll20 sec
Wall Thoracic Extension
Wall Thoracic Extension30 sec
2 rounds

Circuit A

Use a chair for light support; emphasize tall posture and big, confident movement. Focus on big steps and strength.

March in Place
March in Place45 sec
Step Touch
Step Touch45 sec
Sit to Stand
Sit to Stand10x
Standing Hip Abduction
Standing Hip Abduction10x each side
2 rounds

Circuit B

Stay near a wall/chair. If balance feels shaky, keep one hand on support. Balance and upper body work.

Heel-to-Toe Walk
Heel-to-Toe Walk45 sec
Single-Leg Stand (Supported)
Single-Leg Stand (Supported)30 sec each side
Wall Push-Up
Wall Push-Up12x
2 rounds

Cool-Down

Lower intensity and stretch key areas for gait and posture. Gentle stretching—no bouncing. Breathe slowly.

Calf Stretch at Wall
Calf Stretch at Wall40 sec each side
Seated Hamstring Stretch
Seated Hamstring Stretch40 sec each side
Diaphragmatic Breathing
Diaphragmatic Breathing40 sec
LSVT BIG Logic Behind Each Move

LSVT BIG Logic Behind Each Move

March in Place and Step Touch train the intentional exaggeration of movement amplitude—directly countering Parkinson's hallmark hypokinesia. Sit to Stand and Standing Hip Abduction load the hip extensors and abductors that govern gait initiation, while Heel-to-Toe Walk challenges the cerebellar pathways responsible for stride sequencing.

What Parkinson's Actually Demands

What Parkinson's Actually Demands

Dopamine depletion disrupts the basal ganglia's ability to automate movement, making conscious motor recruitment exhausting. Rigidity shortens the thoracic spine and hip flexors—exactly why Wall Thoracic Extension and Calf Stretch at Wall appear here—while postural instability shifts the center of mass forward, compressing fall risk into every single step.

Amplitude First, Then Automaticity

Amplitude First, Then Automaticity

This session follows a specificity-to-transfer model: large-amplitude drills practiced consciously at moderate intensity gradually reduce the cognitive load of everyday movement over weeks. Single-Leg Stand (Supported) is your adaptation lever—reduce wall contact by one fingertip each session as stability improves to progressively challenge proprioceptive recalibration without sacrificing safety.

Intermediate Parkinson's Mobility | Mighty Nimble | Mighty Nimble