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PWR!Moves™ are building blocks for everyday movement and involve the performance of large amplitude high-effort whole body movements in multiple postures (prone/supine/all 4’s/sitting/standing). The Basic4 PWR!Moves (UP/ROCK/TWIST/STEP) are taught as essential FUNctional exercises to target the primary symptoms of PD (bradykinesia/rigidity/incoordination). They provide the repetition and specificity of training for people with PD and can be scaled up/down across disease severity, integrated into function/ADL/lifestyle, implemented across disciplines (OT/PT/SPL) and settings (therapy/community), and reinforced in other research exercise programming (treadmill, cycling, pole walking, yoga, boxing, dance, Tai Chi). Participants will be introduced to a novel framework called Exercise4BrainChange® that advocates for techniques that promote high levels of attentional focus, cognitive engagement, physical effort, and emotional engagement during exercise programming. Participants will have the opportunity to practice PWR!Moves incorporating E4BC techniques while getting feedback from PWR! Faculty. For example, participants will learn to 1) prepare people with PD to move with 2) maximal activation, safety, and success while 3) progressing the difficulty through the building of PWR!Moves sequences and the addition of common dual tasks (PWR! Boosts). The goal for individuals with PD is that they not only improve their performance in the class, but that they learn to recognize when they need to self-correct their slow/small movements for better movement, posture and balance in everyday life. Motivation is the driving force of the Exercise4BrainChange®framework. Instructors will learn to use the group structure and their feedback and instructional methods to empower and educate class participants about their true potential. They will also be invited to join the Parkinson Exercise Revolution and to help develop greater access to regional networks of therapy and community resources for life (PWR4LIFE). Emphasis will be on promoting an environment for learning that embraces an atmosphere of empowerment, motivation, social enrichment, and FUNction! References 1. Ahlskog JE. Does vigorous exercise have a neuroprotective effect in Parkinson disease? Neurology 2011;77:288-295. 2. Farley BG, Koshland GF. Training BIG to move faster: The application of the speed-amplitude relation as a rehabilitation strategy for people with Parkinson’s disease. Exp Brain Res 2005;167(3):462-467 3. Farley BG, Fox CM, Ramig LO, McFarland, D. Intensive amplitude-specific therapeutic approaches for Parkinson disease: Toward a neuroplasticity-principled rehabilitation model. Top Geriatr Rehabil 2008;24(2):99-114. 4. Hirsch MA, Farley BG. Exercise and Neuroplasticity in Persons Living with Parkinson’s Disease. Eur J Phys Rehabil Med 2009;45:215-229. 5. Kleim, JA, Jones TA. Principles of experience-dependent neural plasticity: implications for rehabilitation after brain damage. J Speech Lang Hear Res 2008;51(1):S225-S239. 6. Nieuwboer A, Rochester L, Muncks L, Swinnen SP. Motor learning in Parkinson’s disease: limitations and potential for rehabilitation. Parkinsonism Rel Disord 2009;1553:S53-S58 7. Petzinger GM, Fisher BE, McEwen S, Beeler JA, Walsh JP, Jakowec M. Exercise-enhanced neuroplasticity targeting motor and cognitive circuitry in Parkinson’s disease. Lancet 2013;12:716-726. 8. Petzinger GM, Fisher BE, Van Leeuwen JE, Vukovic M, Akopian G, Meshul CK, Holschneider DP, Nacca A, Walsh JP, Jakowec MW. Enhancing neuroplasticity in the basal ganglia. The role of exercise in Parkinson’s disease. Mov Disord 2010;26(Suppl 1):S141-S145. 9. Ridgel AL, Vitek JL, Alberts JL. Forced, not voluntary, exercise improves motor function in Parkinson’s disease patients. Neurorehabil Neural Repair 2009;23(6):600-608. 10. Zigmond MJ, Cameron JL, Hoffer BJ, Smeyne RJ. Neurorestoration by physical exercise: moving forward. Parkinsonism Relat Disord 2012 Jan;18 Suppl 1:S147-50.

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