302: Applying A New Calculation For Max Heart Rate In PD

302: Applying A New Calculation For Max Heart Rate In PD

In this episode, hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS discuss a new research article, "Refining maximal heart rate estimation to enhance exercise recommendations for persons with Parkinson's disease." Parkinson's is a multi-system condition and changes to the function of the autonomic nervous system are common. At times this can present as a person with PD having trouble reaching aerobic heart rate zones calculated based on age while they're performing high intensity exercise. Claire explains the challenges they've faced using standard heart rate formulas and color-zoned monitoring apps when many clients appear stuck in a "gray zone," likely due to this autonomic dysfunction and chronotropic incompetence common in Parkinson's. After exploring but struggling to access cardiopulmonary exercise testing (CPET)—the gold standard for determining true maximal heart rate—Claire finds this new study, which uses CPET data from a cycling trial to derive a more accurate regression-based equation for people with Parkinson's: 166 − (1.15 × age) + (0.60 × resting heart rate). She describes how they are now applying this formula in practice by calculating individualized max heart rates, manually updating values in their OnBeat app, and offering a public calculator via their website so people with Parkinson's and clinicians can easily generate appropriate training zones. This shift should make target zones more realistic, motivating, and safer. Listen to the show to easily incorporate this research into your practice today!

Pull up the article here (free full text available): https://pubmed.ncbi.nlm.nih.gov/40194736/

Use Claire's calculator that uses the research-based formula here: https://www.roguept.com/cardio

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Avsnitt(100)

327: Hope, Connection, And Care Coordination: Russell Meyerowitz On The Parkinson's Wellness Fund And Raya Health - Tools For Today

327: Hope, Connection, And Care Coordination: Russell Meyerowitz On The Parkinson's Wellness Fund And Raya Health - Tools For Today

What happens to a family when "wellness" stops meaning saunas and cold plunges and starts meaning keeping the lights on? In this episode, host Erin Gallardo, PT, DPT, NCS, talks with Russell Meyerowit...

20 Juli 46min

326: Why Standard Heart Rate Formulas Fail People With Parkinson's With Cielita Lopez-Lennon, PT, DPT, NCS

326: Why Standard Heart Rate Formulas Fail People With Parkinson's With Cielita Lopez-Lennon, PT, DPT, NCS

Are the heart rate formulas we've been using actually working for our patients with Parkinson's? In this episode, hosts Erin Gallardo, PT, DPT, NCS, and Claire McLean, PT, DPT, NCS, discuss with Cieli...

13 Juli 42min

325: Falls Training For Parkinson's: Why Patients Are Demanding It With Naomi Casiro, BSc., MPT

325: Falls Training For Parkinson's: Why Patients Are Demanding It With Naomi Casiro, BSc., MPT

What would it look like if your patients stopped fearing the floor?  In this episode, hosts Erin Gallardo, PT, DPT, NCS, and Claire McLean, PT, DPT, NCS, discuss with Naomi Casiro, physiotherapist and...

6 Juli 39min

324: When Robots Amplify Mistakes To Drive Recovery: Error Augmentation In Neuro Rehab With BioXtreme

324: When Robots Amplify Mistakes To Drive Recovery: Error Augmentation In Neuro Rehab With BioXtreme

In this episode, host Erin Gallardo, PT, DPT, NCS interviews BioXtreme CEO Eyal Samuel Shachar and researcher Dr. James Patton, PhD about BioXtreme's robotics-based neurorehabilitation devices, with a...

29 Juni 41min

323: Before We Left for Phoenix: Our World Parkinson Congress 2026 Preview

323: Before We Left for Phoenix: Our World Parkinson Congress 2026 Preview

In this episode hosts, Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS share their excitement and plans for attending the 2026 World Parkinson Congress (WPC) in Phoenix, Arizona, a unique ...

22 Juni 35min

322: Find Work-Life Balance With Alignment, Not Productivity Tools

322: Find Work-Life Balance With Alignment, Not Productivity Tools

Is work-life balance an elusive concept you have yet to master while running your life and neuro biz? In this episode, hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS discuss the top...

15 Juni 39min

321: How To Use AI Tools To Get Time Back Even When You're Not Techy With Shanté "Movement Maestro" Cofield, PT, DPT, OCS

321: How To Use AI Tools To Get Time Back Even When You're Not Techy With Shanté "Movement Maestro" Cofield, PT, DPT, OCS

Dive into AI tools in your personal life, work life and business by learning what to use, how to use it and how NOT to use it. In this episode, hosts Erin Gallardo, PT, DPT, NCS and Claire McLean, PT,...

8 Juni 42min

320: AI Documentation As A Game-Changer For Neuro Rehab: How-To

320: AI Documentation As A Game-Changer For Neuro Rehab: How-To

Has your clinic adopted AI for documentation yet? If not (or if so!) check out this episode to learn about how it can transform your time and allow you to do your job unfettered. Hosts Erin Gallardo, ...

1 Juni 46min

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