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La r\u00e9gularit\u00e9 l'emporte largement sur l'intensit\u00e9 : une seule activit\u00e9 de chaque grande cat\u00e9gorie par jour suffit, \u00e0 condition qu'elle ait lieu et qu'elle tombe pendant une phase o\u00f9 la personne bouge bien. Cinq minutes un mauvais jour valent mieux qu'une impasse compl\u00e8te, car c'est la routine elle-m\u00eame que l'on prot\u00e8ge. On adapte \u00e0 l'humeur et \u00e0 la forme du moment, on all\u00e8ge les jours difficiles sans supprimer compl\u00e8tement le rendez-vous, et on respecte les temps de repos, qui font pleinement partie de l'accompagnement.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Combien de temps doit durer une s\u00e9ance ?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Entre dix et vingt minutes par activit\u00e9, avec un total quotidien de trente \u00e0 soixante minutes r\u00e9parties dans la journ\u00e9e. Au-del\u00e0, la fatigue prend le dessus et la s\u00e9ance devient contre-productive. Mieux vaut plusieurs cr\u00e9neaux courts qu'un seul long. On arr\u00eate avant la fatigue, pas quand elle est install\u00e9e : une s\u00e9ance qui finit bien donne envie de recommencer, une s\u00e9ance qui finit mal d\u00e9courage la suivante. Ce cadre reste indicatif : le kin\u00e9sith\u00e9rapeute et l'ergoth\u00e9rapeute ajustent la dur\u00e9e \u00e0 la situation de chaque personne.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Comment motiver quelqu'un qui refuse ?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"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 r\u00e9pond. Ensuite, partir du plaisir : musique pr\u00e9f\u00e9r\u00e9e, souvenirs, jardinage plut\u00f4t qu'exercice formel. Enfin, rendre le progr\u00e8s visible avec un tableau de suivi. N\u00e9gociez la dur\u00e9e plut\u00f4t que le principe : \u00ab cinq minutes et on arr\u00eate \u00bb obtient presque toujours plus qu'un rappel des enjeux. Et l'on d\u00e9marre soi-m\u00eame l'activit\u00e9 pour l'entra\u00eener, car l'initiative est justement ce qui co\u00fbte le plus.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Quel mat\u00e9riel faut-il vraiment ?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Presque rien de sp\u00e9cialis\u00e9. Un couloir d\u00e9gag\u00e9, une chaise \u00e0 accoudoirs, de la musique, des photos, du papier \u00e0 grands carreaux, quelques bandes de couleur pour le sol : l'essentiel repose sur des objets du quotidien. Les supports DYNSEO gratuits \u2014 tableau de suivi, fiche de s\u00e9ance, carnet de liaison \u2014 structurent le tout sans co\u00fbt. Le seul \u00e9quipement optionnel utile est une tablette avec l'application EDITH, pour l'ajustement automatique du niveau. Pour les am\u00e9nagements plus lourds, comme les barres d'appui, un bilan par un ergoth\u00e9rapeute oriente vers ce qui est vraiment n\u00e9cessaire.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Ces activit\u00e9s conviennent-elles \u00e0 tous les \u00e2ges et tous les stades ?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Elles se d\u00e9clinent, mais ne s'appliquent pas \u00e0 l'identique. Chaque activit\u00e9 propose une variante plus facile et une variante plus difficile, pr\u00e9cis\u00e9ment pour s'ajuster au stade et aux capacit\u00e9s. \u00c0 un stade avanc\u00e9, on privil\u00e9gie le plaisir, la musique, les souvenirs et les gestes accompagn\u00e9s ; plus t\u00f4t, on peut viser davantage l'amplitude et l'autonomie. Dans tous les cas, la s\u00e9lection et l'intensit\u00e9 se d\u00e9cident avec l'\u00e9quipe soignante et le m\u00e9decin, qui tiennent compte des troubles de la d\u00e9glutition, du risque de chute et des autres particularit\u00e9s individuelles.\"\n          }\n        }\n      ]\n    }\n  ]\n}\n<\/style>\n<div class=\"dbi-art-7a5f19\">\n<!--\n\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\nDYNSEO \u2014 GABARIT ARTICLE SEO\/GEO  \u00b7  v1.0\nNe pas modifier les noms de classes : le script generer-articles.py\net tous les articles d\u00e9j\u00e0 publi\u00e9s en d\u00e9pendent.\n\nLe script generer-articles.py injecte, dans l'ordre : le header color\u00e9,\nl'encadr\u00e9 formation ou outil, le corps r\u00e9dig\u00e9, puis les donn\u00e9es structur\u00e9es.\n\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\n--><\/p>\n<div class=\"dyn-article\">\n<header class=\"dyn-pagehead dyn-pagehead--bleu\">\n  <span class=\"dyn-pagehead__cat\">Familles &amp; aidants \u00b7 Parkinson<\/span><\/p>\n<h1>Parkinson en \u00e9tablissement : activit\u00e9s, supports et am\u00e9nagements concrets \u00e0 mettre en place<\/h1>\n<pee class=\"dyn-pagehead__lead\">Quand la maladie de Parkinson entre en \u00e9tablissement, l&#8217;accompagnement se joue autant dans les gestes du quotidien que dans les soins programm\u00e9s. Ce guide rassemble des activit\u00e9s, des supports et des am\u00e9nagements concrets \u00e0 mettre en place d\u00e8s demain&nbsp;: c&#8217;est une v\u00e9ritable bo\u00eete \u00e0 outils sur le th\u00e8me <strong>parkinson en \u00e9tablissement activit\u00e9s outils<\/strong>, pens\u00e9e pour les familles, les aidants et les \u00e9quipes qui cherchent du mat\u00e9riel simple et des routines applicables sans budget sp\u00e9cifique.<\/pee>\n<ul class=\"dyn-pagehead__meta\">\n<li>\u23f1\ufe0f 20 min de lecture<\/li>\n<li>\ud83d\udc65 Pour les familles et les aidants<\/li>\n<li>\ud83d\udd04 Mis \u00e0 jour en ao\u00fbt 2026<\/li>\n<\/ul>\n<\/header>\n<section class=\"dynen dynen-inarticle\" data-dynen=\"inarticle\"><pee class=\"dynen-h\">Dans cet article<\/pee><pee class=\"dynen-sub\">La formation associ\u00e9e<\/pee><a class=\"dynen-form\" href=\"https:\/\/www.dynseo.com\/en\/courses\/parkinson-in-institutions-understanding-the-disease-and-adapting-professional-practice-en\/\"><\/p>\n<div class=\"dynen-form__img\"><img decoding=\"async\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/03\/Autisme-en-etablissement-Accompagnement-Global-9-4.jpg\" alt=\"\" loading=\"lazy\"><\/div>\n<div class=\"dynen-form__body\"><span class=\"dynen-tag dynen-tag--quali\">Formation Qualiopi<\/span><b>Parkinson en \u00e9tablissement : comprendre la maladie et adapter sa pratique professionnelle<\/b><span class=\"dynen-go\">D\u00e9couvrir la formation \u2192<\/span><\/div>\n<p><\/a><\/section>\n<aside class=\"dyn-hero\" aria-label=\"Formation pr\u00e9sent\u00e9e dans cet article\">\n<div class=\"dyn-hero__grid\">\n<div class=\"dyn-hero__media\"><a href=\"https:\/\/www.dynseo.com\/en\/courses\/parkinson-in-institutions-understanding-the-disease-and-adapting-professional-practice-en\/\"><img decoding=\"async\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/03\/Autisme-en-etablissement-Accompagnement-Global-9-4.jpg\" alt=\"Formation DYNSEO \u00ab Parkinson en \u00e9tablissement : comprendre la maladie et adapter sa pratique professionnelle \u00bb\" width=\"1920\" height=\"1080\" loading=\"lazy\"><\/a><\/div>\n<div class=\"dyn-hero__body\">\n      <span class=\"dyn-hero__eyebrow\">La formation li\u00e9e \u00e0 cet article<\/span>\n      <pee class=\"dyn-hero__title\"><a href=\"https:\/\/www.dynseo.com\/en\/courses\/parkinson-in-institutions-understanding-the-disease-and-adapting-professional-practice-en\/\">Parkinson en \u00e9tablissement : comprendre la maladie et adapter sa pratique professionnelle<\/a><\/pee>\n      <pee class=\"dyn-hero__pitch\">Tout ce que cet article explique, mis en pratique.<\/pee>\n<ul class=\"dyn-badges\">\n<li>\ud83c\udfa5 8 modules \u00b7 32 le\u00e7ons<\/li>\n<li>\ud83d\udcbb 100 % en ligne<\/li>\n<li>\u23f1\ufe0f \u00c0 votre rythme<\/li>\n<li>\ud83c\udfc5 Organisme Qualiopi<\/li>\n<li>\ud83c\udf0d 9 langues<\/li>\n<\/ul>\n<div class=\"dyn-hero__actions\">\n        <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/en\/courses\/parkinson-in-institutions-understanding-the-disease-and-adapting-professional-practice-en\/\">See the training<\/a><br \/>\n        <span class=\"dyn-hero__price\">20.0 \u20ac<\/span>\n      <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/aside>\n<pee>You won&#8217;t find a theoretical course here, but fourteen activities described precisely \u2014 objective, material, duration, process, variations, signs that it works \u2014, 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.<\/pee>\n<section class=\"dyn-tldr\">\n<h2>The essentials in 30 seconds<\/h2>\n<pee>Supporting Parkinson&#8217;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: <strong>amplitude, rhythm, regularity<\/strong>.<\/pee>\n<ul>\n<li><strong>The right moment<\/strong> \u2014 we work during the &#8220;on&#8221; phases, when the treatment is working and the body is responding, not during the blocking phases.<\/li>\n<li><strong>Wide movements<\/strong> \u2014 the disease shrinks gestures and the voice; the support intentionally broadens them, aiming for big and strong.<\/li>\n<li><strong>Rhythm as an ally<\/strong> \u2014 music, counting, ground markers: an external signal often helps to restart a blocked movement.<\/li>\n<li><strong>Short and daily<\/strong> \u2014 better fifteen minutes each day than a long weekly session, exhausting and quickly abandoned.<\/li>\n<li><strong>The written record<\/strong> \u2014 noting each day makes slow progress visible and provides reliable information to professionals.<\/li>\n<\/ul>\n<\/section>\n<nav class=\"dyn-toc\" aria-label=\"Table of contents\">\n  <pee>In the table of contents<\/pee>\n<ol>\n<li><a href=\"#dyn-regles\">The markers to establish before starting<\/a><\/li>\n<li><a href=\"#dyn-motricite\">Motor skills, walking, and daily gestures<\/a><\/li>\n<li><a href=\"#dyn-cognition\">Attention, speech, and memory<\/a><\/li>\n<li><a href=\"#dyn-plaisir\">Pleasure, rhythm, and social connection<\/a><\/li>\n<li><a href=\"#dyn-semaine\">A typical day and a typical week<\/a><\/li>\n<li><a href=\"#dyn-environnement\">Arranging the environment, space by space<\/a><\/li>\n<li><a href=\"#dyn-supports\">The free DYNSEO resources to print<\/a><\/li>\n<li><a href=\"#dyn-numerique\">The place of digital tools and the SCARLETT application<\/a><\/li>\n<li><a href=\"#dyn-erreurs\">The 5 mistakes to avoid<\/a><\/li>\n<li><a href=\"#dyn-faq\">Frequently asked questions<\/a><\/li>\n<\/ol>\n<\/nav>\n<h2 id=\"dyn-regles\">The markers to establish before starting<\/h2>\n<pee>Parkinson&#8217;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 &#8220;on\/off&#8221; 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.<\/pee>\n<pee>Before launching anything, four simple markers avoid most missteps. They never replace the team&#8217;s advice; they accompany it.<\/pee>\n<div class=\"dyn-cards\">\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udd50<\/span><\/p>\n<h3>Choose the right window<\/h3>\n<pee>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.<\/pee>\n  <\/div>\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udccf<\/span><\/p>\n<h3>Aim big, aim strong<\/h3>\n<pee>Parkinson&#8217;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.<\/pee>\n  <\/div>\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83e\udd41<\/span><\/p>\n<h3>Relying on a rhythm<\/h3>\n<pee>An external signal \u2014 music, counting, line on the ground \u2014 often helps to restart a movement. It is a valuable tool in the face of walking blockages.<\/pee>\n  <\/div>\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\u270d\ufe0f<\/span><\/p>\n<h3>Note down, systematically<\/h3>\n<pee>A cross per day, an observation in one line. This makes slow progress visible and feeds reliable communication to caregivers.<\/pee>\n  <\/div>\n<\/div>\n<div class=\"dyn-alerte\">\n  <strong>\u26a0\ufe0f Above all: validate with the caregiving team<\/strong>\n  <pee>The activities described here are daily life activities, not medical protocols. Some may be discouraged depending on the situation \u2014 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&#8217;s emergency services without delay.<\/pee>\n<\/div>\n<h2 id=\"dyn-motricite\">Motor skills, walking, and daily gestures<\/h2>\n<pee>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&#8217;s rehabilitation; they do not replace it. Ask them which ones best serve the current objectives.<\/pee>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">1<\/div>\n<h3 class=\"dyn-module__title\">Walking with big steps<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objective<\/strong> \u2014 lengthen the stride, straighten the torso, maintain endurance and balance.<\/li>\n<li><strong>Equipment and duration<\/strong> \u2014 a clear corridor, closed shoes, usual technical aid, 5 to 15 minutes depending on the day&#8217;s condition.<\/li>\n<li><strong>Procedure<\/strong> \u2014 walk the same route, at the same time, encouraging with each step: \u201cbig step, big step.\u201d Set the tempo out loud or with well-rhythmed music. A support point identified halfway reassures.<\/li>\n<li><strong>Easier<\/strong> \u2014 a very short round trip, several times a day, with possible support throughout.<\/li>\n<li><strong>More difficult<\/strong> \u2014 lengthen the distance, or walk while talking, which adds a dual task.<\/li>\n<li><strong>Sign that it works<\/strong> \u2014 steps lengthen spontaneously, the gaze lifts instead of fixing on the feet.<\/li>\n<li><strong>\u274c To avoid<\/strong> \u2014 pressuring the person or walking behind them while pushing with your gaze: urgency promotes blockages.<\/li>\n<\/ul>\n<\/div>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">2<\/div>\n<h3 class=\"dyn-module__title\">Unlock a frozen step (freezing)<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objective<\/strong> \u2014 to have tips to restart walking when the feet seem &#8220;stuck to the ground&#8221;, typically when passing through a door or turning around.<\/li>\n<li><strong>Materials and duration<\/strong> \u2014 nothing, or a colored adhesive tape placed on the ground as a marker, a few seconds for each episode.<\/li>\n<li><strong>Procedure<\/strong> \u2014 remain calm, do not pull on the arm. Offer a focal point to step over, count &#8220;one, two, three, let&#8217;s go&#8221;, or ask to take a big step over an imaginary line. Transferring weight from one foot to the other often helps to restart.<\/li>\n<li><strong>Easier<\/strong> \u2014 place a real contrasting tape on the ground at critical points identified with the occupational therapist.<\/li>\n<li><strong>Harder<\/strong> \u2014 teach the person to use counting as a starting signal themselves.<\/li>\n<li><strong>Sign that it works<\/strong> \u2014 episodes of blocking resolve faster, the person mobilizes a tip by themselves.<\/li>\n<li><strong>\u274c To avoid<\/strong> \u2014 pulling on the arm or insisting verbally: this increases the blockage and raises the risk of falling.<\/li>\n<\/ul>\n<\/div>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">3<\/div>\n<h3 class=\"dyn-module__title\">Getting up from the armchair<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objective<\/strong> \u2014 to secure a gesture repeated dozens of times a day, maintain leg strength and transfer autonomy.<\/li>\n<li><strong>Materials and duration<\/strong> \u2014 an armchair with a firm seat and not too low, with armrests, 5 minutes.<\/li>\n<li><strong>Procedure<\/strong> \u2014 break it down aloud: move the buttocks to the edge, pull the feet back under the knees, lean the torso &#8220;nose over the toes&#8221;, push with the legs while straightening up. Repeat calmly a few times.<\/li>\n<li><strong>Easier<\/strong> \u2014 raise the seat, use both armrests for support, pause standing before starting.<\/li>\n<li><strong>Harder<\/strong> \u2014 get up without hands, once safety is acquired and validated by the physiotherapist.<\/li>\n<li><strong>Sign that it works<\/strong> \u2014 getting up becomes smoother, less support, less hesitation.<\/li>\n<li><strong>\u274c To avoid<\/strong> \u2014 an armchair that is too low or too soft, which turns every stand-up into a risky effort.<\/li>\n<\/ul>\n<\/div>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">4<\/div>\n<h3 class=\"dyn-module__title\">The big morning gestures<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objective<\/strong> \u2014 to take advantage of washing and dressing to work on amplitude, without adding a dedicated session.<\/li>\n<li><strong>Materials and duration<\/strong> \u2014 everyday items, the normal time for washing.<\/li>\n<li><strong>Procedure<\/strong> \u2014 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.<\/li>\n<li><strong>Easier<\/strong> \u2014 assist the gesture hand over hand, allowing the person to lead.<\/li>\n<li><strong>Harder<\/strong> \u2014 complete dressing without help, using only verbal cues.<\/li>\n<li><strong>Sign that it works<\/strong> \u2014 dressing takes less time, the person initiates more gestures independently.<\/li>\n<li><strong>\u274c To avoid<\/strong> \u2014 doing it instead to go faster: this is the leading cause of avoidable loss of autonomy.<\/li>\n<\/ul>\n<\/div>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">5<\/div>\n<h3 class=\"dyn-module__title\">Motricit\u00e9 fine et \u00e9criture<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objectif<\/strong> \u2014 entretenir la pr\u00e9cision des mains et lutter contre le r\u00e9tr\u00e9cissement de l&#8217;\u00e9criture, fr\u00e9quent dans la maladie.<\/li>\n<li><strong>Mat\u00e9riel et dur\u00e9e<\/strong> \u2014 un stylo \u00e0 bonne prise, une feuille \u00e0 grands carreaux, des boutons, pinces \u00e0 linge ou pi\u00e8ces de monnaie, 10 minutes.<\/li>\n<li><strong>D\u00e9roul\u00e9<\/strong> \u2014 on trace de grandes lettres en occupant toute la case, on signe son pr\u00e9nom en grand, on trie des pi\u00e8ces, on visse des bouchons. On vise l&#8217;ampleur du geste, pas la vitesse.<\/li>\n<li><strong>Plus facile<\/strong> \u2014 repasser sur des lettres d\u00e9j\u00e0 trac\u00e9es, manipuler de gros objets.<\/li>\n<li><strong>Plus difficile<\/strong> \u2014 \u00e9crire une courte phrase, boutonner une chemise, apparier des paires de chaussettes.<\/li>\n<li><strong>Signe que \u00e7a marche<\/strong> \u2014 l&#8217;\u00e9criture reste lisible plus longtemps, les objets fins se saisissent avec moins d&#8217;efforts.<\/li>\n<li><strong>\u274c \u00c0 \u00e9viter<\/strong> \u2014 les exercices interminables qui crispent la main&nbsp;: on s&#8217;arr\u00eate avant la fatigue.<\/li>\n<\/ul>\n<\/div>\n<h2 id=\"dyn-cognition\">Attention, parole et m\u00e9moire<\/h2>\n<pee>La maladie de Parkinson affecte souvent la voix, qui devient faible et monocorde, ainsi que l&#8217;attention, l&#8217;initiative et parfois la m\u00e9moire. Les activit\u00e9s qui suivent entretiennent ces fonctions dans le plaisir de l&#8217;\u00e9change. Elles compl\u00e8tent le travail de l&#8217;orthophoniste&nbsp;; demandez-lui ce qui sert le mieux les objectifs en cours, en particulier pour la voix et la d\u00e9glutition.<\/pee>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">6<\/div>\n<h3 class=\"dyn-module__title\">La voix forte<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objectif<\/strong> \u2014 travailler l&#8217;intensit\u00e9 de la voix, souvent trop faible, pour rester compris sans se fatiguer.<\/li>\n<li><strong>Mat\u00e9riel et dur\u00e9e<\/strong> \u2014 un texte plaisant en gros caract\u00e8res, un journal, un po\u00e8me connu, 10 minutes.<\/li>\n<li><strong>D\u00e9roul\u00e9<\/strong> \u2014 on lit \u00e0 voix haute en visant une voix \u00ab&nbsp;plus forte que n\u00e9cessaire&nbsp;\u00bb, comme pour \u00eatre entendu au fond d&#8217;une pi\u00e8ce. On peut compter \u00e0 voix haute, appeler quelqu&#8217;un par son pr\u00e9nom, prononcer des voyelles tenues. On valorise le volume, pas la perfection.<\/li>\n<li><strong>Plus facile<\/strong> \u2014 r\u00e9p\u00e9ter des mots isol\u00e9s d&#8217;une voix bien pos\u00e9e.<\/li>\n<li><strong>Plus difficile<\/strong> \u2014 lire un paragraphe entier, puis raconter une anecdote en gardant le volume.<\/li>\n<li><strong>Signe que \u00e7a marche<\/strong> \u2014 les proches font moins r\u00e9p\u00e9ter, la personne se fait entendre \u00e0 table.<\/li>\n<li><strong>\u274c \u00c0 \u00e9viter<\/strong> \u2014 corriger la prononciation en boucle&nbsp;: on encourage le volume et l&#8217;envie de parler avant tout.<\/li>\n<\/ul>\n<\/div>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">7<\/div>\n<h3 class=\"dyn-module__title\">Nommer et \u00e9voquer<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objectif<\/strong> \u2014 entretenir l&#8217;acc\u00e8s aux mots, la fluence verbale et l&#8217;initiative dans la conversation.<\/li>\n<li><strong>Mat\u00e9riel et dur\u00e9e<\/strong> \u2014 des images du quotidien, un jeu de cartes th\u00e9matiques ou simplement les objets pr\u00e9sents, 10 minutes.<\/li>\n<li><strong>D\u00e9roul\u00e9<\/strong> \u2014 on cite ensemble le plus de mots possible dans une cat\u00e9gorie&nbsp;: fruits, pr\u00e9noms, m\u00e9tiers, villes. On d\u00e9crit un objet, on cherche ses usages. La r\u00e8gle est de laisser le temps de r\u00e9pondre, sans combler les silences trop vite.<\/li>\n<li><strong>Plus facile<\/strong> \u2014 proposer un choix entre deux r\u00e9ponses.<\/li>\n<li><strong>Plus difficile<\/strong> \u2014 trouver des mots commen\u00e7ant par une m\u00eame lettre, ou raconter une histoire \u00e0 partir de trois mots.<\/li>\n<li><strong>Signe que \u00e7a marche<\/strong> \u2014 les listes s&#8217;allongent, les phrases se construisent plus vite.<\/li>\n<li><strong>\u274c \u00c0 \u00e9viter<\/strong> \u2014 r\u00e9pondre \u00e0 la place d\u00e8s la premi\u00e8re h\u00e9sitation&nbsp;: le silence fait partie de l&#8217;effort.<\/li>\n<\/ul>\n<\/div>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">8<\/div>\n<h3 class=\"dyn-module__title\">Le rythme et la double t\u00e2che<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objectif<\/strong> \u2014 solliciter l&#8217;attention partag\u00e9e et le rythme, deux ressources pr\u00e9cieuses face aux blocages moteurs.<\/li>\n<li><strong>Mat\u00e9riel et dur\u00e9e<\/strong> \u2014 une musique bien marqu\u00e9e, ses mains, \u00e9ventuellement un tambourin ou des maracas, 10 minutes.<\/li>\n<li><strong>D\u00e9roul\u00e9<\/strong> \u2014 on frappe le rythme dans les mains, on tape du pied, on reproduit une s\u00e9quence simple. On peut compter \u00e0 voix haute tout en marquant la pulsation. Le geste et le son se r\u00e9pondent.<\/li>\n<li><strong>Plus facile<\/strong> \u2014 suivre un rythme lent et r\u00e9gulier, imit\u00e9 pas \u00e0 pas.<\/li>\n<li><strong>Plus difficile<\/strong> \u2014 alterner mains et pieds, ou parler en gardant le rythme.<\/li>\n<li><strong>Signe que \u00e7a marche<\/strong> \u2014 la pulsation devient plus stable, les gestes plus assur\u00e9s.<\/li>\n<li><strong>\u274c \u00c0 \u00e9viter<\/strong> \u2014 encha\u00eener sans pause&nbsp;: le rythme fatigue la concentration, on s&#8217;arr\u00eate tant que c&#8217;est encore agr\u00e9able.<\/li>\n<\/ul>\n<\/div>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">9<\/div>\n<h3 class=\"dyn-module__title\">L&#8217;agenda et les rep\u00e8res temporels<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objectif<\/strong> \u2014 soutenir la m\u00e9moire des choses \u00e0 faire, les rep\u00e8res dans le temps et le sentiment de ma\u00eetrise.<\/li>\n<li><strong>Mat\u00e9riel et dur\u00e9e<\/strong> \u2014 un agenda \u00e0 grandes cases ou un tableau effa\u00e7able, une horloge visible, 5 minutes par jour.<\/li>\n<li><strong>D\u00e9roul\u00e9<\/strong> \u2014 chaque matin, on relit le programme du jour&nbsp;; chaque soir, on note deux ou trois rep\u00e8res du lendemain et on coche ce qui a \u00e9t\u00e9 fait. On situe le repas, la visite, l&#8217;activit\u00e9 par rapport \u00e0 l&#8217;heure affich\u00e9e.<\/li>\n<li><strong>Plus facile<\/strong> \u2014 l&#8217;aidant \u00e9crit, la personne relit \u00e0 voix haute.<\/li>\n<li><strong>Plus difficile<\/strong> \u2014 la personne anticipe seule sa semaine et rep\u00e8re les rendez-vous.<\/li>\n<li><strong>Signe que \u00e7a marche<\/strong> \u2014 l&#8217;agenda est consult\u00e9 spontan\u00e9ment dans la journ\u00e9e.<\/li>\n<li><strong>\u274c \u00c0 \u00e9viter<\/strong> \u2014 multiplier les supports&nbsp;: un seul agenda, toujours au m\u00eame endroit, vaut mieux que trois \u00e9parpill\u00e9s.<\/li>\n<\/ul>\n<\/div>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">10<\/div>\n<h3 class=\"dyn-module__title\">Le jeu de soci\u00e9t\u00e9 revisit\u00e9<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objectif<\/strong> \u2014 entretenir l&#8217;attention, la m\u00e9moire et le lien, dans un cadre convivial et sans enjeu de performance.<\/li>\n<li><strong>Mat\u00e9riel et dur\u00e9e<\/strong> \u2014 cartes \u00e0 gros index, dominos, jeu de paires ou loto des images, 15 \u00e0 20 minutes.<\/li>\n<li><strong>D\u00e9roul\u00e9<\/strong> \u2014 on choisit un jeu court, on adapte les r\u00e8gles pour \u00e9viter la lassitude, on privil\u00e9gie le plaisir de jouer \u00e0 la victoire. On laisse le temps de manipuler les pi\u00e8ces sans presser.<\/li>\n<li><strong>Plus facile<\/strong> \u2014 moins de cartes, r\u00e8gles simplifi\u00e9es, jeu en bin\u00f4me coop\u00e9ratif.<\/li>\n<li><strong>Plus difficile<\/strong> \u2014 augmenter le nombre d&#8217;\u00e9l\u00e9ments, introduire une petite strat\u00e9gie.<\/li>\n<li><strong>Signe que \u00e7a marche<\/strong> \u2014 la personne demande \u00e0 rejouer, suit la partie sans se perdre.<\/li>\n<li><strong>\u274c \u00c0 \u00e9viter<\/strong> \u2014 les jeux qui exigent une manipulation fine et rapide de petites pi\u00e8ces, source de frustration.<\/li>\n<\/ul>\n<\/div>\n<div class=\"dyn-cta\">\n<h3>Former l&#8217;\u00e9quipe pour adapter chaque geste du quotidien<\/h3>\n<pee>La formation DYNSEO \u00ab&nbsp;Parkinson en \u00e9tablissement&nbsp;\u00bb explique la maladie, ses fluctuations et la mani\u00e8re d&#8217;ajuster l&#8217;accompagnement au bon moment de la journ\u00e9e. 32 le\u00e7ons, 100&nbsp;% en ligne, \u00e0 son rythme, acc\u00e8s illimit\u00e9. Organisme certifi\u00e9 Qualiopi (N\u00b0 11757351875), attestation de fin de formation.<\/pee>\n  <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/en\/courses\/parkinson-in-institutions-understanding-the-disease-and-adapting-professional-practice-en\/\">D\u00e9couvrir la formation \u2014 20 \u20ac<\/a>\n<\/div>\n<h2 id=\"dyn-plaisir\">Plaisir, rythme et lien social<\/h2>\n<pee>Parkinson s&#8217;accompagne souvent d&#8217;apathie et parfois de d\u00e9couragement. Or l&#8217;envie pr\u00e9c\u00e8de toujours le progr\u00e8s&nbsp;: une personne qui prend plaisir bouge davantage et parle plus. Les quatre activit\u00e9s qui suivent ne visent aucune performance. Elles entretiennent l&#8217;humeur, l&#8217;identit\u00e9 et le lien, ce qui conditionne l&#8217;adh\u00e9sion \u00e0 tout le reste.<\/pee>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">11<\/div>\n<h3 class=\"dyn-module__title\">La musique et la danse assise<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objectif<\/strong> \u2014 mobiliser le corps sur un rythme, r\u00e9veiller l&#8217;humeur et la m\u00e9moire, sans risque de chute.<\/li>\n<li><strong>Mat\u00e9riel et dur\u00e9e<\/strong> \u2014 une enceinte, une playlist des musiques marquantes de la personne, une chaise stable, 15 minutes.<\/li>\n<li><strong>D\u00e9roul\u00e9<\/strong> \u2014 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 volont\u00e9 seule ne parvient pas \u00e0 d\u00e9clencher. On chante si l&#8217;envie vient.<\/li>\n<li><strong>Plus facile<\/strong> \u2014 de simples mouvements de mains sur un tempo lent.<\/li>\n<li><strong>Plus difficile<\/strong> \u2014 se lever pour quelques pas dans\u00e9s, encadr\u00e9 et s\u00e9curis\u00e9.<\/li>\n<li><strong>Signe que \u00e7a marche<\/strong> \u2014 le visage s&#8217;anime, la personne fredonne, r\u00e9clame un morceau.<\/li>\n<li><strong>\u274c \u00c0 \u00e9viter<\/strong> \u2014 imposer une musique qui n&#8217;est pas la sienne&nbsp;: c&#8217;est le r\u00e9pertoire personnel qui d\u00e9clenche l&#8217;\u00e9lan.<\/li>\n<\/ul>\n<\/div>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">12<\/div>\n<h3 class=\"dyn-module__title\">L&#8217;atelier cr\u00e9atif en grand<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objectif<\/strong> \u2014 travailler l&#8217;amplitude du geste et la pr\u00e9cision dans une activit\u00e9 valorisante, loin de l&#8217;exercice.<\/li>\n<li><strong>Mat\u00e9riel et dur\u00e9e<\/strong> \u2014 grandes feuilles, gros pinceaux, pastels, p\u00e2te \u00e0 modeler, 20 minutes.<\/li>\n<li><strong>D\u00e9roul\u00e9<\/strong> \u2014 on peint ou on dessine en grand format, on mod\u00e8le, on colle. Le geste ample est encourag\u00e9 naturellement par la taille du support. Le r\u00e9sultat compte moins que le mouvement et le plaisir.<\/li>\n<li><strong>Plus facile<\/strong> \u2014 colorier de grandes zones, malaxer la p\u00e2te.<\/li>\n<li><strong>Plus difficile<\/strong> \u2014 un projet en plusieurs \u00e9tapes, une \u0153uvre collective en petit groupe.<\/li>\n<li><strong>Signe que \u00e7a marche<\/strong> \u2014 la personne s&#8217;installe volontiers, prolonge la s\u00e9ance.<\/li>\n<li><strong>\u274c \u00c0 \u00e9viter<\/strong> \u2014 juger le r\u00e9sultat&nbsp;: on valorise l&#8217;engagement, jamais la ressemblance.<\/li>\n<\/ul>\n<\/div>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">13<\/div>\n<h3 class=\"dyn-module__title\">Le jardinage adapt\u00e9<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objectif<\/strong> \u2014 retrouver un r\u00f4le actif et un geste utile, mobiliser mains et posture dans une activit\u00e9 qui a du sens.<\/li>\n<li><strong>Mat\u00e9riel et dur\u00e9e<\/strong> \u2014 jardini\u00e8res sur\u00e9lev\u00e9es ou pots sur table, terreau, graines, arrosoir l\u00e9ger, 15 \u00e0 20 minutes.<\/li>\n<li><strong>D\u00e9roul\u00e9<\/strong> \u2014 on remplit, on plante, on arrose, on entretient au fil des jours. Travailler \u00e0 hauteur de table \u00e9vite de se pencher. La r\u00e9gularit\u00e9 de l&#8217;entretien cr\u00e9e un rendez-vous quotidien attendu.<\/li>\n<li><strong>Plus facile<\/strong> \u2014 arroser et surveiller seulement.<\/li>\n<li><strong>Plus difficile<\/strong> \u2014 g\u00e9rer plusieurs plants, tenir un petit carnet de suivi des semis.<\/li>\n<li><strong>Signe que \u00e7a marche<\/strong> \u2014 la personne s&#8217;inqui\u00e8te de ses plantes, prend l&#8217;initiative de les soigner.<\/li>\n<li><strong>\u274c \u00c0 \u00e9viter<\/strong> \u2014 le travail au sol, source de d\u00e9s\u00e9quilibre&nbsp;: tout se fait assis ou \u00e0 hauteur.<\/li>\n<\/ul>\n<\/div>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">14<\/div>\n<h3 class=\"dyn-module__title\">The commented memory album<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objective<\/strong> \u2014 stimulate old memory, speech, and family connection, preserve the person&#8217;s identity.<\/li>\n<li><strong>Materials and duration<\/strong> \u2014 an album, printed photos or on a tablet, familiar objects, 15 minutes.<\/li>\n<li><strong>Procedure<\/strong> \u2014 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.<\/li>\n<li><strong>Easier<\/strong> \u2014 only photos of very familiar relatives.<\/li>\n<li><strong>More difficult<\/strong> \u2014 put photos in chronological order, reconstruct a story.<\/li>\n<li><strong>Sign that it works<\/strong> \u2014 sentences lengthen, the exchange becomes a real conversation.<\/li>\n<li><strong>\u274c To avoid<\/strong> \u2014 chaining &#8220;test&#8221; questions: share a memory, do not conduct an exam.<\/li>\n<\/ul>\n<\/div>\n<h2 id=\"dyn-semaine\">A typical day and a typical week<\/h2>\n<pee>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.<\/pee>\n<div class=\"dyn-tablewrap\">\n<table>\n<thead>\n<tr>\n<th>Time<\/th>\n<th>What to include<\/th>\n<th>Duration<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Morning, after breakfast<\/td>\n<td>The most demanding motor activity of the day \u2014 big steps, wide movements<\/td>\n<td>15-20 min<\/td>\n<\/tr>\n<tr>\n<td>Late morning<\/td>\n<td>Strong voice or naming and evoking<\/td>\n<td>10 min<\/td>\n<\/tr>\n<tr>\n<td>Early afternoon<\/td>\n<td>Quiet time, without stimulation, respecting fatigue<\/td>\n<td>30-60 min<\/td>\n<\/tr>\n<tr>\n<td>Mid-afternoon<\/td>\n<td>Digital session on SCARLETT or board game<\/td>\n<td>15 min<\/td>\n<\/tr>\n<tr>\n<td>Late afternoon<\/td>\n<td>Pleasure activity \u2014 music, creative workshop, gardening<\/td>\n<td>15-20 min<\/td>\n<\/tr>\n<tr>\n<td>Evening<\/td>\n<td>Agenda for the next day, then quiet memory album<\/td>\n<td>10-15 min<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<pee>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.<\/pee>\n<div class=\"dyn-tablewrap\">\n<table>\n<thead>\n<tr>\n<th>Day<\/th>\n<th>Theme of the day<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Monday<\/td>\n<td>Motor skills \u2014 big steps, getting up from the chair<\/td>\n<\/tr>\n<tr>\n<td>Tuesday<\/td>\n<td>Speech \u2014 strong voice, naming and evoking<\/td>\n<\/tr>\n<tr>\n<td>Wednesday<\/td>\n<td>Attention \u2014 rhythm, dual task, board game<\/td>\n<\/tr>\n<tr>\n<td>Thursday<\/td>\n<td>Autonomy \u2014 big morning movements, fine motor skills<\/td>\n<\/tr>\n<tr>\n<td>Friday<\/td>\n<td>Pleasure \u2014 music and seated dance<\/td>\n<\/tr>\n<tr>\n<td>Saturday<\/td>\n<td>Social \u2014 visit, creative workshop or gardening with others<\/td>\n<\/tr>\n<tr>\n<td>Sunday<\/td>\n<td>Nothing imposed. Rest is part of the program.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<div class=\"dyn-note\">\n  <strong>\ud83d\udca1 Adapt to the mood of the day<\/strong>\n  <pee>A schedule is a framework, not a constraint. On &#8220;off&#8221; 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.<\/pee>\n<\/div>\n<h2 id=\"dyn-environnement\">Arrange the environment, space by space<\/h2>\n<pee>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.<\/pee>\n<div class=\"dyn-tablewrap\">\n<table>\n<thead>\n<tr>\n<th>Space<\/th>\n<th>What is problematic<\/th>\n<th>What we change<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Room<\/td>\n<td>Clutter, bed too low, nighttime getting up, darkness<\/td>\n<td>Clear a passageway, raise the bed if needed, night light with sensor, illuminated path to the toilet<\/td>\n<\/tr>\n<tr>\n<td>Doorways<\/td>\n<td>Thresholds, narrow doors where walking freezes<\/td>\n<td>Contrasting color strip on the floor to provide a step-over reference, flattened thresholds<\/td>\n<\/tr>\n<tr>\n<td>Bathroom<\/td>\n<td>Wet floor, prolonged standing, transfers<\/td>\n<td>Grab bar fixed to the wall, non-slip mat, shower seat, items within reach<\/td>\n<\/tr>\n<tr>\n<td>Dining room<\/td>\n<td>Unstable chair, thin cutlery, difficult-to-grasp glass<\/td>\n<td>Chair with armrests, thick-handled cutlery, weighted glass, non-slip set<\/td>\n<\/tr>\n<tr>\n<td>Common living spaces<\/td>\n<td>Chairs too low and too soft, furniture in the way<\/td>\n<td>Firm seating with armrests, clear circulation of at least 90 cm<\/td>\n<\/tr>\n<tr>\n<td>Hallways<\/td>\n<td>Long distances, lack of support points, glare<\/td>\n<td>Continuous handrail, regular resting benches, uniform lighting without reflections<\/td>\n<\/tr>\n<tr>\n<td>All spaces<\/td>\n<td>Background noise, insufficient or glaring lighting<\/td>\n<td>Lower television and radio during conversations, increase and homogenize lighting<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<div class=\"dyn-note\">\n  <strong>\ud83d\udca1 Against walking blockages<\/strong>\n  <pee>Regular visual markers on the ground \u2014 spaced contrasting bands \u2014 provide points for the gaze to &#8220;hang on&#8221; 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.<\/pee>\n<\/div>\n<h2 id=\"dyn-supports\">Free DYNSEO supports to print<\/h2>\n<pee>These DYNSEO tools are freely downloadable and printable from the <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/\">catalog of free tools<\/a>. Three of them are enough to structure the entire routine described here and make it transferable between the team and the family.<\/pee>\n<ul>\n<li><a href=\"https:\/\/www.dynseo.com\/nos-outils\/tableau-suivi-progres\/\">Progress tracking chart (visual)<\/a> \u2014 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.<\/li>\n<li><a href=\"https:\/\/www.dynseo.com\/nos-outils\/fiche-suivi-seance\/\">Session tracking sheet<\/a> \u2014 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 &#8220;on&#8221; windows.<\/li>\n<li><a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/communication-notebook\/\">Communication notebook<\/a> \u2014 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.<\/li>\n<li><a href=\"https:\/\/www.dynseo.com\/nos-outils\/tableau-suivi-competences\/\">Skills tracking chart<\/a> \u2014 to visualize over several weeks what is maintained, what is progressing, and what requires adjustment with professionals.<\/li>\n<\/ul>\n<pee>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.<\/pee>\n<h2 id=\"dyn-numerique\">The role of digital technology and the SCARLETT application<\/h2>\n<pee>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 &#8220;is it progressing&#8221;. For a person supported in a facility for Parkinson&#8217;s disease, the priority application is <a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/scarlett-brain-games-for-seniors\/\">SCARLETT<\/a>, whose interface is designed for seniors: large buttons, streamlined navigation, clear instructions.<\/pee>\n<div class=\"dyn-tablewrap\">\n<table>\n<thead>\n<tr>\n<th>Application<\/th>\n<th>For whom<\/th>\n<th>Usage type<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/scarlett-brain-games-for-seniors\/\">SCARLETT<\/a><\/td>\n<td>Senior, Parkinson, Alzheimer&#8217;s disease \u2014 simplified interface<\/td>\n<td>15 minutes a day, 2 to 3 games of attention, memory and language, at a fixed time<\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/clint-brain-games-for-adults\/\">CLINT<\/a><\/td>\n<td>Younger adult, after a Stroke or in mental health<\/td>\n<td>Same principle, with an adaptation suitable for an adult audience<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<pee>The right dosage&nbsp;: about 15 minutes a day, at a fixed time, rather than a long weekly session. Set the session during an &#8220;on&#8221; 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 <a href=\"https:\/\/www.dynseo.com\/en\/our-tests\/\">cognitive tests<\/a> provide a useful reference point, to be interpreted with professionals.<\/pee>\n<h2 id=\"dyn-erreurs\">The 5 mistakes to avoid<\/h2>\n<pee>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.<\/pee>\n<ol class=\"dyn-steps\">\n<li><strong>Ignoring the &#8220;on\/off&#8221; fluctuations.<\/strong> 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.<\/li>\n<li><strong>Doing it instead.<\/strong> Out of kindness or to save time&nbsp;: this is the main cause of avoidable loss of autonomy. Every ordinary gesture done alone, even slowly, is better than a gesture done instead.<\/li>\n<li><strong>Pressing the person.<\/strong> \u201cHurry up, get moving\u201d accentuates blockages, slowness, and anxiety. Slow down the tempo, allow time, use an external rhythm rather than pressure.<\/li>\n<li><strong>Turning everything into an exercise.<\/strong> If every moment becomes a session, the relationship becomes exhausted and so does the engagement. Preserve moments of pure pleasure, without objective.<\/li>\n<li><strong>Not taking notes.<\/strong> Without a record, slow progress becomes invisible and one wrongly concludes that nothing is changing. A mark each day is enough to change everyone&#8217;s perspective.<\/li>\n<\/ol>\n<h2>To go further<\/h2>\n<div class=\"dyn-serie\">\n  <a href=\"#situations-quotidien\"><span>Everyday situations<\/span>Parkinson in institutions&nbsp;: 10 difficult situations and how to respond, step by step<\/a><br \/>\n  <a href=\"#guide-complet\"><span>In-depth guide<\/span>Parkinson in institutions&nbsp;: the complete guide to understanding what is at stake<\/a><br \/>\n  <a href=\"#aides-interlocuteurs\"><span>Support &amp; contacts<\/span>Who to contact, what support is available and how to sustain it over time<\/a><br \/>\n  <a href=\"#presentation-formation\"><span>The training<\/span>Program, content, and who the DYNSEO Parkinson training is aimed at<\/a>\n<\/div>\n<h2 id=\"dyn-faq\">Frequently asked questions<\/h2>\n<div class=\"dyn-faq\">\n<h3>How often should these activities be proposed&nbsp;?<\/h3>\n<pee>Every day, but little by little. Regularity far outweighs intensity&nbsp;: 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.<\/pee>\n<h3>How long should a session last&nbsp;?<\/h3>\n<pee>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&nbsp;: a session that ends well encourages wanting to start again, while a session that ends poorly discourages the next one. This framework remains indicative&nbsp;: the physiotherapist and occupational therapist adjust the duration to each person&#8217;s situation.<\/pee>\n<h3>How to motivate someone who refuses&nbsp;?<\/h3>\n<pee>Apathy is part of the illness&nbsp;: 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&nbsp;: favorite music, memories, gardening rather than formal exercise. Finally, make progress visible with a tracking chart. Negotiate the duration rather than the principle&nbsp;: \u201c&nbsp;five minutes and we stop&nbsp;\u201d 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.<\/pee>\n<h3>What equipment is really needed&nbsp;?<\/h3>\n<pee>Almost nothing specialized. A clear hallway, a chair with armrests, music, photos, graph paper, a few colored strips for the floor&nbsp;: the essentials rely on everyday objects. The free DYNSEO supports \u2014 tracking chart, session sheet, liaison notebook \u2014 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.<\/pee>\n<h3>Are these activities suitable for all ages and stages&nbsp;?<\/h3>\n<pee>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&nbsp;; 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.<\/pee>\n<\/div>\n<div class=\"dyn-note\">\n  <strong>\u2139\ufe0f Information and not medical advice<\/strong>\n  <pee>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&#8217;s emergency services without delay.<\/pee>\n<\/div>\n<div class=\"dyn-cta\">\n<h3>Give your team the keys to supporting Parkinson&#8217;s in a facility<\/h3>\n<pee>You have here the activities, tools, and arrangements; the DYNSEO training &#8220;Parkinson in a facility&#8221; 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.<\/pee>\n  <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/en\/courses\/parkinson-in-institutions-understanding-the-disease-and-adapting-professional-practice-en\/\">Discover the training \u2014 20 \u20ac<\/a>\n<\/div>\n<p>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":4,"featured_media":410101,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"[et_pb_section fb_built=\"1\" admin_label=\"Article HTML\" _builder_version=\"4.16\" custom_padding=\"0px||0px||false|false\" global_colors_info=\"{}\"][et_pb_row admin_label=\"Contenu\" _builder_version=\"4.16\" width=\"100%\" max_width=\"100%\" custom_padding=\"0px||0px||false|false\" global_colors_info=\"{}\"][et_pb_column type=\"4_4\" _builder_version=\"4.16\" 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La r\u00e9gularit\u00e9 l'emporte largement sur l'intensit\u00e9 : une seule activit\u00e9 de chaque grande cat\u00e9gorie par jour suffit, \u00e0 condition qu'elle ait lieu et qu'elle tombe pendant une phase o\u00f9 la personne bouge bien. Cinq minutes un mauvais jour valent mieux qu'une impasse compl\u00e8te, car c'est la routine elle-m\u00eame que l'on prot\u00e8ge. On adapte \u00e0 l'humeur et \u00e0 la forme du moment, on all\u00e8ge les jours difficiles sans supprimer compl\u00e8tement le rendez-vous, et on respecte les temps de repos, qui font pleinement partie de l'accompagnement.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Combien de temps doit durer une s\u00e9ance ?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Entre dix et vingt minutes par activit\u00e9, avec un total quotidien de trente \u00e0 soixante minutes r\u00e9parties dans la journ\u00e9e. Au-del\u00e0, la fatigue prend le dessus et la s\u00e9ance devient contre-productive. Mieux vaut plusieurs cr\u00e9neaux courts qu'un seul long. On arr\u00eate avant la fatigue, pas quand elle est install\u00e9e : une s\u00e9ance qui finit bien donne envie de recommencer, une s\u00e9ance qui finit mal d\u00e9courage la suivante. Ce cadre reste indicatif : le kin\u00e9sith\u00e9rapeute et l'ergoth\u00e9rapeute ajustent la dur\u00e9e \u00e0 la situation de chaque personne.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Comment motiver quelqu'un qui refuse ?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"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 r\u00e9pond. Ensuite, partir du plaisir : musique pr\u00e9f\u00e9r\u00e9e, souvenirs, jardinage plut\u00f4t qu'exercice formel. Enfin, rendre le progr\u00e8s visible avec un tableau de suivi. N\u00e9gociez la dur\u00e9e plut\u00f4t que le principe : \u00ab cinq minutes et on arr\u00eate \u00bb obtient presque toujours plus qu'un rappel des enjeux. Et l'on d\u00e9marre soi-m\u00eame l'activit\u00e9 pour l'entra\u00eener, car l'initiative est justement ce qui co\u00fbte le plus.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Quel mat\u00e9riel faut-il vraiment ?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Presque rien de sp\u00e9cialis\u00e9. Un couloir d\u00e9gag\u00e9, une chaise \u00e0 accoudoirs, de la musique, des photos, du papier \u00e0 grands carreaux, quelques bandes de couleur pour le sol : l'essentiel repose sur des objets du quotidien. 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Chaque activit\u00e9 propose une variante plus facile et une variante plus difficile, pr\u00e9cis\u00e9ment pour s'ajuster au stade et aux capacit\u00e9s. \u00c0 un stade avanc\u00e9, on privil\u00e9gie le plaisir, la musique, les souvenirs et les gestes accompagn\u00e9s ; plus t\u00f4t, on peut viser davantage l'amplitude et l'autonomie. Dans tous les cas, la s\u00e9lection et l'intensit\u00e9 se d\u00e9cident avec l'\u00e9quipe soignante et le m\u00e9decin, qui tiennent compte des troubles de la d\u00e9glutition, du risque de chute et des autres particularit\u00e9s individuelles.\"\n          }\n        }\n      ]\n    }\n  ]\n}\n<\/style><div class=\"dbi-art-7a5f19\">\n<!--\n\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\nDYNSEO \u2014 GABARIT ARTICLE SEO\/GEO  \u00b7  v1.0\nNe pas modifier les noms de classes : le script generer-articles.py\net tous les articles d\u00e9j\u00e0 publi\u00e9s en d\u00e9pendent.\n\nLe script generer-articles.py injecte, dans l'ordre : le header color\u00e9,\nl'encadr\u00e9 formation ou outil, le corps r\u00e9dig\u00e9, puis les donn\u00e9es structur\u00e9es.\n\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\n-->\n\n<div class=\"dyn-article\">\n\n\n\n<header class=\"dyn-pagehead dyn-pagehead--bleu\">\n  <span class=\"dyn-pagehead__cat\">Familles &amp; aidants \u00b7 Parkinson<\/span>\n  <h1>Parkinson en \u00e9tablissement : activit\u00e9s, supports et am\u00e9nagements concrets \u00e0 mettre en place<\/h1>\n  <p class=\"dyn-pagehead__lead\">Quand la maladie de Parkinson entre en \u00e9tablissement, l'accompagnement se joue autant dans les gestes du quotidien que dans les soins programm\u00e9s. Ce guide rassemble des activit\u00e9s, des supports et des am\u00e9nagements concrets \u00e0 mettre en place d\u00e8s demain&nbsp;: c'est une v\u00e9ritable bo\u00eete \u00e0 outils sur le th\u00e8me <strong>parkinson en \u00e9tablissement activit\u00e9s outils<\/strong>, pens\u00e9e pour les familles, les aidants et les \u00e9quipes qui cherchent du mat\u00e9riel simple et des routines applicables sans budget sp\u00e9cifique.<\/p>\n  <ul class=\"dyn-pagehead__meta\">\n    <li>\u23f1\ufe0f 20 min de lecture<\/li>\n    <li>\ud83d\udc65 Pour les familles et les aidants<\/li>\n    <li>\ud83d\udd04 Mis \u00e0 jour en ao\u00fbt 2026<\/li>\n  <\/ul>\n<\/header><section class=\"dynen dynen-inarticle\" data-dynen=\"inarticle\"><p class=\"dynen-h\">Dans cet article<\/p><p class=\"dynen-sub\">La formation associ\u00e9e<\/p><a class=\"dynen-form\" href=\"https:\/\/www.dynseo.com\/en\/courses\/parkinson-in-institutions-understanding-the-disease-and-adapting-professional-practice-en\/\"><div class=\"dynen-form__img\"><img src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/03\/Autisme-en-etablissement-Accompagnement-Global-9-4.jpg\" alt=\"\" loading=\"lazy\"><\/div><div class=\"dynen-form__body\"><span class=\"dynen-tag dynen-tag--quali\">Formation Qualiopi<\/span><b>Parkinson en \u00e9tablissement : comprendre la maladie et adapter sa pratique professionnelle<\/b><span class=\"dynen-go\">D\u00e9couvrir la formation \u2192<\/span><\/div><\/a><\/section>\n\n<aside class=\"dyn-hero\" aria-label=\"Formation pr\u00e9sent\u00e9e dans cet article\">\n  <div class=\"dyn-hero__grid\">\n    <div class=\"dyn-hero__media\"><a href=\"https:\/\/www.dynseo.com\/en\/courses\/parkinson-in-institutions-understanding-the-disease-and-adapting-professional-practice-en\/\"><img src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/03\/Autisme-en-etablissement-Accompagnement-Global-9-4.jpg\" alt=\"Formation DYNSEO \u00ab Parkinson en \u00e9tablissement : comprendre la maladie et adapter sa pratique professionnelle \u00bb\" width=\"1920\" height=\"1080\" loading=\"lazy\"><\/a><\/div>\n    <div class=\"dyn-hero__body\">\n      <span class=\"dyn-hero__eyebrow\">La formation li\u00e9e \u00e0 cet article<\/span>\n      <p class=\"dyn-hero__title\"><a href=\"https:\/\/www.dynseo.com\/en\/courses\/parkinson-in-institutions-understanding-the-disease-and-adapting-professional-practice-en\/\">Parkinson en \u00e9tablissement : comprendre la maladie et adapter sa pratique professionnelle<\/a><\/p>\n      <p class=\"dyn-hero__pitch\">Tout ce que cet article explique, mis en pratique.<\/p>\n      <ul class=\"dyn-badges\">\n        <li>\ud83c\udfa5 8 modules \u00b7 32 le\u00e7ons<\/li>\n        <li>\ud83d\udcbb 100 % en ligne<\/li>\n        <li>\u23f1\ufe0f \u00c0 votre rythme<\/li>\n        <li>\ud83c\udfc5 Organisme Qualiopi<\/li>\n        <li>\ud83c\udf0d 9 langues<\/li>\n      <\/ul>\n      \n<div class=\"dyn-hero__actions\">\n        <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/en\/courses\/parkinson-in-institutions-understanding-the-disease-and-adapting-professional-practice-en\/\">See the training<\/a>\n        <span class=\"dyn-hero__price\">20.0 \u20ac<\/span>\n      <\/div>\n    <\/div>\n  <\/div>\n<\/aside>\n\n<p>You won't find a theoretical course here, but fourteen activities described precisely \u2014 objective, material, duration, process, variations, signs that it works \u2014, 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.<\/p>\n\n<section class=\"dyn-tldr\">\n  <h2>The essentials in 30 seconds<\/h2>\n  <p>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: <strong>amplitude, rhythm, regularity<\/strong>.<\/p>\n  <ul>\n    <li><strong>The right moment<\/strong> \u2014 we work during the \"on\" phases, when the treatment is working and the body is responding, not during the blocking phases.<\/li>\n    <li><strong>Wide movements<\/strong> \u2014 the disease shrinks gestures and the voice; the support intentionally broadens them, aiming for big and strong.<\/li>\n    <li><strong>Rhythm as an ally<\/strong> \u2014 music, counting, ground markers: an external signal often helps to restart a blocked movement.<\/li>\n    <li><strong>Short and daily<\/strong> \u2014 better fifteen minutes each day than a long weekly session, exhausting and quickly abandoned.<\/li>\n    <li><strong>The written record<\/strong> \u2014 noting each day makes slow progress visible and provides reliable information to professionals.<\/li>\n  <\/ul>\n<\/section>\n\n<nav class=\"dyn-toc\" aria-label=\"Table of contents\">\n  <p>In the table of contents<\/p>\n  <ol>\n    <li><a href=\"#dyn-regles\">The markers to establish before starting<\/a><\/li>\n    <li><a href=\"#dyn-motricite\">Motor skills, walking, and daily gestures<\/a><\/li>\n    <li><a href=\"#dyn-cognition\">Attention, speech, and memory<\/a><\/li>\n    <li><a href=\"#dyn-plaisir\">Pleasure, rhythm, and social connection<\/a><\/li>\n    <li><a href=\"#dyn-semaine\">A typical day and a typical week<\/a><\/li>\n    <li><a href=\"#dyn-environnement\">Arranging the environment, space by space<\/a><\/li>\n    <li><a href=\"#dyn-supports\">The free DYNSEO resources to print<\/a><\/li>\n    <li><a href=\"#dyn-numerique\">The place of digital tools and the SCARLETT application<\/a><\/li>\n    <li><a href=\"#dyn-erreurs\">The 5 mistakes to avoid<\/a><\/li>\n    <li><a href=\"#dyn-faq\">Frequently asked questions<\/a><\/li>\n  <\/ol>\n<\/nav>\n\n<h2 id=\"dyn-regles\">The markers to establish before starting<\/h2>\n\n<p>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.<\/p>\n\n<p>Before launching anything, four simple markers avoid most missteps. They never replace the team's advice; they accompany it.<\/p>\n\n<div class=\"dyn-cards\">\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udd50<\/span>\n    <h3>Choose the right window<\/h3>\n    <p>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.<\/p>\n  <\/div>\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udccf<\/span>\n    <h3>Aim big, aim strong<\/h3>\n    <p>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.<\/p>\n  <\/div>\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83e\udd41<\/span>\n    <h3>Relying on a rhythm<\/h3>\n    <p>An external signal \u2014 music, counting, line on the ground \u2014 often helps to restart a movement. It is a valuable tool in the face of walking blockages.<\/p>\n  <\/div>\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\u270d\ufe0f<\/span>\n    <h3>Note down, systematically<\/h3>\n    <p>A cross per day, an observation in one line. This makes slow progress visible and feeds reliable communication to caregivers.<\/p>\n  <\/div>\n<\/div>\n\n<div class=\"dyn-alerte\">\n  <strong>\u26a0\ufe0f Above all: validate with the caregiving team<\/strong>\n  <p>The activities described here are daily life activities, not medical protocols. Some may be discouraged depending on the situation \u2014 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.<\/p>\n<\/div>\n\n<h2 id=\"dyn-motricite\">Motor skills, walking, and daily gestures<\/h2>\n\n<p>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.<\/p>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n    <div class=\"dyn-module__num\">1<\/div>\n    <h3 class=\"dyn-module__title\">Walking with big steps<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objective<\/strong> \u2014 lengthen the stride, straighten the torso, maintain endurance and balance.<\/li>\n    <li><strong>Equipment and duration<\/strong> \u2014 a clear corridor, closed shoes, usual technical aid, 5 to 15 minutes depending on the day's condition.<\/li>\n    <li><strong>Procedure<\/strong> \u2014 walk the same route, at the same time, encouraging with each step: \u201cbig step, big step.\u201d Set the tempo out loud or with well-rhythmed music. A support point identified halfway reassures.<\/li>\n    <li><strong>Easier<\/strong> \u2014 a very short round trip, several times a day, with possible support throughout.<\/li>\n    <li><strong>More difficult<\/strong> \u2014 lengthen the distance, or walk while talking, which adds a dual task.<\/li>\n    <li><strong>Sign that it works<\/strong> \u2014 steps lengthen spontaneously, the gaze lifts instead of fixing on the feet.<\/li>\n    <li><strong>\u274c To avoid<\/strong> \u2014 pressuring the person or walking behind them while pushing with your gaze: urgency promotes blockages.<\/li>\n  <\/ul>\n<\/div>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">2<\/div>\n    <h3 class=\"dyn-module__title\">Unlock a frozen step (freezing)<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objective<\/strong> \u2014 to have tips to restart walking when the feet seem \"stuck to the ground\", typically when passing through a door or turning around.<\/li>\n    <li><strong>Materials and duration<\/strong> \u2014 nothing, or a colored adhesive tape placed on the ground as a marker, a few seconds for each episode.<\/li>\n    <li><strong>Procedure<\/strong> \u2014 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.<\/li>\n    <li><strong>Easier<\/strong> \u2014 place a real contrasting tape on the ground at critical points identified with the occupational therapist.<\/li>\n    <li><strong>Harder<\/strong> \u2014 teach the person to use counting as a starting signal themselves.<\/li>\n    <li><strong>Sign that it works<\/strong> \u2014 episodes of blocking resolve faster, the person mobilizes a tip by themselves.<\/li>\n    <li><strong>\u274c To avoid<\/strong> \u2014 pulling on the arm or insisting verbally: this increases the blockage and raises the risk of falling.<\/li>\n  <\/ul>\n<\/div>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n    <div class=\"dyn-module__num\">3<\/div>\n    <h3 class=\"dyn-module__title\">Getting up from the armchair<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objective<\/strong> \u2014 to secure a gesture repeated dozens of times a day, maintain leg strength and transfer autonomy.<\/li>\n    <li><strong>Materials and duration<\/strong> \u2014 an armchair with a firm seat and not too low, with armrests, 5 minutes.<\/li>\n    <li><strong>Procedure<\/strong> \u2014 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.<\/li>\n    <li><strong>Easier<\/strong> \u2014 raise the seat, use both armrests for support, pause standing before starting.<\/li>\n    <li><strong>Harder<\/strong> \u2014 get up without hands, once safety is acquired and validated by the physiotherapist.<\/li>\n    <li><strong>Sign that it works<\/strong> \u2014 getting up becomes smoother, less support, less hesitation.<\/li>\n    <li><strong>\u274c To avoid<\/strong> \u2014 an armchair that is too low or too soft, which turns every stand-up into a risky effort.<\/li>\n  <\/ul>\n<\/div>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n    <div class=\"dyn-module__num\">4<\/div>\n    <h3 class=\"dyn-module__title\">The big morning gestures<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objective<\/strong> \u2014 to take advantage of washing and dressing to work on amplitude, without adding a dedicated session.<\/li>\n    <li><strong>Materials and duration<\/strong> \u2014 everyday items, the normal time for washing.<\/li>\n    <li><strong>Procedure<\/strong> \u2014 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.<\/li>\n    <li><strong>Easier<\/strong> \u2014 assist the gesture hand over hand, allowing the person to lead.<\/li>\n    <li><strong>Harder<\/strong> \u2014 complete dressing without help, using only verbal cues.<\/li>\n    <li><strong>Sign that it works<\/strong> \u2014 dressing takes less time, the person initiates more gestures independently.<\/li>\n    <li><strong>\u274c To avoid<\/strong> \u2014 doing it instead to go faster: this is the leading cause of avoidable loss of autonomy.<\/li>\n  <\/ul>\n<\/div>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">5<\/div>\n    <h3 class=\"dyn-module__title\">Motricit\u00e9 fine et \u00e9criture<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objectif<\/strong> \u2014 entretenir la pr\u00e9cision des mains et lutter contre le r\u00e9tr\u00e9cissement de l'\u00e9criture, fr\u00e9quent dans la maladie.<\/li>\n    <li><strong>Mat\u00e9riel et dur\u00e9e<\/strong> \u2014 un stylo \u00e0 bonne prise, une feuille \u00e0 grands carreaux, des boutons, pinces \u00e0 linge ou pi\u00e8ces de monnaie, 10 minutes.<\/li>\n    <li><strong>D\u00e9roul\u00e9<\/strong> \u2014 on trace de grandes lettres en occupant toute la case, on signe son pr\u00e9nom en grand, on trie des pi\u00e8ces, on visse des bouchons. On vise l'ampleur du geste, pas la vitesse.<\/li>\n    <li><strong>Plus facile<\/strong> \u2014 repasser sur des lettres d\u00e9j\u00e0 trac\u00e9es, manipuler de gros objets.<\/li>\n    <li><strong>Plus difficile<\/strong> \u2014 \u00e9crire une courte phrase, boutonner une chemise, apparier des paires de chaussettes.<\/li>\n    <li><strong>Signe que \u00e7a marche<\/strong> \u2014 l'\u00e9criture reste lisible plus longtemps, les objets fins se saisissent avec moins d'efforts.<\/li>\n    <li><strong>\u274c \u00c0 \u00e9viter<\/strong> \u2014 les exercices interminables qui crispent la main&nbsp;: on s'arr\u00eate avant la fatigue.<\/li>\n  <\/ul>\n<\/div>\n\n<h2 id=\"dyn-cognition\">Attention, parole et m\u00e9moire<\/h2>\n\n<p>La maladie de Parkinson affecte souvent la voix, qui devient faible et monocorde, ainsi que l'attention, l'initiative et parfois la m\u00e9moire. Les activit\u00e9s qui suivent entretiennent ces fonctions dans le plaisir de l'\u00e9change. Elles compl\u00e8tent le travail de l'orthophoniste&nbsp;; demandez-lui ce qui sert le mieux les objectifs en cours, en particulier pour la voix et la d\u00e9glutition.<\/p>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n    <div class=\"dyn-module__num\">6<\/div>\n    <h3 class=\"dyn-module__title\">La voix forte<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objectif<\/strong> \u2014 travailler l'intensit\u00e9 de la voix, souvent trop faible, pour rester compris sans se fatiguer.<\/li>\n    <li><strong>Mat\u00e9riel et dur\u00e9e<\/strong> \u2014 un texte plaisant en gros caract\u00e8res, un journal, un po\u00e8me connu, 10 minutes.<\/li>\n    <li><strong>D\u00e9roul\u00e9<\/strong> \u2014 on lit \u00e0 voix haute en visant une voix \u00ab&nbsp;plus forte que n\u00e9cessaire&nbsp;\u00bb, comme pour \u00eatre entendu au fond d'une pi\u00e8ce. On peut compter \u00e0 voix haute, appeler quelqu'un par son pr\u00e9nom, prononcer des voyelles tenues. On valorise le volume, pas la perfection.<\/li>\n    <li><strong>Plus facile<\/strong> \u2014 r\u00e9p\u00e9ter des mots isol\u00e9s d'une voix bien pos\u00e9e.<\/li>\n    <li><strong>Plus difficile<\/strong> \u2014 lire un paragraphe entier, puis raconter une anecdote en gardant le volume.<\/li>\n    <li><strong>Signe que \u00e7a marche<\/strong> \u2014 les proches font moins r\u00e9p\u00e9ter, la personne se fait entendre \u00e0 table.<\/li>\n    <li><strong>\u274c \u00c0 \u00e9viter<\/strong> \u2014 corriger la prononciation en boucle&nbsp;: on encourage le volume et l'envie de parler avant tout.<\/li>\n  <\/ul>\n<\/div>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n    <div class=\"dyn-module__num\">7<\/div>\n    <h3 class=\"dyn-module__title\">Nommer et \u00e9voquer<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objectif<\/strong> \u2014 entretenir l'acc\u00e8s aux mots, la fluence verbale et l'initiative dans la conversation.<\/li>\n    <li><strong>Mat\u00e9riel et dur\u00e9e<\/strong> \u2014 des images du quotidien, un jeu de cartes th\u00e9matiques ou simplement les objets pr\u00e9sents, 10 minutes.<\/li>\n    <li><strong>D\u00e9roul\u00e9<\/strong> \u2014 on cite ensemble le plus de mots possible dans une cat\u00e9gorie&nbsp;: fruits, pr\u00e9noms, m\u00e9tiers, villes. On d\u00e9crit un objet, on cherche ses usages. La r\u00e8gle est de laisser le temps de r\u00e9pondre, sans combler les silences trop vite.<\/li>\n    <li><strong>Plus facile<\/strong> \u2014 proposer un choix entre deux r\u00e9ponses.<\/li>\n    <li><strong>Plus difficile<\/strong> \u2014 trouver des mots commen\u00e7ant par une m\u00eame lettre, ou raconter une histoire \u00e0 partir de trois mots.<\/li>\n    <li><strong>Signe que \u00e7a marche<\/strong> \u2014 les listes s'allongent, les phrases se construisent plus vite.<\/li>\n    <li><strong>\u274c \u00c0 \u00e9viter<\/strong> \u2014 r\u00e9pondre \u00e0 la place d\u00e8s la premi\u00e8re h\u00e9sitation&nbsp;: le silence fait partie de l'effort.<\/li>\n  <\/ul>\n<\/div>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n    \n<div class=\"dyn-module__num\">8<\/div>\n    <h3 class=\"dyn-module__title\">Le rythme et la double t\u00e2che<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objectif<\/strong> \u2014 solliciter l'attention partag\u00e9e et le rythme, deux ressources pr\u00e9cieuses face aux blocages moteurs.<\/li>\n    <li><strong>Mat\u00e9riel et dur\u00e9e<\/strong> \u2014 une musique bien marqu\u00e9e, ses mains, \u00e9ventuellement un tambourin ou des maracas, 10 minutes.<\/li>\n    <li><strong>D\u00e9roul\u00e9<\/strong> \u2014 on frappe le rythme dans les mains, on tape du pied, on reproduit une s\u00e9quence simple. On peut compter \u00e0 voix haute tout en marquant la pulsation. Le geste et le son se r\u00e9pondent.<\/li>\n    <li><strong>Plus facile<\/strong> \u2014 suivre un rythme lent et r\u00e9gulier, imit\u00e9 pas \u00e0 pas.<\/li>\n    <li><strong>Plus difficile<\/strong> \u2014 alterner mains et pieds, ou parler en gardant le rythme.<\/li>\n    <li><strong>Signe que \u00e7a marche<\/strong> \u2014 la pulsation devient plus stable, les gestes plus assur\u00e9s.<\/li>\n    <li><strong>\u274c \u00c0 \u00e9viter<\/strong> \u2014 encha\u00eener sans pause&nbsp;: le rythme fatigue la concentration, on s'arr\u00eate tant que c'est encore agr\u00e9able.<\/li>\n  <\/ul>\n<\/div>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n    <div class=\"dyn-module__num\">9<\/div>\n    <h3 class=\"dyn-module__title\">L'agenda et les rep\u00e8res temporels<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objectif<\/strong> \u2014 soutenir la m\u00e9moire des choses \u00e0 faire, les rep\u00e8res dans le temps et le sentiment de ma\u00eetrise.<\/li>\n    <li><strong>Mat\u00e9riel et dur\u00e9e<\/strong> \u2014 un agenda \u00e0 grandes cases ou un tableau effa\u00e7able, une horloge visible, 5 minutes par jour.<\/li>\n    <li><strong>D\u00e9roul\u00e9<\/strong> \u2014 chaque matin, on relit le programme du jour&nbsp;; chaque soir, on note deux ou trois rep\u00e8res du lendemain et on coche ce qui a \u00e9t\u00e9 fait. On situe le repas, la visite, l'activit\u00e9 par rapport \u00e0 l'heure affich\u00e9e.<\/li>\n    <li><strong>Plus facile<\/strong> \u2014 l'aidant \u00e9crit, la personne relit \u00e0 voix haute.<\/li>\n    <li><strong>Plus difficile<\/strong> \u2014 la personne anticipe seule sa semaine et rep\u00e8re les rendez-vous.<\/li>\n    <li><strong>Signe que \u00e7a marche<\/strong> \u2014 l'agenda est consult\u00e9 spontan\u00e9ment dans la journ\u00e9e.<\/li>\n    <li><strong>\u274c \u00c0 \u00e9viter<\/strong> \u2014 multiplier les supports&nbsp;: un seul agenda, toujours au m\u00eame endroit, vaut mieux que trois \u00e9parpill\u00e9s.<\/li>\n  <\/ul>\n<\/div>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n    <div class=\"dyn-module__num\">10<\/div>\n    <h3 class=\"dyn-module__title\">Le jeu de soci\u00e9t\u00e9 revisit\u00e9<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objectif<\/strong> \u2014 entretenir l'attention, la m\u00e9moire et le lien, dans un cadre convivial et sans enjeu de performance.<\/li>\n    <li><strong>Mat\u00e9riel et dur\u00e9e<\/strong> \u2014 cartes \u00e0 gros index, dominos, jeu de paires ou loto des images, 15 \u00e0 20 minutes.<\/li>\n    <li><strong>D\u00e9roul\u00e9<\/strong> \u2014 on choisit un jeu court, on adapte les r\u00e8gles pour \u00e9viter la lassitude, on privil\u00e9gie le plaisir de jouer \u00e0 la victoire. On laisse le temps de manipuler les pi\u00e8ces sans presser.<\/li>\n    <li><strong>Plus facile<\/strong> \u2014 moins de cartes, r\u00e8gles simplifi\u00e9es, jeu en bin\u00f4me coop\u00e9ratif.<\/li>\n    <li><strong>Plus difficile<\/strong> \u2014 augmenter le nombre d'\u00e9l\u00e9ments, introduire une petite strat\u00e9gie.<\/li>\n    <li><strong>Signe que \u00e7a marche<\/strong> \u2014 la personne demande \u00e0 rejouer, suit la partie sans se perdre.<\/li>\n    <li><strong>\u274c \u00c0 \u00e9viter<\/strong> \u2014 les jeux qui exigent une manipulation fine et rapide de petites pi\u00e8ces, source de frustration.<\/li>\n  <\/ul>\n<\/div>\n\n<div class=\"dyn-cta\">\n  <h3>Former l'\u00e9quipe pour adapter chaque geste du quotidien<\/h3>\n  <p>La formation DYNSEO \u00ab&nbsp;Parkinson en \u00e9tablissement&nbsp;\u00bb explique la maladie, ses fluctuations et la mani\u00e8re d'ajuster l'accompagnement au bon moment de la journ\u00e9e. 32 le\u00e7ons, 100&nbsp;% en ligne, \u00e0 son rythme, acc\u00e8s illimit\u00e9. Organisme certifi\u00e9 Qualiopi (N\u00b0 11757351875), attestation de fin de formation.<\/p>\n  <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/en\/courses\/parkinson-in-institutions-understanding-the-disease-and-adapting-professional-practice-en\/\">D\u00e9couvrir la formation \u2014 20 \u20ac<\/a>\n<\/div>\n\n<h2 id=\"dyn-plaisir\">Plaisir, rythme et lien social<\/h2>\n\n<p>Parkinson s'accompagne souvent d'apathie et parfois de d\u00e9couragement. Or l'envie pr\u00e9c\u00e8de toujours le progr\u00e8s&nbsp;: une personne qui prend plaisir bouge davantage et parle plus. Les quatre activit\u00e9s qui suivent ne visent aucune performance. Elles entretiennent l'humeur, l'identit\u00e9 et le lien, ce qui conditionne l'adh\u00e9sion \u00e0 tout le reste.<\/p>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n    \n<div class=\"dyn-module__num\">11<\/div>\n    <h3 class=\"dyn-module__title\">La musique et la danse assise<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objectif<\/strong> \u2014 mobiliser le corps sur un rythme, r\u00e9veiller l'humeur et la m\u00e9moire, sans risque de chute.<\/li>\n    <li><strong>Mat\u00e9riel et dur\u00e9e<\/strong> \u2014 une enceinte, une playlist des musiques marquantes de la personne, une chaise stable, 15 minutes.<\/li>\n    <li><strong>D\u00e9roul\u00e9<\/strong> \u2014 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 volont\u00e9 seule ne parvient pas \u00e0 d\u00e9clencher. On chante si l'envie vient.<\/li>\n    <li><strong>Plus facile<\/strong> \u2014 de simples mouvements de mains sur un tempo lent.<\/li>\n    <li><strong>Plus difficile<\/strong> \u2014 se lever pour quelques pas dans\u00e9s, encadr\u00e9 et s\u00e9curis\u00e9.<\/li>\n    <li><strong>Signe que \u00e7a marche<\/strong> \u2014 le visage s'anime, la personne fredonne, r\u00e9clame un morceau.<\/li>\n    <li><strong>\u274c \u00c0 \u00e9viter<\/strong> \u2014 imposer une musique qui n'est pas la sienne&nbsp;: c'est le r\u00e9pertoire personnel qui d\u00e9clenche l'\u00e9lan.<\/li>\n  <\/ul>\n<\/div>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n    <div class=\"dyn-module__num\">12<\/div>\n    <h3 class=\"dyn-module__title\">L'atelier cr\u00e9atif en grand<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objectif<\/strong> \u2014 travailler l'amplitude du geste et la pr\u00e9cision dans une activit\u00e9 valorisante, loin de l'exercice.<\/li>\n    <li><strong>Mat\u00e9riel et dur\u00e9e<\/strong> \u2014 grandes feuilles, gros pinceaux, pastels, p\u00e2te \u00e0 modeler, 20 minutes.<\/li>\n    <li><strong>D\u00e9roul\u00e9<\/strong> \u2014 on peint ou on dessine en grand format, on mod\u00e8le, on colle. Le geste ample est encourag\u00e9 naturellement par la taille du support. Le r\u00e9sultat compte moins que le mouvement et le plaisir.<\/li>\n    <li><strong>Plus facile<\/strong> \u2014 colorier de grandes zones, malaxer la p\u00e2te.<\/li>\n    <li><strong>Plus difficile<\/strong> \u2014 un projet en plusieurs \u00e9tapes, une \u0153uvre collective en petit groupe.<\/li>\n    <li><strong>Signe que \u00e7a marche<\/strong> \u2014 la personne s'installe volontiers, prolonge la s\u00e9ance.<\/li>\n    <li><strong>\u274c \u00c0 \u00e9viter<\/strong> \u2014 juger le r\u00e9sultat&nbsp;: on valorise l'engagement, jamais la ressemblance.<\/li>\n  <\/ul>\n<\/div>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n    <div class=\"dyn-module__num\">13<\/div>\n    <h3 class=\"dyn-module__title\">Le jardinage adapt\u00e9<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objectif<\/strong> \u2014 retrouver un r\u00f4le actif et un geste utile, mobiliser mains et posture dans une activit\u00e9 qui a du sens.<\/li>\n    <li><strong>Mat\u00e9riel et dur\u00e9e<\/strong> \u2014 jardini\u00e8res sur\u00e9lev\u00e9es ou pots sur table, terreau, graines, arrosoir l\u00e9ger, 15 \u00e0 20 minutes.<\/li>\n    <li><strong>D\u00e9roul\u00e9<\/strong> \u2014 on remplit, on plante, on arrose, on entretient au fil des jours. Travailler \u00e0 hauteur de table \u00e9vite de se pencher. La r\u00e9gularit\u00e9 de l'entretien cr\u00e9e un rendez-vous quotidien attendu.<\/li>\n    <li><strong>Plus facile<\/strong> \u2014 arroser et surveiller seulement.<\/li>\n    <li><strong>Plus difficile<\/strong> \u2014 g\u00e9rer plusieurs plants, tenir un petit carnet de suivi des semis.<\/li>\n    <li><strong>Signe que \u00e7a marche<\/strong> \u2014 la personne s'inqui\u00e8te de ses plantes, prend l'initiative de les soigner.<\/li>\n    <li><strong>\u274c \u00c0 \u00e9viter<\/strong> \u2014 le travail au sol, source de d\u00e9s\u00e9quilibre&nbsp;: tout se fait assis ou \u00e0 hauteur.<\/li>\n  <\/ul>\n<\/div>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n    \n<div class=\"dyn-module__num\">14<\/div>\n    <h3 class=\"dyn-module__title\">The commented memory album<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objective<\/strong> \u2014 stimulate old memory, speech, and family connection, preserve the person's identity.<\/li>\n    <li><strong>Materials and duration<\/strong> \u2014 an album, printed photos or on a tablet, familiar objects, 15 minutes.<\/li>\n    <li><strong>Procedure<\/strong> \u2014 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.<\/li>\n    <li><strong>Easier<\/strong> \u2014 only photos of very familiar relatives.<\/li>\n    <li><strong>More difficult<\/strong> \u2014 put photos in chronological order, reconstruct a story.<\/li>\n    <li><strong>Sign that it works<\/strong> \u2014 sentences lengthen, the exchange becomes a real conversation.<\/li>\n    <li><strong>\u274c To avoid<\/strong> \u2014 chaining \"test\" questions: share a memory, do not conduct an exam.<\/li>\n  <\/ul>\n<\/div>\n\n<h2 id=\"dyn-semaine\">A typical day and a typical week<\/h2>\n\n<p>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.<\/p>\n\n<div class=\"dyn-tablewrap\">\n<table>\n  <thead>\n    <tr><th>Time<\/th><th>What to include<\/th><th>Duration<\/th><\/tr>\n  <\/thead>\n  <tbody>\n    <tr><td>Morning, after breakfast<\/td><td>The most demanding motor activity of the day \u2014 big steps, wide movements<\/td><td>15-20 min<\/td><\/tr>\n    <tr><td>Late morning<\/td><td>Strong voice or naming and evoking<\/td><td>10 min<\/td><\/tr>\n    <tr><td>Early afternoon<\/td><td>Quiet time, without stimulation, respecting fatigue<\/td><td>30-60 min<\/td><\/tr>\n    <tr><td>Mid-afternoon<\/td><td>Digital session on SCARLETT or board game<\/td><td>15 min<\/td><\/tr>\n    <tr><td>Late afternoon<\/td><td>Pleasure activity \u2014 music, creative workshop, gardening<\/td><td>15-20 min<\/td><\/tr>\n    <tr><td>Evening<\/td><td>Agenda for the next day, then quiet memory album<\/td><td>10-15 min<\/td><\/tr>\n  <\/tbody>\n<\/table>\n<\/div>\n\n<p>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.<\/p>\n\n<div class=\"dyn-tablewrap\">\n<table>\n  <thead>\n    <tr><th>Day<\/th><th>Theme of the day<\/th><\/tr>\n  <\/thead>\n  <tbody>\n    <tr><td>Monday<\/td><td>Motor skills \u2014 big steps, getting up from the chair<\/td><\/tr>\n    <tr><td>Tuesday<\/td><td>Speech \u2014 strong voice, naming and evoking<\/td><\/tr>\n    <tr><td>Wednesday<\/td><td>Attention \u2014 rhythm, dual task, board game<\/td><\/tr>\n    <tr><td>Thursday<\/td><td>Autonomy \u2014 big morning movements, fine motor skills<\/td><\/tr>\n    <tr><td>Friday<\/td><td>Pleasure \u2014 music and seated dance<\/td><\/tr>\n    <tr><td>Saturday<\/td><td>Social \u2014 visit, creative workshop or gardening with others<\/td><\/tr>\n    <tr><td>Sunday<\/td><td>Nothing imposed. Rest is part of the program.<\/td><\/tr>\n  <\/tbody>\n<\/table>\n<\/div>\n\n<div class=\"dyn-note\">\n  <strong>\ud83d\udca1 Adapt to the mood of the day<\/strong>\n  <p>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.<\/p>\n<\/div>\n\n<h2 id=\"dyn-environnement\">Arrange the environment, space by space<\/h2>\n\n<p>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.<\/p>\n<div class=\"dyn-tablewrap\">\n<table>\n  <thead>\n    <tr><th>Space<\/th><th>What is problematic<\/th><th>What we change<\/th><\/tr>\n  <\/thead>\n  <tbody>\n    <tr><td>Room<\/td><td>Clutter, bed too low, nighttime getting up, darkness<\/td><td>Clear a passageway, raise the bed if needed, night light with sensor, illuminated path to the toilet<\/td><\/tr>\n    <tr><td>Doorways<\/td><td>Thresholds, narrow doors where walking freezes<\/td><td>Contrasting color strip on the floor to provide a step-over reference, flattened thresholds<\/td><\/tr>\n    <tr><td>Bathroom<\/td><td>Wet floor, prolonged standing, transfers<\/td><td>Grab bar fixed to the wall, non-slip mat, shower seat, items within reach<\/td><\/tr>\n    <tr><td>Dining room<\/td><td>Unstable chair, thin cutlery, difficult-to-grasp glass<\/td><td>Chair with armrests, thick-handled cutlery, weighted glass, non-slip set<\/td><\/tr>\n    <tr><td>Common living spaces<\/td><td>Chairs too low and too soft, furniture in the way<\/td><td>Firm seating with armrests, clear circulation of at least 90 cm<\/td><\/tr>\n    <tr><td>Hallways<\/td><td>Long distances, lack of support points, glare<\/td><td>Continuous handrail, regular resting benches, uniform lighting without reflections<\/td><\/tr>\n    <tr><td>All spaces<\/td><td>Background noise, insufficient or glaring lighting<\/td><td>Lower television and radio during conversations, increase and homogenize lighting<\/td><\/tr>\n  <\/tbody>\n<\/table>\n<\/div>\n<div class=\"dyn-note\">\n  <strong>\ud83d\udca1 Against walking blockages<\/strong>\n  <p>Regular visual markers on the ground \u2014 spaced contrasting bands \u2014 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.<\/p>\n<\/div>\n\n<h2 id=\"dyn-supports\">Free DYNSEO supports to print<\/h2>\n\n<p>These DYNSEO tools are freely downloadable and printable from the <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/\">catalog of free tools<\/a>. Three of them are enough to structure the entire routine described here and make it transferable between the team and the family.<\/p>\n\n<ul>\n  <li><a href=\"https:\/\/www.dynseo.com\/nos-outils\/tableau-suivi-progres\/\">Progress tracking chart (visual)<\/a> \u2014 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.<\/li>\n  <li><a href=\"https:\/\/www.dynseo.com\/nos-outils\/fiche-suivi-seance\/\">Session tracking sheet<\/a> \u2014 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.<\/li>\n  <li><a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/communication-notebook\/\">Communication notebook<\/a> \u2014 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.<\/li>\n  <li><a href=\"https:\/\/www.dynseo.com\/nos-outils\/tableau-suivi-competences\/\">Skills tracking chart<\/a> \u2014 to visualize over several weeks what is maintained, what is progressing, and what requires adjustment with professionals.<\/li>\n<\/ul>\n\n<p>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.<\/p>\n\n<h2 id=\"dyn-numerique\">The role of digital technology and the SCARLETT application<\/h2>\n\n<p>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 <a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/scarlett-brain-games-for-seniors\/\">SCARLETT<\/a>, whose interface is designed for seniors: large buttons, streamlined navigation, clear instructions.<\/p>\n<div class=\"dyn-tablewrap\">\n<table>\n  <thead>\n    <tr><th>Application<\/th><th>For whom<\/th><th>Usage type<\/th><\/tr>\n  <\/thead>\n  <tbody>\n    <tr><td><a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/scarlett-brain-games-for-seniors\/\">SCARLETT<\/a><\/td><td>Senior, Parkinson, Alzheimer's disease \u2014 simplified interface<\/td><td>15 minutes a day, 2 to 3 games of attention, memory and language, at a fixed time<\/td><\/tr>\n    <tr><td><a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/clint-brain-games-for-adults\/\">CLINT<\/a><\/td><td>Younger adult, after a Stroke or in mental health<\/td><td>Same principle, with an adaptation suitable for an adult audience<\/td><\/tr>\n  <\/tbody>\n<\/table>\n<\/div>\n\n<p>The right dosage&nbsp;: 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 <a href=\"https:\/\/www.dynseo.com\/en\/our-tests\/\">cognitive tests<\/a> provide a useful reference point, to be interpreted with professionals.<\/p>\n\n<h2 id=\"dyn-erreurs\">The 5 mistakes to avoid<\/h2>\n\n<p>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.<\/p>\n\n<ol class=\"dyn-steps\">\n  <li><strong>Ignoring the \"on\/off\" fluctuations.<\/strong> 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.<\/li>\n  <li><strong>Doing it instead.<\/strong> Out of kindness or to save time&nbsp;: this is the main cause of avoidable loss of autonomy. Every ordinary gesture done alone, even slowly, is better than a gesture done instead.<\/li>\n  <li><strong>Pressing the person.<\/strong> \u201cHurry up, get moving\u201d accentuates blockages, slowness, and anxiety. Slow down the tempo, allow time, use an external rhythm rather than pressure.<\/li>\n  <li><strong>Turning everything into an exercise.<\/strong> If every moment becomes a session, the relationship becomes exhausted and so does the engagement. Preserve moments of pure pleasure, without objective.<\/li>\n  <li><strong>Not taking notes.<\/strong> 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.<\/li>\n<\/ol>\n\n<h2>To go further<\/h2>\n\n<div class=\"dyn-serie\">\n  <a href=\"#situations-quotidien\"><span>Everyday situations<\/span>Parkinson in institutions&nbsp;: 10 difficult situations and how to respond, step by step<\/a>\n  <a href=\"#guide-complet\"><span>In-depth guide<\/span>Parkinson in institutions&nbsp;: the complete guide to understanding what is at stake<\/a>\n  <a href=\"#aides-interlocuteurs\"><span>Support &amp; contacts<\/span>Who to contact, what support is available and how to sustain it over time<\/a>\n  <a href=\"#presentation-formation\"><span>The training<\/span>Program, content, and who the DYNSEO Parkinson training is aimed at<\/a>\n<\/div>\n\n<h2 id=\"dyn-faq\">Frequently asked questions<\/h2>\n<div class=\"dyn-faq\">\n\n  <h3>How often should these activities be proposed&nbsp;?<\/h3>\n  <p>Every day, but little by little. Regularity far outweighs intensity&nbsp;: 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.<\/p>\n\n  <h3>How long should a session last&nbsp;?<\/h3>\n  <p>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&nbsp;: a session that ends well encourages wanting to start again, while a session that ends poorly discourages the next one. This framework remains indicative&nbsp;: the physiotherapist and occupational therapist adjust the duration to each person's situation.<\/p>\n\n  <h3>How to motivate someone who refuses&nbsp;?<\/h3>\n  <p>Apathy is part of the illness&nbsp;: 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&nbsp;: favorite music, memories, gardening rather than formal exercise. Finally, make progress visible with a tracking chart. Negotiate the duration rather than the principle&nbsp;: \u201c&nbsp;five minutes and we stop&nbsp;\u201d 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.<\/p>\n\n  <h3>What equipment is really needed&nbsp;?<\/h3>\n  <p>Almost nothing specialized. A clear hallway, a chair with armrests, music, photos, graph paper, a few colored strips for the floor&nbsp;: the essentials rely on everyday objects. The free DYNSEO supports \u2014 tracking chart, session sheet, liaison notebook \u2014 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.<\/p>\n\n  <h3>Are these activities suitable for all ages and stages&nbsp;?<\/h3>\n  <p>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&nbsp;; 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.<\/p>\n\n<\/div>\n<div class=\"dyn-note\">\n  <strong>\u2139\ufe0f Information and not medical advice<\/strong>\n  <p>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.<\/p>\n<\/div>\n\n<div class=\"dyn-cta\">\n  <h3>Give your team the keys to supporting Parkinson's in a facility<\/h3>\n  <p>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.<\/p>\n  <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/en\/courses\/parkinson-in-institutions-understanding-the-disease-and-adapting-professional-practice-en\/\">Discover the training \u2014 20 \u20ac<\/a>\n<\/div>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]","_et_gb_content_width":"","footnotes":""},"categories":[3582,2915],"tags":[],"class_list":["post-759664","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-advice-from-our-coaches","category-les-conseils-des-coachs"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Parkinson in Establishments: Activities, Supports and Concrete Adjustments to Implement - DYNSEO - Educational apps &amp; brain training apps for all<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.dynseo.com\/en\/parkinson-in-establishments-activities-supports-and-concrete-adjustments-to-implement\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Parkinson in Establishments: Activities, Supports and Concrete Adjustments to Implement - DYNSEO - Educational apps &amp; 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