--dyn-bleu:#5e5ed7;
--dyn-bleu-fonce:#5268c9;
--dyn-vert:#a9e2e4;
--dyn-jaune:#ffeca7;
--dyn-rose:#e73469;
--dyn-encre:#1d1d2e;
--dyn-gris:#5c5c72;
--dyn-fond:#f6f6fd;
--dyn-ombre:0 6px 24px rgba(29,29,46,.08);
--dyn-ombre-forte:0 12px 34px rgba(94,94,215,.22);
--dyn-radius:18px;
font-family:"Inter","Segoe UI",system-ui,-apple-system,"Helvetica Neue",Arial,sans-serif;
color:var(--dyn-encre);
line-height:1.68;
font-size:clamp(16px,1.05vw + 13px,18px);
max-width:860px;
margin:0 auto;
padding:0 4px;
-webkit-font-smoothing:antialiased;
}
.dbi-art-7a5f19 .dyn-article * {box-sizing:border-box;}
.dbi-art-7a5f19 .dyn-article h1, .dbi-art-7a5f19 .dyn-article h2, .dbi-art-7a5f19 .dyn-article h3, .dbi-art-7a5f19 .dyn-article h4 {
color:var(--dyn-encre);line-height:1.22;margin:0 0 .5em;font-weight:800;letter-spacing:-.015em;
}
.dbi-art-7a5f19 .dyn-article h1 {font-size:clamp(1.65rem,3.4vw,2.35rem);margin-top:.4em;}
.dbi-art-7a5f19 .dyn-article h2 {font-size:clamp(1.35rem,2.4vw,1.75rem);margin-top:2.1em;padding-top:.2em;}
.dbi-art-7a5f19 .dyn-article h3 {font-size:clamp(1.1rem,1.7vw,1.28rem);margin-top:1.5em;font-weight:700;}
.dbi-art-7a5f19 .dyn-article p {margin:0 0 1.05em;}
.dbi-art-7a5f19 .dyn-article a {color:var(--dyn-bleu-fonce);text-decoration:underline;text-underline-offset:3px;}
.dbi-art-7a5f19 .dyn-article a:hover {color:var(--dyn-rose);}
.dbi-art-7a5f19 .dyn-article a:focus-visible {outline:3px solid var(--dyn-bleu);outline-offset:2px;border-radius:4px;}
.dbi-art-7a5f19 .dyn-article ul, .dbi-art-7a5f19 .dyn-article ol {margin:0 0 1.05em;padding-left:1.25em;}
.dbi-art-7a5f19 .dyn-article li {margin-bottom:.45em;}
.dbi-art-7a5f19 .dyn-article strong {font-weight:700;}
.dbi-art-7a5f19 .dyn-article img {max-width:100%;height:auto;display:block;}
.dbi-art-7a5f19 .dyn-pagehead {
position:relative;overflow:hidden;border-radius:var(--dyn-radius);
padding:30px 24px 28px;margin:0 0 1.5em;box-shadow:var(--dyn-ombre);
}
@media(min-width:720px) {
.dbi-art-7a5f19 .dyn-pagehead {padding:44px 44px 40px;}
}
.dbi-art-7a5f19 .dyn-pagehead::after {
content:"";position:absolute;right:-80px;top:-80px;width:250px;height:250px;border-radius:50%;
background:rgba(255,255,255,.14);pointer-events:none;
}
.dbi-art-7a5f19 .dyn-pagehead > * {position:relative;z-index:1;}
.dbi-art-7a5f19 .dyn-pagehead--bleu {background:linear-gradient(135deg,var(--dyn-bleu) 0%,var(--dyn-bleu-fonce) 100%);color:#fff;}
.dbi-art-7a5f19 .dyn-pagehead--bleu h1 {color:#fff;}
.dbi-art-7a5f19 .dyn-pagehead--bleu .dyn-pagehead__cat {color:var(--dyn-jaune);}
.dbi-art-7a5f19 .dyn-pagehead--bleu .dyn-pagehead__lead {color:rgba(255,255,255,.93);}
.dbi-art-7a5f19 .dyn-pagehead--bleu .dyn-pagehead__meta {color:#fff;}
.dbi-art-7a5f19 .dyn-pagehead--bleu .dyn-pagehead__meta li {background:rgba(255,255,255,.18);}
.dbi-art-7a5f19 .dyn-pagehead--eau {background:linear-gradient(135deg,var(--dyn-vert) 0%,#cfeff1 100%);color:var(--dyn-encre);}
.dbi-art-7a5f19 .dyn-pagehead--eau .dyn-pagehead__cat {color:var(--dyn-rose);}
.dbi-art-7a5f19 .dyn-pagehead--eau .dyn-pagehead__lead {color:#3b4a5c;}
.dbi-art-7a5f19 .dyn-pagehead--eau .dyn-pagehead__meta li {background:rgba(255,255,255,.62);}
.dbi-art-7a5f19 .dyn-pagehead--jaune {background:linear-gradient(135deg,var(--dyn-jaune) 0%,#fff7d6 100%);color:var(--dyn-encre);}
.dbi-art-7a5f19 .dyn-pagehead--jaune .dyn-pagehead__cat {color:var(--dyn-rose);}
.dbi-art-7a5f19 .dyn-pagehead--jaune .dyn-pagehead__lead {color:#5a5240;}
.dbi-art-7a5f19 .dyn-pagehead--jaune .dyn-pagehead__meta li {background:rgba(255,255,255,.68);}
.dbi-art-7a5f19 .dyn-pagehead__cat {
display:inline-block;font-size:.76rem;font-weight:800;letter-spacing:.12em;
text-transform:uppercase;margin-bottom:.9em;
}
.dbi-art-7a5f19 .dyn-pagehead h1 {margin:0 0 .5em;}
.dbi-art-7a5f19 .dyn-pagehead__lead {font-size:clamp(1.02rem,1.4vw,1.16rem);margin:0 0 1.3em;}
.dbi-art-7a5f19 .dyn-pagehead__meta {
display:flex;flex-wrap:wrap;gap:8px;list-style:none;padding:0;margin:0;
font-size:.83rem;font-weight:600;
}
.dbi-art-7a5f19 .dyn-pagehead__meta li {border-radius:999px;padding:5px 13px;}
.dbi-art-7a5f19 .dyn-hero {
background:linear-gradient(135deg,#ffffff 0%,var(--dyn-fond) 100%);
border-radius:var(--dyn-radius);
box-shadow:var(--dyn-ombre);
overflow:hidden;
margin:0 0 2.2em;
}
.dbi-art-7a5f19 .dyn-hero__grid {display:grid;grid-template-columns:minmax(0,1fr);}
@media(min-width:720px) {
.dbi-art-7a5f19 .dyn-hero__grid {grid-template-columns:42% minmax(0,1fr);}
}
.dbi-art-7a5f19 .dyn-hero__media {position:relative;background:var(--dyn-vert);}
.dbi-art-7a5f19 .dyn-hero__media img {width:100%;height:100%;object-fit:cover;aspect-ratio:16/9;}
@media(min-width:720px) {
.dbi-art-7a5f19 .dyn-hero__media img {aspect-ratio:auto;min-height:100%;}
}
.dbi-art-7a5f19 .dyn-hero__eyebrow {
display:inline-block;background:var(--dyn-rose);color:#fff;font-size:.72rem;font-weight:800;
letter-spacing:.09em;text-transform:uppercase;padding:6px 13px;border-radius:999px;margin-bottom:.7em;
}
.dbi-art-7a5f19 .dyn-hero__body {padding:22px 22px 24px;}
@media(min-width:720px) {
.dbi-art-7a5f19 .dyn-hero__body {padding:28px 30px;}
}
.dbi-art-7a5f19 .dyn-hero__title {font-size:clamp(1.12rem,2vw,1.42rem);font-weight:800;margin:0 0 .55em;line-height:1.25;}
.dbi-art-7a5f19 .dyn-hero__title a {color:var(--dyn-encre);text-decoration:none;}
.dbi-art-7a5f19 .dyn-hero__title a:hover {color:var(--dyn-bleu);}
.dbi-art-7a5f19 .dyn-hero__pitch {font-size:.97rem;color:var(--dyn-gris);margin:0 0 1em;}
.dbi-art-7a5f19 .dyn-badges {display:flex;flex-wrap:wrap;gap:7px;margin:0 0 1.1em;padding:0;list-style:none;}
.dbi-art-7a5f19 .dyn-badges li {
background:#fff;border-radius:999px;padding:5px 12px;font-size:.79rem;font-weight:600;
color:var(--dyn-bleu-fonce);box-shadow:0 2px 8px rgba(29,29,46,.07);
}
.dbi-art-7a5f19 .dyn-hero__actions {display:flex;flex-wrap:wrap;gap:10px;align-items:center;}
.dbi-art-7a5f19 .dyn-btn {
display:inline-block;background:var(--dyn-bleu);color:#fff !important;text-decoration:none !important;
font-weight:700;padding:13px 26px;border-radius:999px;box-shadow:var(--dyn-ombre-forte);
transition:transform .15s ease,background .15s ease;text-align:center;
}
.dbi-art-7a5f19 .dyn-btn:hover {background:var(--dyn-bleu-fonce);transform:translateY(-2px);color:#fff !important;}
.dbi-art-7a5f19 .dyn-btn--ghost {
background:#fff;color:var(--dyn-bleu-fonce) !important;box-shadow:0 2px 10px rgba(29,29,46,.09);
}
.dbi-art-7a5f19 .dyn-btn--ghost:hover {background:var(--dyn-jaune);color:var(--dyn-encre) !important;}
.dbi-art-7a5f19 .dyn-hero__price {font-weight:800;color:var(--dyn-rose);font-size:1.02rem;margin-left:2px;}
.dbi-art-7a5f19 .dyn-hero--pastel {background:var(--dom-fond);}
.dbi-art-7a5f19 .dyn-pastel {display:grid;grid-template-columns:auto minmax(0,1fr);gap:18px;align-items:start;padding:22px;}
@media(min-width:720px) {
.dbi-art-7a5f19 .dyn-pastel {gap:24px;padding:30px 32px;}
}
.dbi-art-7a5f19 .dyn-pastel__icone {
flex:0 0 auto;width:74px;height:74px;border-radius:22px;background:#fff;
display:flex;align-items:center;justify-content:center;font-size:34px;line-height:1;
box-shadow:0 4px 14px rgba(29,29,46,.10);
}
@media(min-width:720px) {
.dbi-art-7a5f19 .dyn-pastel__icone {width:88px;height:88px;font-size:40px;}
}
.dbi-art-7a5f19 .dyn-pastel__domaine {
display:inline-block;background:#fff;border-radius:999px;padding:4px 12px;
font-size:.74rem;font-weight:800;letter-spacing:.08em;text-transform:uppercase;
color:var(--dom-texte);margin-bottom:.6em;
}
.dbi-art-7a5f19 .dyn-hero--pastel .dyn-hero__eyebrow {background:var(--dom-texte);}
.dbi-art-7a5f19 .dyn-hero--pastel .dyn-btn {background:var(--dom-texte);}
.dbi-art-7a5f19 .dyn-hero--pastel .dyn-btn:hover {filter:brightness(.92);}
.dbi-art-7a5f19 .dyn-hero--pastel .dyn-btn--ghost {background:#fff;color:var(--dom-texte) !important;}
.dbi-art-7a5f19 .dyn-hero--pastel .dyn-badges li {color:var(--dom-texte);}
.dbi-art-7a5f19 .dyn-hero--pastel .dyn-hero__price {color:var(--dom-texte);}
.dbi-art-7a5f19 .dyn-dom--memoire {--dom-fond:#e9e9fb;--dom-texte:#5268c9;}
.dbi-art-7a5f19 .dyn-dom--attention {--dom-fond:#dcf2f4;--dom-texte:#1b7f86;}
.dbi-art-7a5f19 .dyn-dom--logique {--dom-fond:#ece9fb;--dom-texte:#5e5ed7;}
.dbi-art-7a5f19 .dyn-dom--langage {--dom-fond:#ffe8d9;--dom-texte:#b35a2a;}
.dbi-art-7a5f19 .dyn-dom--emotions {--dom-fond:#fdeaf1;--dom-texte:#c0295a;}
.dbi-art-7a5f19 .dyn-dom--apprentissage {--dom-fond:#fff3cd;--dom-texte:#8a6a13;}
.dbi-art-7a5f19 .dyn-dom--autonomie {--dom-fond:#e4f2ea;--dom-texte:#25795c;}
.dbi-art-7a5f19 .dyn-tldr {
background:var(--dyn-vert);border-radius:var(--dyn-radius);padding:22px 24px;margin:0 0 2em;
}
.dbi-art-7a5f19 .dyn-tldr h2 {margin:0 0 .5em;font-size:1.1rem;text-transform:uppercase;letter-spacing:.06em;}
.dbi-art-7a5f19 .dyn-tldr p {margin-bottom:.8em;}
.dbi-art-7a5f19 .dyn-tldr ul {margin-bottom:0;padding-left:1.1em;}
.dbi-art-7a5f19 .dyn-toc {background:var(--dyn-fond);border-radius:var(--dyn-radius);padding:20px 24px;margin:0 0 2.2em;}
.dbi-art-7a5f19 .dyn-toc p {font-weight:800;margin:0 0 .6em;font-size:.9rem;text-transform:uppercase;letter-spacing:.07em;color:var(--dyn-bleu-fonce);}
.dbi-art-7a5f19 .dyn-toc ol {margin:0;padding-left:1.2em;}
.dbi-art-7a5f19 .dyn-toc li {margin-bottom:.3em;}
.dbi-art-7a5f19 .dyn-cards {display:grid;gap:14px;grid-template-columns:repeat(auto-fit,minmax(230px,1fr));margin:1.4em 0 1.8em;}
.dbi-art-7a5f19 .dyn-card {
background:#fff;border-radius:var(--dyn-radius);padding:20px 20px 18px;box-shadow:var(--dyn-ombre);
}
.dbi-art-7a5f19 .dyn-card h3 {margin:0 0 .45em;font-size:1.03rem;}
.dbi-art-7a5f19 .dyn-card p {margin:0;font-size:.94rem;color:var(--dyn-gris);}
.dbi-art-7a5f19 .dyn-card__icon {font-size:1.5rem;display:block;margin-bottom:.35em;line-height:1;}
.dbi-art-7a5f19 .dyn-module {
background:#fff;border-radius:var(--dyn-radius);box-shadow:var(--dyn-ombre);
padding:20px 22px;margin:0 0 14px;
}
.dbi-art-7a5f19 .dyn-module__head {display:flex;align-items:center;gap:12px;margin-bottom:.7em;}
.dbi-art-7a5f19 .dyn-module__num {
flex:0 0 auto;width:38px;height:38px;border-radius:12px;background:var(--dyn-bleu);color:#fff;
display:flex;align-items:center;justify-content:center;font-weight:800;font-size:1rem;
}
.dbi-art-7a5f19 .dyn-module__title {margin:0;font-size:1.05rem;font-weight:800;}
.dbi-art-7a5f19 .dyn-module ul {margin:0;padding-left:1.15em;font-size:.95rem;}
.dbi-art-7a5f19 .dyn-module li::marker {color:var(--dyn-rose);}
.dbi-art-7a5f19 .dyn-tablewrap {overflow-x:auto;-webkit-overflow-scrolling:touch;margin:1.3em 0 1.9em;border-radius:var(--dyn-radius);box-shadow:var(--dyn-ombre);background:#fff;}
.dbi-art-7a5f19 .dyn-article table {width:100%;border-collapse:collapse;min-width:460px;font-size:.94rem;}
.dbi-art-7a5f19 .dyn-article thead th {
background:var(--dyn-bleu);color:#fff;text-align:left;padding:13px 16px;font-weight:700;font-size:.9rem;
}
.dbi-art-7a5f19 .dyn-article tbody td {padding:12px 16px;vertical-align:top;border-top:1px solid #ececf7;}
.dbi-art-7a5f19 .dyn-article tbody tr:nth-child(even) td {background:#fbfbff;}
.dbi-art-7a5f19 .dyn-article th:first-child {border-top-left-radius:var(--dyn-radius);}
.dbi-art-7a5f19 .dyn-article th:last-child {border-top-right-radius:var(--dyn-radius);}
.dbi-art-7a5f19 .dyn-oui {color:#1a8f6b;font-weight:700;}
.dbi-art-7a5f19 .dyn-non {color:var(--dyn-rose);font-weight:700;}
.dbi-art-7a5f19 .dyn-note, .dbi-art-7a5f19 .dyn-alerte {border-radius:var(--dyn-radius);padding:18px 22px;margin:1.5em 0;}
.dbi-art-7a5f19 .dyn-note {background:var(--dyn-jaune);}
.dbi-art-7a5f19 .dyn-alerte {background:#fdeef3;}
.dbi-art-7a5f19 .dyn-note p:last-child, .dbi-art-7a5f19 .dyn-alerte p:last-child {margin-bottom:0;}
.dbi-art-7a5f19 .dyn-note strong, .dbi-art-7a5f19 .dyn-alerte strong {display:block;margin-bottom:.3em;font-size:1rem;}
.dbi-art-7a5f19 .dyn-cta {
background:var(--dyn-bleu);border-radius:var(--dyn-radius);padding:26px 24px;margin:2.2em 0;
color:#fff;text-align:center;box-shadow:var(--dyn-ombre-forte);
}
.dbi-art-7a5f19 .dyn-cta h3 {color:#fff;margin:0 0 .4em;font-size:clamp(1.1rem,2vw,1.35rem);}
.dbi-art-7a5f19 .dyn-cta p {color:rgba(255,255,255,.92);margin:0 0 1.1em;font-size:.97rem;}
.dbi-art-7a5f19 .dyn-cta .dyn-btn {background:#fff;color:var(--dyn-bleu) !important;box-shadow:none;}
.dbi-art-7a5f19 .dyn-cta .dyn-btn:hover {background:var(--dyn-jaune);color:var(--dyn-encre) !important;}
.dbi-art-7a5f19 .dyn-steps {list-style:none;counter-reset:dyn;padding:0;margin:1.4em 0 1.8em;display:grid;gap:12px;}
.dbi-art-7a5f19 .dyn-steps li {
counter-increment:dyn;background:#fff;border-radius:var(--dyn-radius);box-shadow:var(--dyn-ombre);
padding:16px 20px 16px 62px;position:relative;font-size:.96rem;
}
.dbi-art-7a5f19 .dyn-steps li::before {
content:counter(dyn);position:absolute;left:18px;top:15px;width:30px;height:30px;border-radius:10px;
background:var(--dyn-jaune);color:var(--dyn-encre);display:flex;align-items:center;justify-content:center;
font-weight:800;font-size:.9rem;
}
.dbi-art-7a5f19 .dyn-faq {background:var(--dyn-fond);border-radius:var(--dyn-radius);padding:6px 24px 20px;margin:1.4em 0 0;}
.dbi-art-7a5f19 .dyn-faq h3 {font-size:1.05rem;margin-top:1.4em;}
.dbi-art-7a5f19 .dyn-faq p {font-size:.96rem;}
.dbi-art-7a5f19 .dyn-serie {display:grid;gap:12px;margin:1.4em 0 1.8em;}
.dbi-art-7a5f19 .dyn-serie a {
display:block;background:#fff;border-radius:var(--dyn-radius);box-shadow:var(--dyn-ombre);
padding:15px 20px;text-decoration:none;color:var(--dyn-encre);font-weight:600;font-size:.96rem;
transition:transform .15s ease;
}
.dbi-art-7a5f19 .dyn-serie a:hover {transform:translateX(4px);color:var(--dyn-bleu);}
.dbi-art-7a5f19 .dyn-serie span {display:block;font-size:.82rem;font-weight:600;color:var(--dyn-rose);text-transform:uppercase;letter-spacing:.06em;margin-bottom:2px;}
@media(prefers-reduced-motion:reduce) {
.dbi-art-7a5f19 .dyn-article * {transition:none !important;}
}{
"@context": "https://schema.org",
"@graph": [
{
"@type": "Article",
"headline": "Parkinson en établissement : activités, supports et aménagements concrets à mettre en place",
"inLanguage": "fr",
"author": {
"@type": "Organization",
"name": "DYNSEO",
"url": "https://www.dynseo.com/"
},
"publisher": {
"@type": "Organization",
"name": "DYNSEO",
"url": "https://www.dynseo.com/"
},
"image": "https://www.dynseo.com/wp-content/uploads/2026/03/Parkinson-en-etablissement.png"
},
{
"@type": "FAQPage",
"mainEntity": [
{
"@type": "Question",
"name": "À quelle fréquence proposer ces activités ?",
"acceptedAnswer": {
"@type": "Answer",
"text": "Tous les jours, mais peu à la fois. La régularité l'emporte largement sur l'intensité : une seule activité de chaque grande catégorie par jour suffit, à condition qu'elle ait lieu et qu'elle tombe pendant une phase où la personne bouge bien. Cinq minutes un mauvais jour valent mieux qu'une impasse complète, car c'est la routine elle-même que l'on protège. On adapte à l'humeur et à la forme du moment, on allège les jours difficiles sans supprimer complètement le rendez-vous, et on respecte les temps de repos, qui font pleinement partie de l'accompagnement."
}
},
{
"@type": "Question",
"name": "Combien de temps doit durer une séance ?",
"acceptedAnswer": {
"@type": "Answer",
"text": "Entre dix et vingt minutes par activité, avec un total quotidien de trente à soixante minutes réparties dans la journée. Au-delà, la fatigue prend le dessus et la séance devient contre-productive. Mieux vaut plusieurs créneaux courts qu'un seul long. On arrête avant la fatigue, pas quand elle est installée : une séance qui finit bien donne envie de recommencer, une séance qui finit mal décourage la suivante. Ce cadre reste indicatif : le kinésithérapeute et l'ergothérapeute ajustent la durée à la situation de chaque personne."
}
},
{
"@type": "Question",
"name": "Comment motiver quelqu'un qui refuse ?",
"acceptedAnswer": {
"@type": "Answer",
"text": "L'apathie fait partie de la maladie : le refus n'est pas toujours un choix. Trois leviers fonctionnent mieux que l'insistance. D'abord, choisir le bon moment, quand le corps répond. Ensuite, partir du plaisir : musique préférée, souvenirs, jardinage plutôt qu'exercice formel. Enfin, rendre le progrès visible avec un tableau de suivi. Négociez la durée plutôt que le principe : « cinq minutes et on arrête » obtient presque toujours plus qu'un rappel des enjeux. Et l'on démarre soi-même l'activité pour l'entraîner, car l'initiative est justement ce qui coûte le plus."
}
},
{
"@type": "Question",
"name": "Quel matériel faut-il vraiment ?",
"acceptedAnswer": {
"@type": "Answer",
"text": "Presque rien de spécialisé. Un couloir dégagé, une chaise à accoudoirs, de la musique, des photos, du papier à grands carreaux, quelques bandes de couleur pour le sol : l'essentiel repose sur des objets du quotidien. Les supports DYNSEO gratuits — tableau de suivi, fiche de séance, carnet de liaison — structurent le tout sans coût. Le seul équipement optionnel utile est une tablette avec l'application EDITH, pour l'ajustement automatique du niveau. Pour les aménagements plus lourds, comme les barres d'appui, un bilan par un ergothérapeute oriente vers ce qui est vraiment nécessaire."
}
},
{
"@type": "Question",
"name": "Ces activités conviennent-elles à tous les âges et tous les stades ?",
"acceptedAnswer": {
"@type": "Answer",
"text": "Elles se déclinent, mais ne s'appliquent pas à l'identique. Chaque activité propose une variante plus facile et une variante plus difficile, précisément pour s'ajuster au stade et aux capacités. À un stade avancé, on privilégie le plaisir, la musique, les souvenirs et les gestes accompagnés ; plus tôt, on peut viser davantage l'amplitude et l'autonomie. Dans tous les cas, la sélection et l'intensité se décident avec l'équipe soignante et le médecin, qui tiennent compte des troubles de la déglutition, du risque de chute et des autres particularités individuelles."
}
}
]
}
]
}
Parkinson en établissement : activités, supports et aménagements concrets à mettre en place
Quand la maladie de Parkinson entre en établissement, l'accompagnement se joue autant dans les gestes du quotidien que dans les soins programmés. Ce guide rassemble des activités, des supports et des aménagements concrets à mettre en place dès demain : c'est une véritable boîte à outils sur le thème parkinson en établissement activités outils, pensée pour les familles, les aidants et les équipes qui cherchent du matériel simple et des routines applicables sans budget spécifique.
Dans cet article
La formation associée

You won't find a theoretical course here, but fourteen activities described precisely — objective, material, duration, process, variations, signs that it works —, a typical week in table form, the arrangements room by room of a bedroom and a living space, free printable resources and the reasonable place of digital tools. Each proposal remains a daily activity, never a medical protocol: validation by the care team and the doctor remains the absolute rule.
The essentials in 30 seconds
Supporting Parkinson's in an institution means dealing with symptoms that vary from hour to hour: we adapt the activity to the moment, not the other way around. Three principles hold everything else: amplitude, rhythm, regularity.
- The right moment — we work during the "on" phases, when the treatment is working and the body is responding, not during the blocking phases.
- Wide movements — the disease shrinks gestures and the voice; the support intentionally broadens them, aiming for big and strong.
- Rhythm as an ally — music, counting, ground markers: an external signal often helps to restart a blocked movement.
- Short and daily — better fifteen minutes each day than a long weekly session, exhausting and quickly abandoned.
- The written record — noting each day makes slow progress visible and provides reliable information to professionals.
The markers to establish before starting
Parkinson's disease does not behave like most other neurological conditions: it fluctuates. A person may get up alone in the morning and remain stuck in a hallway two hours later. These variations, called "on/off" fluctuations, are neither a lack of will nor a performance. They depend largely on the timing of medication intake. This is the first marker to integrate: we do not propose a demanding motor activity just before a dose, when the effect of the treatment is fading, but rather when it is fully active.
Before launching anything, four simple markers avoid most missteps. They never replace the team's advice; they accompany it.
Choose the right window
Identify the moments when the person moves best during the day and schedule motor activities then. The blocking phases are to be respected: never force a frozen body.
Aim big, aim strong
Parkinson's shrinks gestures and weakens the voice. We intentionally request wide movements and a voice louder than necessary: this is the essence of working on amplitude.
Relying on a rhythm
An external signal — music, counting, line on the ground — often helps to restart a movement. It is a valuable tool in the face of walking blockages.
Note down, systematically
A cross per day, an observation in one line. This makes slow progress visible and feeds reliable communication to caregivers.
The activities described here are daily life activities, not medical protocols. Some may be discouraged depending on the situation — swallowing disorders, high fall risk, hypotension upon standing, pain, significant cognitive disorders. Show this list to the physiotherapist, occupational therapist, speech therapist, or coordinating physician: only they will say which ones are suitable, at what intensity, and at what time of day. In case of discomfort, a fall, or unusual symptoms, contact your country's emergency services without delay.
Motor skills, walking, and daily gestures
Motor skills are the area where the establishment can make a daily difference. The guiding idea: to combat the narrowing of movements by asking, at every opportunity, for gestures larger than usual. These activities complement the physiotherapist's rehabilitation; they do not replace it. Ask them which ones best serve the current objectives.
Walking with big steps
- Objective — lengthen the stride, straighten the torso, maintain endurance and balance.
- Equipment and duration — a clear corridor, closed shoes, usual technical aid, 5 to 15 minutes depending on the day's condition.
- Procedure — walk the same route, at the same time, encouraging with each step: “big step, big step.” Set the tempo out loud or with well-rhythmed music. A support point identified halfway reassures.
- Easier — a very short round trip, several times a day, with possible support throughout.
- More difficult — lengthen the distance, or walk while talking, which adds a dual task.
- Sign that it works — steps lengthen spontaneously, the gaze lifts instead of fixing on the feet.
- ❌ To avoid — pressuring the person or walking behind them while pushing with your gaze: urgency promotes blockages.
Unlock a frozen step (freezing)
- Objective — to have tips to restart walking when the feet seem "stuck to the ground", typically when passing through a door or turning around.
- Materials and duration — nothing, or a colored adhesive tape placed on the ground as a marker, a few seconds for each episode.
- Procedure — remain calm, do not pull on the arm. Offer a focal point to step over, count "one, two, three, let's go", or ask to take a big step over an imaginary line. Transferring weight from one foot to the other often helps to restart.
- Easier — place a real contrasting tape on the ground at critical points identified with the occupational therapist.
- Harder — teach the person to use counting as a starting signal themselves.
- Sign that it works — episodes of blocking resolve faster, the person mobilizes a tip by themselves.
- ❌ To avoid — pulling on the arm or insisting verbally: this increases the blockage and raises the risk of falling.
Getting up from the armchair
- Objective — to secure a gesture repeated dozens of times a day, maintain leg strength and transfer autonomy.
- Materials and duration — an armchair with a firm seat and not too low, with armrests, 5 minutes.
- Procedure — break it down aloud: move the buttocks to the edge, pull the feet back under the knees, lean the torso "nose over the toes", push with the legs while straightening up. Repeat calmly a few times.
- Easier — raise the seat, use both armrests for support, pause standing before starting.
- Harder — get up without hands, once safety is acquired and validated by the physiotherapist.
- Sign that it works — getting up becomes smoother, less support, less hesitation.
- ❌ To avoid — an armchair that is too low or too soft, which turns every stand-up into a risky effort.
The big morning gestures
- Objective — to take advantage of washing and dressing to work on amplitude, without adding a dedicated session.
- Materials and duration — everyday items, the normal time for washing.
- Procedure — encourage deliberately large gestures: putting on the sleeve while extending the arm well, styling hair by reaching high, wiping the back with a wide movement. Each ordinary gesture becomes an opportunity to stretch and straighten up.
- Easier — assist the gesture hand over hand, allowing the person to lead.
- Harder — complete dressing without help, using only verbal cues.
- Sign that it works — dressing takes less time, the person initiates more gestures independently.
- ❌ To avoid — doing it instead to go faster: this is the leading cause of avoidable loss of autonomy.
Motricité fine et écriture
- Objectif — entretenir la précision des mains et lutter contre le rétrécissement de l'écriture, fréquent dans la maladie.
- Matériel et durée — un stylo à bonne prise, une feuille à grands carreaux, des boutons, pinces à linge ou pièces de monnaie, 10 minutes.
- Déroulé — on trace de grandes lettres en occupant toute la case, on signe son prénom en grand, on trie des pièces, on visse des bouchons. On vise l'ampleur du geste, pas la vitesse.
- Plus facile — repasser sur des lettres déjà tracées, manipuler de gros objets.
- Plus difficile — écrire une courte phrase, boutonner une chemise, apparier des paires de chaussettes.
- Signe que ça marche — l'écriture reste lisible plus longtemps, les objets fins se saisissent avec moins d'efforts.
- ❌ À éviter — les exercices interminables qui crispent la main : on s'arrête avant la fatigue.
Attention, parole et mémoire
La maladie de Parkinson affecte souvent la voix, qui devient faible et monocorde, ainsi que l'attention, l'initiative et parfois la mémoire. Les activités qui suivent entretiennent ces fonctions dans le plaisir de l'échange. Elles complètent le travail de l'orthophoniste ; demandez-lui ce qui sert le mieux les objectifs en cours, en particulier pour la voix et la déglutition.
La voix forte
- Objectif — travailler l'intensité de la voix, souvent trop faible, pour rester compris sans se fatiguer.
- Matériel et durée — un texte plaisant en gros caractères, un journal, un poème connu, 10 minutes.
- Déroulé — on lit à voix haute en visant une voix « plus forte que nécessaire », comme pour être entendu au fond d'une pièce. On peut compter à voix haute, appeler quelqu'un par son prénom, prononcer des voyelles tenues. On valorise le volume, pas la perfection.
- Plus facile — répéter des mots isolés d'une voix bien posée.
- Plus difficile — lire un paragraphe entier, puis raconter une anecdote en gardant le volume.
- Signe que ça marche — les proches font moins répéter, la personne se fait entendre à table.
- ❌ À éviter — corriger la prononciation en boucle : on encourage le volume et l'envie de parler avant tout.
Nommer et évoquer
- Objectif — entretenir l'accès aux mots, la fluence verbale et l'initiative dans la conversation.
- Matériel et durée — des images du quotidien, un jeu de cartes thématiques ou simplement les objets présents, 10 minutes.
- Déroulé — on cite ensemble le plus de mots possible dans une catégorie : fruits, prénoms, métiers, villes. On décrit un objet, on cherche ses usages. La règle est de laisser le temps de répondre, sans combler les silences trop vite.
- Plus facile — proposer un choix entre deux réponses.
- Plus difficile — trouver des mots commençant par une même lettre, ou raconter une histoire à partir de trois mots.
- Signe que ça marche — les listes s'allongent, les phrases se construisent plus vite.
- ❌ À éviter — répondre à la place dès la première hésitation : le silence fait partie de l'effort.
Le rythme et la double tâche
- Objectif — solliciter l'attention partagée et le rythme, deux ressources précieuses face aux blocages moteurs.
- Matériel et durée — une musique bien marquée, ses mains, éventuellement un tambourin ou des maracas, 10 minutes.
- Déroulé — on frappe le rythme dans les mains, on tape du pied, on reproduit une séquence simple. On peut compter à voix haute tout en marquant la pulsation. Le geste et le son se répondent.
- Plus facile — suivre un rythme lent et régulier, imité pas à pas.
- Plus difficile — alterner mains et pieds, ou parler en gardant le rythme.
- Signe que ça marche — la pulsation devient plus stable, les gestes plus assurés.
- ❌ À éviter — enchaîner sans pause : le rythme fatigue la concentration, on s'arrête tant que c'est encore agréable.
L'agenda et les repères temporels
- Objectif — soutenir la mémoire des choses à faire, les repères dans le temps et le sentiment de maîtrise.
- Matériel et durée — un agenda à grandes cases ou un tableau effaçable, une horloge visible, 5 minutes par jour.
- Déroulé — chaque matin, on relit le programme du jour ; chaque soir, on note deux ou trois repères du lendemain et on coche ce qui a été fait. On situe le repas, la visite, l'activité par rapport à l'heure affichée.
- Plus facile — l'aidant écrit, la personne relit à voix haute.
- Plus difficile — la personne anticipe seule sa semaine et repère les rendez-vous.
- Signe que ça marche — l'agenda est consulté spontanément dans la journée.
- ❌ À éviter — multiplier les supports : un seul agenda, toujours au même endroit, vaut mieux que trois éparpillés.
Le jeu de société revisité
- Objectif — entretenir l'attention, la mémoire et le lien, dans un cadre convivial et sans enjeu de performance.
- Matériel et durée — cartes à gros index, dominos, jeu de paires ou loto des images, 15 à 20 minutes.
- Déroulé — on choisit un jeu court, on adapte les règles pour éviter la lassitude, on privilégie le plaisir de jouer à la victoire. On laisse le temps de manipuler les pièces sans presser.
- Plus facile — moins de cartes, règles simplifiées, jeu en binôme coopératif.
- Plus difficile — augmenter le nombre d'éléments, introduire une petite stratégie.
- Signe que ça marche — la personne demande à rejouer, suit la partie sans se perdre.
- ❌ À éviter — les jeux qui exigent une manipulation fine et rapide de petites pièces, source de frustration.
Former l'équipe pour adapter chaque geste du quotidien
La formation DYNSEO « Parkinson en établissement » explique la maladie, ses fluctuations et la manière d'ajuster l'accompagnement au bon moment de la journée. 32 leçons, 100 % en ligne, à son rythme, accès illimité. Organisme certifié Qualiopi (N° 11757351875), attestation de fin de formation.
Découvrir la formation — 20 €Plaisir, rythme et lien social
Parkinson s'accompagne souvent d'apathie et parfois de découragement. Or l'envie précède toujours le progrès : une personne qui prend plaisir bouge davantage et parle plus. Les quatre activités qui suivent ne visent aucune performance. Elles entretiennent l'humeur, l'identité et le lien, ce qui conditionne l'adhésion à tout le reste.
La musique et la danse assise
- Objectif — mobiliser le corps sur un rythme, réveiller l'humeur et la mémoire, sans risque de chute.
- Matériel et durée — une enceinte, une playlist des musiques marquantes de la personne, une chaise stable, 15 minutes.
- Déroulé — assis, on bouge les bras, on tape des pieds, on balance le buste en suivant la pulsation. Les airs familiers relancent souvent des gestes que la volonté seule ne parvient pas à déclencher. On chante si l'envie vient.
- Plus facile — de simples mouvements de mains sur un tempo lent.
- Plus difficile — se lever pour quelques pas dansés, encadré et sécurisé.
- Signe que ça marche — le visage s'anime, la personne fredonne, réclame un morceau.
- ❌ À éviter — imposer une musique qui n'est pas la sienne : c'est le répertoire personnel qui déclenche l'élan.
L'atelier créatif en grand
- Objectif — travailler l'amplitude du geste et la précision dans une activité valorisante, loin de l'exercice.
- Matériel et durée — grandes feuilles, gros pinceaux, pastels, pâte à modeler, 20 minutes.
- Déroulé — on peint ou on dessine en grand format, on modèle, on colle. Le geste ample est encouragé naturellement par la taille du support. Le résultat compte moins que le mouvement et le plaisir.
- Plus facile — colorier de grandes zones, malaxer la pâte.
- Plus difficile — un projet en plusieurs étapes, une œuvre collective en petit groupe.
- Signe que ça marche — la personne s'installe volontiers, prolonge la séance.
- ❌ À éviter — juger le résultat : on valorise l'engagement, jamais la ressemblance.
Le jardinage adapté
- Objectif — retrouver un rôle actif et un geste utile, mobiliser mains et posture dans une activité qui a du sens.
- Matériel et durée — jardinières surélevées ou pots sur table, terreau, graines, arrosoir léger, 15 à 20 minutes.
- Déroulé — on remplit, on plante, on arrose, on entretient au fil des jours. Travailler à hauteur de table évite de se pencher. La régularité de l'entretien crée un rendez-vous quotidien attendu.
- Plus facile — arroser et surveiller seulement.
- Plus difficile — gérer plusieurs plants, tenir un petit carnet de suivi des semis.
- Signe que ça marche — la personne s'inquiète de ses plantes, prend l'initiative de les soigner.
- ❌ À éviter — le travail au sol, source de déséquilibre : tout se fait assis ou à hauteur.
The commented memory album
- Objective — stimulate old memory, speech, and family connection, preserve the person's identity.
- Materials and duration — an album, printed photos or on a tablet, familiar objects, 15 minutes.
- Procedure — a maximum of ten photos. Name the people, locate the place, tell a story. If a first name is missing, provide it without delay. Conversation takes precedence over the questionnaire.
- Easier — only photos of very familiar relatives.
- More difficult — put photos in chronological order, reconstruct a story.
- Sign that it works — sentences lengthen, the exchange becomes a real conversation.
- ❌ To avoid — chaining "test" questions: share a memory, do not conduct an exam.
A typical day and a typical week
The classic trap is wanting to do everything every day. In institutions as well as at home, one activity from each major category per day is more than enough, provided it really takes place and is scheduled at the right time. The typical day below aligns the most demanding activities with the times when the person moves best, to be adjusted according to the treatment schedule defined by the doctor.
| Time | What to include | Duration |
|---|---|---|
| Morning, after breakfast | The most demanding motor activity of the day — big steps, wide movements | 15-20 min |
| Late morning | Strong voice or naming and evoking | 10 min |
| Early afternoon | Quiet time, without stimulation, respecting fatigue | 30-60 min |
| Mid-afternoon | Digital session on SCARLETT or board game | 15 min |
| Late afternoon | Pleasure activity — music, creative workshop, gardening | 15-20 min |
| Evening | Agenda for the next day, then quiet memory album | 10-15 min |
Throughout the week, rotate the themes to cover all areas without tiring. Sunday without a set program is not a break in support: rest is part of it.
| Day | Theme of the day |
|---|---|
| Monday | Motor skills — big steps, getting up from the chair |
| Tuesday | Speech — strong voice, naming and evoking |
| Wednesday | Attention — rhythm, dual task, board game |
| Thursday | Autonomy — big morning movements, fine motor skills |
| Friday | Pleasure — music and seated dance |
| Saturday | Social — visit, creative workshop or gardening with others |
| Sunday | Nothing imposed. Rest is part of the program. |
A schedule is a framework, not a constraint. On "off" days when the body responds poorly, lighten the load: keep a pleasure activity and postpone the demanding motor activity. What matters is to preserve the appointment, even in a reduced version.
Arrange the environment, space by space
Many difficulties arise in perfectly predictable situations: a doorway that is too narrow, a shiny floor that seems slippery, a cluttered room. Most useful adjustments cost almost nothing. For others, an assessment at home or in the room by an occupational therapist remains the best investment. The general idea: clear pathways, add visual cues and rhythm where walking gets stuck.
| Space | What is problematic | What we change |
|---|---|---|
| Room | Clutter, bed too low, nighttime getting up, darkness | Clear a passageway, raise the bed if needed, night light with sensor, illuminated path to the toilet |
| Doorways | Thresholds, narrow doors where walking freezes | Contrasting color strip on the floor to provide a step-over reference, flattened thresholds |
| Bathroom | Wet floor, prolonged standing, transfers | Grab bar fixed to the wall, non-slip mat, shower seat, items within reach |
| Dining room | Unstable chair, thin cutlery, difficult-to-grasp glass | Chair with armrests, thick-handled cutlery, weighted glass, non-slip set |
| Common living spaces | Chairs too low and too soft, furniture in the way | Firm seating with armrests, clear circulation of at least 90 cm |
| Hallways | Long distances, lack of support points, glare | Continuous handrail, regular resting benches, uniform lighting without reflections |
| All spaces | Background noise, insufficient or glaring lighting | Lower television and radio during conversations, increase and homogenize lighting |
Regular visual markers on the ground — spaced contrasting bands — provide points for the gaze to "hang on" to restart the step. A discreet metronome or rhythmic music in a rehabilitation space also helps. These arrangements are decided with the occupational therapist and the physiotherapist, who identify the critical spots specific to each person.
Free DYNSEO supports to print
These DYNSEO tools are freely downloadable and printable from the catalog of free tools. Three of them are enough to structure the entire routine described here and make it transferable between the team and the family.
- Progress tracking chart (visual) — one mark per day, one line per activity. This is the support that makes progress visible and reignites motivation when it wanes. Use it for walking, loud voice, and enjoyable activities: in three weeks, the curve speaks for itself.
- Session tracking sheet — what has been worked on, at what time of day, what was tiring, what worked well. To be filled out in one minute after each activity, it helps identify the most favorable "on" windows.
- Communication notebook — to convey your observations to the speech therapist, physiotherapist, occupational therapist, or doctor without forgetting anything during consultations. Essential between the family and the team, it prevents information from getting lost between visits.
- Skills tracking chart — to visualize over several weeks what is maintained, what is progressing, and what requires adjustment with professionals.
The principle is simple: a unique support, filled out every day, in the same place. It is this modest regularity that transforms isolated activities into coherent and transferable support from one team to another.
The role of digital technology and the SCARLETT application
A tablet does not replace rehabilitation or real activities. It provides two things that paper does not: an automatic adjustment of the difficulty level, and a record of results that avoids discussions about "is it progressing". For a person supported in a facility for Parkinson's disease, the priority application is SCARLETT, whose interface is designed for seniors: large buttons, streamlined navigation, clear instructions.
| Application | For whom | Usage type |
|---|---|---|
| SCARLETT | Senior, Parkinson, Alzheimer's disease — simplified interface | 15 minutes a day, 2 to 3 games of attention, memory and language, at a fixed time |
| CLINT | Younger adult, after a Stroke or in mental health | Same principle, with an adaptation suitable for an adult audience |
The right dosage : about 15 minutes a day, at a fixed time, rather than a long weekly session. Set the session during an "on" moment, choose two or three short games always in the same order to create a ritual, and stop at the end of the time even if everything is going well. Keep the screen away from the end of the evening, which can disrupt an already fragile sleep in the disease. To situate the starting level or objectify an evolution, the cognitive tests provide a useful reference point, to be interpreted with professionals.
The 5 mistakes to avoid
These five mistakes occur most often, at home as in institutions. Identifying them allows for quick correction, before they discourage the person or the team.
- Ignoring the "on/off" fluctuations. Proposing a demanding motor activity during a blocking phase dooms the session to failure and installs discouragement. Observe the favorable windows and adjust activities accordingly.
- Doing it instead. Out of kindness or to save time : this is the main cause of avoidable loss of autonomy. Every ordinary gesture done alone, even slowly, is better than a gesture done instead.
- Pressing the person. “Hurry up, get moving” accentuates blockages, slowness, and anxiety. Slow down the tempo, allow time, use an external rhythm rather than pressure.
- Turning everything into an exercise. If every moment becomes a session, the relationship becomes exhausted and so does the engagement. Preserve moments of pure pleasure, without objective.
- Not taking notes. Without a record, slow progress becomes invisible and one wrongly concludes that nothing is changing. A mark each day is enough to change everyone's perspective.
To go further
In-depth guideParkinson in institutions : the complete guide to understanding what is at stake
Support & contactsWho to contact, what support is available and how to sustain it over time
The trainingProgram, content, and who the DYNSEO Parkinson training is aimed at
Frequently asked questions
How often should these activities be proposed ?
Every day, but little by little. Regularity far outweighs intensity : one activity from each major category per day is enough, provided it takes place and occurs during a phase when the person is moving well. Five minutes on a bad day are better than a complete standstill, as it is the routine itself that we protect. We adapt to the mood and condition of the moment, we lighten the difficult days without completely canceling the appointment, and we respect rest times, which are an integral part of the support.
How long should a session last ?
Between ten and twenty minutes per activity, with a daily total of thirty to sixty minutes spread throughout the day. Beyond that, fatigue takes over and the session becomes counterproductive. It is better to have several short slots than one long one. We stop before fatigue sets in, not when it is established : a session that ends well encourages wanting to start again, while a session that ends poorly discourages the next one. This framework remains indicative : the physiotherapist and occupational therapist adjust the duration to each person's situation.
How to motivate someone who refuses ?
Apathy is part of the illness : refusal is not always a choice. Three levers work better than insistence. First, choose the right moment, when the body responds. Next, start from pleasure : favorite music, memories, gardening rather than formal exercise. Finally, make progress visible with a tracking chart. Negotiate the duration rather than the principle : “ five minutes and we stop ” almost always yields more than a reminder of the stakes. And one starts the activity oneself to encourage them, as initiative is precisely what costs the most.
What equipment is really needed ?
Almost nothing specialized. A clear hallway, a chair with armrests, music, photos, graph paper, a few colored strips for the floor : the essentials rely on everyday objects. The free DYNSEO supports — tracking chart, session sheet, liaison notebook — structure everything at no cost. The only useful optional equipment is a tablet with the SCARLETT application, for automatic level adjustment. For heavier adaptations, such as grab bars, an assessment by an occupational therapist guides what is truly necessary.
Are these activities suitable for all ages and stages ?
They can be adapted, but do not apply identically. Each activity offers an easier variant and a more difficult variant, specifically to adjust to the stage and abilities. At an advanced stage, we prioritize pleasure, music, memories, and accompanied gestures ; earlier, we can aim more for amplitude and autonomy. In all cases, selection and intensity are decided with the care team and the doctor, who take into account swallowing disorders, fall risk, and other individual particularities.
These activities, materials, and arrangements are general proposals derived from daily life. They do not replace prescribed rehabilitation, medical advice, diagnosis, or prognosis. Have what is suitable for the person validated by the doctor, physiotherapist, speech therapist, or occupational therapist who is following them. In case of discomfort, fall, or unusual symptom, contact your country's emergency services without delay.
Give your team the keys to supporting Parkinson's in a facility
You have here the activities, tools, and arrangements; the DYNSEO training "Parkinson in a facility" adds understanding of the disease and the method to adapt each action at the right time. 32 lessons, 100% online, at their own pace, unlimited access. Certified Qualiopi (No. 11757351875), with a certificate of completion.
Discover the training — 20 €Did this content help you? Support DYNSEO 💙
We are a small team of 14 people based in Paris. For 13 years, we have been creating free content to help families, speech therapists, care homes and healthcare professionals.
Your feedback is the only way we know if our work is useful. A Google review helps us reach other families, caregivers and therapists who need it.
One action, 30 seconds: leave us a Google review ⭐⭐⭐⭐⭐. It costs nothing, and it changes everything for us.
