Parkinson's with a Purpose

Make a difference. Live the best possible life.

Category: Research

  • Joining the dots…

    I was inspired when I heard of the Ping Pong Parkinsons movement in the USA initiated by Nenad Bach, who also initiated the first  ITTF Parkinsons World Table Tennis Championship tournament. It was only after hearing Nenad’s revelation, that he could return to playing music that Parkinson’s had taken away from him, shortly after he took up table tennis (or ping pong as it is more commonly known in the USA). 

    When I reflected back on my own PD journey and joined the dots, for my thankfully slow progression, that my lifelong interest in playing table tennis and living a generally healthy lifestyle has had a much greater beneficial impact than I have probably given it credit. When younger I was a keen cycle tourist, drifting around the Peak District, as well as an avid racquet sports player – tennis, squash and TT.

    Whilst later in life, more sedate cycle commuting 24 miles to work and back, active holidays (e.g. cycling from Lands End to John O’Groats and, walking the Offa’s Dyke along the welsh border), daily walking the dog, continued with table tennis and eating healthily (thanks to my health-conscious wife, whom I proposed to at the end of our gruelling End-to-End cycle ride).

    Through my pro-active ‘taking part’ with PD research since diagnosis in 2010 aged 44, I feel more in control and greater understanding about the condition. A good example of learning opportunity being a recent webinar on the topic of ‘Exercise and Parkinsons Disease‘ was very helpful and informative.

    Another useful resource is this twitter thread from Cure Parkinsons Trust on related research results that showed a significant improvement in OFF-Time for those who undertook aerobic exercise for just 30-45 mins three times per week. Watch this space too for the latest research being undertaken by Julie Jones, a Parkinson’s UK volunteer and researcher

    A current Parkinson’s UK exercise research activity

    The importance of exercise is now firmly established, and commonly understood, that it can enable those afflicted to help maximise their quality of life – read these blog reports from Parkinson’s UK Researcher, Dr Beckie Porter, on exercise and PD. Especially important for people with Parkinson’s, and especially men, as this study has shown that patients with Parkinsons are one-third less active than the control group

    Another useful resource is this twitter thread from Cure Parkinsons Trust on related research results that showed a significant improvement in OFF-Time for those who undertook aerobic exercise for just 30-45 mins three times per week. Watch this space too for the latest research being undertaken by Julie Jones, a Parkinson’s UK volunteer and researcher

    A current Parkinson’s UK exercise research activity
    Minions Table Tennis – we all have off days, and sometimes freeze!

    “Exercise is medicine

    Parkinson’s people are about a third less active than control group

    The importance of exercise is now firmly established, and commonly understood, that it can enable those afflicted to help maximise their quality of life – read these blog reports from Parkinson’s UK Researcher, Dr Beckie Porter, on exercise and PD. Especially important for people with Parkinson’s, and especially men, as this study has shown that patients with Parkinsons are one-third less active than the control group

    This is understandable, as a result of the motor, mental and emotional symptoms that PD can inflict. Exercise and sport therapy can help each of these through slowing the progression, managing the symptoms and increasing social interaction. An excellent post on the benefits of TT for PD players can be found here by Bruce Ballard in his Parkingsuns.com blogsite.

    Bruce Ballard’s Excellent Blog

    The benefits from exercise can be especially so for neurological conditions, with some studies showing that exercise can actually slow down or significantly improve the wellbeing for the individual. One recent example Science Daily report titled “Picking up a pingpong paddle may benefit people with Parkinson’s” 

    TT Factoid:
    A top TT players eye-sight has been tested against a jet fighter pilot and show to have more than twice the reaction time.
    Even hobbyist players had better eye-sigh reaction times.

    My main revelation so far is that to fully gain the benefits of exercise, a regular and intensive programme of activities needs to be maintained – this study reporting that 3x 30-45 mins aerobic intensity sessions per week can be beneficial. So to make it stick, keep it short, sharp, sociable and fun. Peer pressure, and paying upfront for the sessions (my Yorkshire roots!), gives me the motive to attend on a regular basis, which helps to boost my mood. And what we individually class as ‘fun’ is different for each of us too – so choose whatever you enjoy doing and make the most of it. 

    Exercise and Parkinson’sKeep it short, sharp, sociable and fun.

    Finally, the ‘fun’ part for me would be to represent England/UK in a World Championship tournament. Not to win, just for the vanity and bragging rights. If you’re interested in joining me, or just getting together for a UK based fun tournament please get in touch, whatever your playing standard or level of mobility (a handicapped system will be applied, and everyone will have the chance to win). 

    Enjoy.

    Andrew Cassy

  • From stem cells to circuits, research conference – patients perspective

    From stem cells to circuits, research conference – patients perspective


    This post first appeared in the RIGeast blog, May 2019. 
    Upon reflection, it was most pertinent for the stem-pd.org 
    phase 1 clinical study I was later to be offered to take part in.

    DSSCC, Crete, 2019

    Following our involvement hosting the panel session at the 10th Gretchen Amphlett lecture in April 2019, the East of England Research Interest Group were privileged to be asked to represent patients with Parkinson’s at the CamBioScience research conference on ‘Development of the Dopaminergic System: From Stem Cells to Circuits‘ otherwise known as DDSSCC2019. 

    DDSSCC 2019 Programme
    DDSSCC Programme May 2019

    This post represents my personal views as the lucky member of the RIGeast steering board available to attend, 13-15 May 2019 at the Fodele Beach Hotel, Crete. Much gratitude is owed to CamBioScience and Parkinson’s UK Research Support Network for enabling our participation in this conference. Further details are available online in the conference abstract booklet 

    “Being a lay representative at this conference was like drinking from a fire hydrant.”

    Although I have no background in biology or chemistry, I have had Parkinson’s for nearly 10 years after I was diagnosed aged 44, as well as experience of caring for my father-in-law who also has had the condition for over 20 years. Like many others in the Research Support Network, I find taking part in the research makes me feel more in control of the condition whilst helping to move things on towards an eventual cure. 

    DDSSCC Conference Attendees
    DDSSCC Conference Attendees

    This was my first involvement at a basic research conference, adding to the dozens of research related volunteer and PPI activities I have thrown myself into since my diagnosis in 2010. The first two days were long and full-on from the start.  There were over 60 attendees from around the globe, each expert in their own field from a wide and deep field of scientists. Just about everyone got to present their latest work, either through a brief but intense formal presentation, or via the Poster sessions. 

    DDSSCC-posters
    DDSSCC poster session

    “My brain is full, and it hurts.”

    Every speaker talked passionately and knowledgeably in a way even I as a Lay representative could just about follow. All commented how long overdue such a gathering had been needed, to get everyone on the same page as the levels of understanding and funding in stem cell research boomed with the promise of some significant breakthroughs looming on the horizon. 

    The final day was more tangible to me as it dealt with the cell replacement strategies for Parkinson’s Disease and some of the clinical trials in development. Whilst there was no EUREKA moment, as far as I could tell, the mood and buzz throughout the whole event was very positive indeed. 

    “There is no failure, only feedback.”

    What struck me throughout many of the presentations was just how mind-blowingly complicated this whole field of bio-science is. It really highlighted how we were trying to unravel the secrets of Billions of years of evolution to decode our biological stew-of-a-brain, all in the blink of an eye. And an eventual result cannot come quick enough for us im-patients!

    However, as an engineer and a potential recipient of such treatments for my condition, I was also mindful that major challenges remain :

    • The many unknown, unknowns frighten me
    • Even the known, unknowns are worrying – to the Lay reader
    • And the commercial drivers, particularly in this age of austerity, depresses me 
    ddsscc-daconstage-edited
    PPI summary at DDSSCC 2019

    Here are some of the key lessons I learnt and would like to share:

    • Continue to include Patient Involvement in future events, even for basic research content
    • Allow patients an opportunity to feedback to the event/audience
    • Include Patients in any Poster Sessions so they can explain who they are, what they represent/can offer, how they can assist and what outcomes they are hoping to achieve or take away

    On balance, I am leaving this conference with a feeling of HOPE. It is through diverse, open and collaborative conferences such as this that spawn innovation and breakthroughs. Hopefully the choice of location was inspirational and the ingenuity of the ancient Minoan society will have rubbed off on all the participants. So, Godspeed with your investigations so that together we can take the LEAP OF FAITH needed to achieve clinical outcomes.

    Andy

    East of England Research Interest Group
    May 2019

    Postscript

    A friend shared the above report with Dr Simon Stott, Cure Parkinson’s Research Director, and replied…

    “Andy’s piece was awesome and I felt compelled to share it with twitter” Dr. Simon Stott