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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<\/script><\/p>\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 SEO\/GEO ARTICLE TEMPLATE  \u00b7  v1.0\nDo not modify class names: the script generer-articles.py\nand all previously published articles depend on it.\n\nThe script generer-articles.py injects, in order: the colored header,\nthe training or tool box, the written body, then the structured data.\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\">Families &amp; caregivers \u00b7 Parkinson<\/span><\/p>\n<h1>Parkinson in care facilities: activities, resources, and concrete adjustments to implement<\/h1>\n<pee class=\"dyn-pagehead__lead\">When Parkinson&#8217;s disease enters a care facility, support is as much about daily gestures as it is about scheduled care. This guide brings together activities, resources, and concrete adjustments to implement starting tomorrow&nbsp;: it&#8217;s a real toolbox on the theme <strong>parkinson in care facilities activities tools<\/strong>, designed for families, caregivers, and teams looking for simple materials and applicable routines without a specific budget.<\/pee>\n<ul class=\"dyn-pagehead__meta\">\n<li>\u23f1\ufe0f 20 min reading<\/li>\n<li>\ud83d\udc65 For families and caregivers<\/li>\n<li>\ud83d\udd04 Updated in August 2026<\/li>\n<\/ul>\n<\/header>\n<aside class=\"dyn-hero\" aria-label=\"Training presented in this 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\/Parkinson-en-etablissement.png\" alt=\"DYNSEO Training \u00ab Parkinson in care facilities: understanding the disease and adapting your professional practice \u00bb\" width=\"1920\" height=\"1080\" loading=\"lazy\"><\/a><\/div>\n<div class=\"dyn-hero__body\">\n      <span class=\"dyn-hero__eyebrow\">The training related to this 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 in care facilities: understanding the disease and adapting your professional practice<\/a><\/pee>\n      <pee class=\"dyn-hero__pitch\">Everything this article explains, put into practice.<\/pee>\n<ul class=\"dyn-badges\">\n<li>\ud83c\udfa5 8 modules \u00b7 32 lessons<\/li>\n<li>\ud83d\udcbb 100 % online<\/li>\n<li>\u23f1\ufe0f At your own pace<\/li>\n<li>\ud83c\udfc5 Qualiopi organization<\/li>\n<li>\ud83c\udf0d 9 languages<\/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 in detail \u2014 objective, materials, 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 a reasonable place for digital tools. Each proposal remains a daily activity, never a medical protocol: validation by the caregiving 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 a facility 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 effective and the body responds, not during the blocking phases.<\/li>\n<li><strong>Large movements<\/strong> \u2014 the disease shrinks gestures and voice; the support intentionally broadens them, aiming for big and loud.<\/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 it&#8217;s better to have fifteen minutes every 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 set 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 role 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 set 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 largely depend 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 treatment&#8217;s effect is fading, but rather when it is fully effective.<\/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 times when the person moves best during the day and schedule motor activities then. The blocking phases must 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 loud<\/h3>\n<pee>Parkinson&#8217;s shrinks gestures and weakens the voice. We intentionally ask for large 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 First of all: validate with the caregiving team<\/strong>\n  <pee>The activities described here are daily living 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 doctor: only they will say which 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 shrinking 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 best serve the ongoing 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\">Long strides walking<\/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 aloud 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>Harder<\/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 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\">Unlocking 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 at the threshold of a door or during a turn.<\/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 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 spots 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 freezing resolve faster, the person uses a tip on their own.<\/li>\n<li><strong>\u274c To avoid<\/strong> \u2014 pulling on the arm or insisting verbally: this increases the freezing 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 chair<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objective<\/strong> \u2014 to secure a repeated gesture dozens of times a day, maintain leg strength and transfer autonomy.<\/li>\n<li><strong>Materials and duration<\/strong> \u2014 a firm and not too low chair, with armrests, 5 minutes.<\/li>\n<li><strong>Procedure<\/strong> \u2014 break it down out loud: 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, take a standing pause before starting.<\/li>\n<li><strong>Harder<\/strong> \u2014 get up without using hands, once safety is established and validated by the physiotherapist.<\/li>\n<li><strong>Sign that it works<\/strong> \u2014 getting up becomes smoother, less reliance, less hesitation.<\/li>\n<li><strong>\u274c To avoid<\/strong> \u2014 a chair that is too low or too soft, which turns every getting 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 a sleeve while extending the arm, 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 primary 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\">Fine motor skills and writing<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objective<\/strong> \u2014 maintain hand precision and combat the shrinking of writing, common in the disease.<\/li>\n<li><strong>Materials and duration<\/strong> \u2014 a pen with a good grip, a large grid paper, buttons, clothespins or coins, 10 minutes.<\/li>\n<li><strong>Procedure<\/strong> \u2014 draw large letters occupying the entire box, sign your first name in large letters, sort coins, screw on caps. Focus on the extent of the gesture, not the speed.<\/li>\n<li><strong>Easier<\/strong> \u2014 trace over already drawn letters, manipulate large objects.<\/li>\n<li><strong>Harder<\/strong> \u2014 write a short sentence, button a shirt, match pairs of socks.<\/li>\n<li><strong>Sign that it works<\/strong> \u2014 writing remains legible longer, fine objects are grasped with less effort.<\/li>\n<li><strong>\u274c To avoid<\/strong> \u2014 endless exercises that tense the hand: stop before fatigue.<\/li>\n<\/ul>\n<\/div>\n<h2 id=\"dyn-cognition\">Attention, speech and memory<\/h2>\n<pee>Parkinson&#8217;s disease often affects the voice, which becomes weak and monotonous, as well as attention, initiative, and sometimes memory. The following activities maintain these functions in the pleasure of exchange. They complement the work of the speech therapist; ask them what best serves the current objectives, especially for voice and swallowing.<\/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\">The strong voice<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objective<\/strong> \u2014 work on voice intensity, often too weak, to remain understood without getting tired.<\/li>\n<li><strong>Materials and duration<\/strong> \u2014 a pleasant text in large print, a newspaper, a well-known poem, 10 minutes.<\/li>\n<li><strong>Procedure<\/strong> \u2014 read aloud aiming for a voice \u201cstronger than necessary,\u201d as if to be heard at the back of a room. You can count out loud, call someone by their name, pronounce held vowels. Emphasize volume, not perfection.<\/li>\n<li><strong>Easier<\/strong> \u2014 repeat isolated words with a well-placed voice.<\/li>\n<li><strong>Harder<\/strong> \u2014 read an entire paragraph, then tell an anecdote while maintaining volume.<\/li>\n<li><strong>Sign that it works<\/strong> \u2014 loved ones ask for fewer repetitions, the person is heard at the table.<\/li>\n<li><strong>\u274c To avoid<\/strong> \u2014 correcting pronunciation in a loop: prioritize volume and the desire to speak above all.<\/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\">Naming and evoking<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objective<\/strong> \u2014 maintain access to words, verbal fluency, and initiative in conversation.<\/li>\n<li><strong>Materials and duration<\/strong> \u2014 everyday images, a themed card game or simply the objects present, 10 minutes.<\/li>\n<li><strong>Procedure<\/strong> \u2014 together, name as many words as possible in a category: fruits, first names, professions, cities. Describe an object, explore its uses. The rule is to allow time to respond, without filling silences too quickly.<\/li>\n<li><strong>Easier<\/strong> \u2014 offer a choice between two answers.<\/li>\n<li><strong>Harder<\/strong> \u2014 find words starting with the same letter, or tell a story based on three words.<\/li>\n<li><strong>Sign that it works<\/strong> \u2014 lists get longer, sentences are constructed faster.<\/li>\n<li><strong>\u274c To avoid<\/strong> \u2014 answer in place at the first hesitation: silence is part of the 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\">Rhythm and dual task<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objective<\/strong> \u2014 stimulate shared attention and rhythm, two valuable resources in the face of motor blockages.<\/li>\n<li><strong>Materials and duration<\/strong> \u2014 a well-marked music, your hands, possibly a tambourine or maracas, 10 minutes.<\/li>\n<li><strong>Procedure<\/strong> \u2014 clap the rhythm with your hands, tap your foot, reproduce a simple sequence. You can count out loud while marking the pulse. The gesture and the sound respond to each other.<\/li>\n<li><strong>Easier<\/strong> \u2014 follow a slow and regular rhythm, imitated step by step.<\/li>\n<li><strong>More difficult<\/strong> \u2014 alternate hands and feet, or speak while keeping the rhythm.<\/li>\n<li><strong>Sign that it works<\/strong> \u2014 the pulse becomes more stable, the gestures more assured.<\/li>\n<li><strong>\u274c To avoid<\/strong> \u2014 chaining without a break: the rhythm tires concentration, stop while it is still enjoyable.<\/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\">The agenda and temporal markers<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objective<\/strong> \u2014 support the memory of things to do, the markers in time, and the feeling of control.<\/li>\n<li><strong>Materials and duration<\/strong> \u2014 a large-box agenda or a wipeable board, a visible clock, 5 minutes per day.<\/li>\n<li><strong>Procedure<\/strong> \u2014 every morning, reread the day&#8217;s program; every evening, note two or three markers for the next day and check off what has been done. Locate the meal, the visit, the activity in relation to the displayed time.<\/li>\n<li><strong>Easier<\/strong> \u2014 the caregiver writes, the person reads aloud.<\/li>\n<li><strong>More difficult<\/strong> \u2014 the person anticipates their week alone and identifies appointments.<\/li>\n<li><strong>Sign that it works<\/strong> \u2014 the agenda is consulted spontaneously during the day.<\/li>\n<li><strong>\u274c To avoid<\/strong> \u2014 multiplying supports: one agenda, always in the same place, is better than three scattered.<\/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\">The revamped board game<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objective<\/strong> \u2014 maintain attention, memory, and connection, in a friendly setting without performance stakes.<\/li>\n<li><strong>Materials and duration<\/strong> \u2014 large index cards, dominoes, pairs game or picture lotto, 15 to 20 minutes.<\/li>\n<li><strong>Procedure<\/strong> \u2014 choose a short game, adapt the rules to avoid fatigue, prioritize the pleasure of playing over winning. Allow time to handle the pieces without rushing.<\/li>\n<li><strong>Easier<\/strong> \u2014 fewer cards, simplified rules, cooperative pair play.<\/li>\n<li><strong>More difficult<\/strong> \u2014 increase the number of elements, introduce a small strategy.<\/li>\n<li><strong>Sign that it works<\/strong> \u2014 the person asks to play again, follows the game without getting lost.<\/li>\n<li><strong>\u274c To avoid<\/strong> \u2014 games that require fine and quick manipulation of small pieces, a source of frustration.<\/li>\n<\/ul>\n<\/div>\n<div class=\"dyn-cta\">\n<h3>Train the team to adapt every daily gesture<\/h3>\n<pee>The DYNSEO training &#8220;Parkinson in institutions&#8221; explains the disease, its fluctuations, and how to adjust support at the right time of day. 32 lessons, 100% online, at your own pace, unlimited access. Certified Qualiopi organization (No. 11757351875), 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 \u20ac20<\/a>\n<\/div>\n<h2 id=\"dyn-pleasure\">Pleasure, rhythm, and social connection<\/h2>\n<pee>Parkinson&#8217;s often comes with apathy and sometimes discouragement. However, desire always precedes progress: a person who enjoys themselves moves more and speaks more. The four activities that follow do not aim for any performance. They maintain mood, identity, and connection, which conditions adherence to everything else.<\/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\">Seated music and dance<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objective<\/strong> \u2014 mobilize the body to a rhythm, awaken mood and memory, without risk of falling.<\/li>\n<li><strong>Materials and duration<\/strong> \u2014 a speaker, a playlist of the person&#8217;s significant music, a stable chair, 15 minutes.<\/li>\n<li><strong>Procedure<\/strong> \u2014 seated, we move our arms, tap our feet, sway our torso to the beat. Familiar tunes often revive gestures that will alone cannot trigger. We sing if the urge arises.<\/li>\n<li><strong>Easier<\/strong> \u2014 simple hand movements to a slow tempo.<\/li>\n<li><strong>Harder<\/strong> \u2014 standing up for a few dance steps, framed and secured.<\/li>\n<li><strong>Sign it&#8217;s working<\/strong> \u2014 the face lights up, the person hums, requests a song.<\/li>\n<li><strong>\u274c To avoid<\/strong> \u2014 imposing music that is not theirs: it is the personal repertoire that triggers the momentum.<\/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\">Creative workshop in large<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objective<\/strong> \u2014 work on the amplitude of gestures and precision in a rewarding activity, far from exercise.<\/li>\n<li><strong>Materials and duration<\/strong> \u2014 large sheets, big brushes, pastels, modeling clay, 20 minutes.<\/li>\n<li><strong>Procedure<\/strong> \u2014 we paint or draw in large format, we model, we glue. The ample gesture is naturally encouraged by the size of the support. The result matters less than the movement and the pleasure.<\/li>\n<li><strong>Easier<\/strong> \u2014 coloring large areas, kneading the clay.<\/li>\n<li><strong>Harder<\/strong> \u2014 a project in several steps, a collective work in a small group.<\/li>\n<li><strong>Sign it&#8217;s working<\/strong> \u2014 the person willingly settles in, extends the session.<\/li>\n<li><strong>\u274c To avoid<\/strong> \u2014 judging the result: we value engagement, never resemblance.<\/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\">Adapted gardening<\/h3>\n<\/p><\/div>\n<ul>\n<li><strong>Objective<\/strong> \u2014 regain an active role and a useful gesture, mobilize hands and posture in a meaningful activity.<\/li>\n<li><strong>Materials and duration<\/strong> \u2014 raised planters or pots on a table, potting soil, seeds, light watering can, 15 to 20 minutes.<\/li>\n<li><strong>Procedure<\/strong> \u2014 we fill, we plant, we water, we maintain over the days. Working at table height avoids bending down. The regularity of maintenance creates a daily appointment to look forward to.<\/li>\n<li><strong>Easier<\/strong> \u2014 just watering and monitoring.<\/li>\n<li><strong>Harder<\/strong> \u2014 managing several plants, keeping a small log of the sowing.<\/li>\n<li><strong>Sign it&#8217;s working<\/strong> \u2014 the person worries about their plants, takes the initiative to care for them.<\/li>\n<li><strong>\u274c To avoid<\/strong> \u2014 working on the ground, a source of imbalance: everything is done seated or at height.<\/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 making anyone wait. 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 putting photos in chronological order, reconstructing 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 actually takes place and happens at the right time. The typical day below schedules the most demanding activities during the times when the person moves best, to be adjusted according to the treatment times defined by the doctor.<\/pee>\n<div class=\"dyn-tablewrap\">\n<table>\n<thead>\n<tr>\n<th>Time<\/th>\n<th>What we 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 large steps, wide gestures<\/td>\n<td>15-20 min<\/td>\n<\/tr>\n<tr>\n<td>Late morning<\/td>\n<td>Loud 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 memory album in peace<\/td>\n<td>10-15 min<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<pee>Throughout the week, we 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 large steps, getting up from the chair<\/td>\n<\/tr>\n<tr>\n<td>Tuesday<\/td>\n<td>Speech \u2014 loud 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>Independence \u2014 large morning gestures, 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\">Arranging 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 stepping 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, glass difficult to grasp<\/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 passage 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 eyes to &#8220;grab onto&#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 unique 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 to 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 was 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 two 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 and the SCARLETT application<\/h2>\n<pee>A tablet does not replace rehabilitation or real activities. It provides two things that paper does not: 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 \u2014 simplified interface<\/td>\n<td>15 minutes per 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>Young 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 per 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 already fragile sleep in the disease. To establish 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 well 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 establishes discouragement. Observe the favorable windows and base activities on them.<\/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 wears out 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 tick per day is enough to change everyone\u2019s 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 understand what is at stake<\/a><br \/>\n  <a href=\"#aides-interlocuteurs\"><span>Support &amp; contacts<\/span>Who to contact, what support and how to maintain it over time<\/a><br \/>\n  <a href=\"#presentation-formation\"><span>Training<\/span>Program, content and who the DYNSEO Parkinson training is for<\/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 outweighs intensity by far&nbsp;: one activity from each major category per day is enough, as long as it takes place and falls during a time when the person is moving well. Five minutes on a bad day are better than a complete standstill, because 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 eliminating 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. Then, 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 achieves more than a reminder of the stakes. And we start the activity ourselves to engage them, because initiative is precisely what costs the most.<\/pee>\n<h3>What equipment is really needed&nbsp;?<\/h3>\n<pee>Almost nothing specialized. A clear corridor, an armchair, 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 app, for automatic level adjustment. For heavier adjustments, such as grab bars, an assessment by an occupational therapist guides what is really 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 capabilities. At an advanced stage, we prioritize pleasure, music, memories, and assisted 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 moment. 32 lessons, 100% online, at their own pace, unlimited access. Qualiopi certified (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. 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<\/script>\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 SEO\/GEO ARTICLE TEMPLATE  \u00b7  v1.0\nDo not modify class names: the script generer-articles.py\nand all previously published articles depend on it.\n\nThe script generer-articles.py injects, in order: the colored header,\nthe training or tool box, the written body, then the structured data.\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\">Families &amp; caregivers \u00b7 Parkinson<\/span>\n  <h1>Parkinson in care facilities: activities, resources, and concrete adjustments to implement<\/h1>\n  <p class=\"dyn-pagehead__lead\">When Parkinson's disease enters a care facility, support is as much about daily gestures as it is about scheduled care. This guide brings together activities, resources, and concrete adjustments to implement starting tomorrow&nbsp;: it's a real toolbox on the theme <strong>parkinson in care facilities activities tools<\/strong>, designed for families, caregivers, and teams looking for simple materials and applicable routines without a specific budget.<\/p>\n  <ul class=\"dyn-pagehead__meta\">\n    <li>\u23f1\ufe0f 20 min reading<\/li>\n    <li>\ud83d\udc65 For families and caregivers<\/li>\n    <li>\ud83d\udd04 Updated in August 2026<\/li>\n  <\/ul>\n<\/header>\n\n<aside class=\"dyn-hero\" aria-label=\"Training presented in this article\">\n  <div class=\"dyn-hero__grid\">\n    <div class=\"dyn-hero__media\"><a href=\"https:\/\/www.dynseo.com\/courses\/parkinson-en-etablissement-comprendre-la-maladie-et-adapter-sa-pratique-professionnelle\/\"><img src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/03\/Parkinson-en-etablissement.png\" alt=\"DYNSEO Training \u00ab Parkinson in care facilities: understanding the disease and adapting your professional practice \u00bb\" width=\"1920\" height=\"1080\" loading=\"lazy\"><\/a><\/div>\n    <div class=\"dyn-hero__body\">\n      <span class=\"dyn-hero__eyebrow\">The training related to this article<\/span>\n      <p class=\"dyn-hero__title\"><a href=\"https:\/\/www.dynseo.com\/courses\/parkinson-en-etablissement-comprendre-la-maladie-et-adapter-sa-pratique-professionnelle\/\">Parkinson in care facilities: understanding the disease and adapting your professional practice<\/a><\/p>\n      <p class=\"dyn-hero__pitch\">Everything this article explains, put into practice.<\/p>\n      <ul class=\"dyn-badges\">\n        <li>\ud83c\udfa5 8 modules \u00b7 32 lessons<\/li>\n        <li>\ud83d\udcbb 100 % online<\/li>\n        <li>\u23f1\ufe0f At your own pace<\/li>\n        <li>\ud83c\udfc5 Qualiopi organization<\/li>\n        <li>\ud83c\udf0d 9 languages<\/li>\n      <\/ul>\n<div class=\"dyn-hero__actions\">\n        <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/courses\/parkinson-en-etablissement-comprendre-la-maladie-et-adapter-sa-pratique-professionnelle\/\">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 in detail \u2014 objective, materials, 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 a reasonable place for digital tools. Each proposal remains a daily activity, never a medical protocol: validation by the caregiving 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 a facility 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 effective and the body responds, not during the blocking phases.<\/li>\n    <li><strong>Large movements<\/strong> \u2014 the disease shrinks gestures and voice; the support intentionally broadens them, aiming for big and loud.<\/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 it's better to have fifteen minutes every 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 set 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 role 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 set 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 largely depend 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 treatment's effect is fading, but rather when it is fully effective.<\/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 times when the person moves best during the day and schedule motor activities then. The blocking phases must 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 loud<\/h3>\n    <p>Parkinson's shrinks gestures and weakens the voice. We intentionally ask for large 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 First of all: validate with the caregiving team<\/strong>\n  <p>The activities described here are daily living 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 doctor: only they will say which 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 shrinking 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 best serve the ongoing 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\">Long strides walking<\/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 aloud 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>Harder<\/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 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\">Unlocking 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 at the threshold of a door or during a turn.<\/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 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 spots 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 freezing resolve faster, the person uses a tip on their own.<\/li>\n    <li><strong>\u274c To avoid<\/strong> \u2014 pulling on the arm or insisting verbally: this increases the freezing 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 chair<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objective<\/strong> \u2014 to secure a repeated gesture dozens of times a day, maintain leg strength and transfer autonomy.<\/li>\n    <li><strong>Materials and duration<\/strong> \u2014 a firm and not too low chair, with armrests, 5 minutes.<\/li>\n    <li><strong>Procedure<\/strong> \u2014 break it down out loud: 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, take a standing pause before starting.<\/li>\n    <li><strong>Harder<\/strong> \u2014 get up without using hands, once safety is established and validated by the physiotherapist.<\/li>\n    <li><strong>Sign that it works<\/strong> \u2014 getting up becomes smoother, less reliance, less hesitation.<\/li>\n    <li><strong>\u274c To avoid<\/strong> \u2014 a chair that is too low or too soft, which turns every getting 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 a sleeve while extending the arm, 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 primary 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\">Fine motor skills and writing<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objective<\/strong> \u2014 maintain hand precision and combat the shrinking of writing, common in the disease.<\/li>\n    <li><strong>Materials and duration<\/strong> \u2014 a pen with a good grip, a large grid paper, buttons, clothespins or coins, 10 minutes.<\/li>\n    <li><strong>Procedure<\/strong> \u2014 draw large letters occupying the entire box, sign your first name in large letters, sort coins, screw on caps. Focus on the extent of the gesture, not the speed.<\/li>\n    <li><strong>Easier<\/strong> \u2014 trace over already drawn letters, manipulate large objects.<\/li>\n    <li><strong>Harder<\/strong> \u2014 write a short sentence, button a shirt, match pairs of socks.<\/li>\n    <li><strong>Sign that it works<\/strong> \u2014 writing remains legible longer, fine objects are grasped with less effort.<\/li>\n    <li><strong>\u274c To avoid<\/strong> \u2014 endless exercises that tense the hand: stop before fatigue.<\/li>\n  <\/ul>\n<\/div>\n\n<h2 id=\"dyn-cognition\">Attention, speech and memory<\/h2>\n\n<p>Parkinson's disease often affects the voice, which becomes weak and monotonous, as well as attention, initiative, and sometimes memory. The following activities maintain these functions in the pleasure of exchange. They complement the work of the speech therapist; ask them what best serves the current objectives, especially for voice and swallowing.<\/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\">The strong voice<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objective<\/strong> \u2014 work on voice intensity, often too weak, to remain understood without getting tired.<\/li>\n    <li><strong>Materials and duration<\/strong> \u2014 a pleasant text in large print, a newspaper, a well-known poem, 10 minutes.<\/li>\n    <li><strong>Procedure<\/strong> \u2014 read aloud aiming for a voice \u201cstronger than necessary,\u201d as if to be heard at the back of a room. You can count out loud, call someone by their name, pronounce held vowels. Emphasize volume, not perfection.<\/li>\n    <li><strong>Easier<\/strong> \u2014 repeat isolated words with a well-placed voice.<\/li>\n    <li><strong>Harder<\/strong> \u2014 read an entire paragraph, then tell an anecdote while maintaining volume.<\/li>\n    <li><strong>Sign that it works<\/strong> \u2014 loved ones ask for fewer repetitions, the person is heard at the table.<\/li>\n    <li><strong>\u274c To avoid<\/strong> \u2014 correcting pronunciation in a loop: prioritize volume and the desire to speak above all.<\/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\">Naming and evoking<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objective<\/strong> \u2014 maintain access to words, verbal fluency, and initiative in conversation.<\/li>\n    <li><strong>Materials and duration<\/strong> \u2014 everyday images, a themed card game or simply the objects present, 10 minutes.<\/li>\n    <li><strong>Procedure<\/strong> \u2014 together, name as many words as possible in a category: fruits, first names, professions, cities. Describe an object, explore its uses. The rule is to allow time to respond, without filling silences too quickly.<\/li>\n    <li><strong>Easier<\/strong> \u2014 offer a choice between two answers.<\/li>\n    <li><strong>Harder<\/strong> \u2014 find words starting with the same letter, or tell a story based on three words.<\/li>\n    <li><strong>Sign that it works<\/strong> \u2014 lists get longer, sentences are constructed faster.<\/li>\n    <li><strong>\u274c To avoid<\/strong> \u2014 answer in place at the first hesitation: silence is part of the effort.<\/li>\n  <\/ul>\n<\/div>\n\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\">Rhythm and dual task<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objective<\/strong> \u2014 stimulate shared attention and rhythm, two valuable resources in the face of motor blockages.<\/li>\n    <li><strong>Materials and duration<\/strong> \u2014 a well-marked music, your hands, possibly a tambourine or maracas, 10 minutes.<\/li>\n    <li><strong>Procedure<\/strong> \u2014 clap the rhythm with your hands, tap your foot, reproduce a simple sequence. You can count out loud while marking the pulse. The gesture and the sound respond to each other.<\/li>\n    <li><strong>Easier<\/strong> \u2014 follow a slow and regular rhythm, imitated step by step.<\/li>\n    <li><strong>More difficult<\/strong> \u2014 alternate hands and feet, or speak while keeping the rhythm.<\/li>\n    <li><strong>Sign that it works<\/strong> \u2014 the pulse becomes more stable, the gestures more assured.<\/li>\n    <li><strong>\u274c To avoid<\/strong> \u2014 chaining without a break: the rhythm tires concentration, stop while it is still enjoyable.<\/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\">The agenda and temporal markers<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objective<\/strong> \u2014 support the memory of things to do, the markers in time, and the feeling of control.<\/li>\n    <li><strong>Materials and duration<\/strong> \u2014 a large-box agenda or a wipeable board, a visible clock, 5 minutes per day.<\/li>\n    <li><strong>Procedure<\/strong> \u2014 every morning, reread the day's program; every evening, note two or three markers for the next day and check off what has been done. Locate the meal, the visit, the activity in relation to the displayed time.<\/li>\n    <li><strong>Easier<\/strong> \u2014 the caregiver writes, the person reads aloud.<\/li>\n    <li><strong>More difficult<\/strong> \u2014 the person anticipates their week alone and identifies appointments.<\/li>\n    <li><strong>Sign that it works<\/strong> \u2014 the agenda is consulted spontaneously during the day.<\/li>\n    <li><strong>\u274c To avoid<\/strong> \u2014 multiplying supports: one agenda, always in the same place, is better than three scattered.<\/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\">The revamped board game<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objective<\/strong> \u2014 maintain attention, memory, and connection, in a friendly setting without performance stakes.<\/li>\n    <li><strong>Materials and duration<\/strong> \u2014 large index cards, dominoes, pairs game or picture lotto, 15 to 20 minutes.<\/li>\n    <li><strong>Procedure<\/strong> \u2014 choose a short game, adapt the rules to avoid fatigue, prioritize the pleasure of playing over winning. Allow time to handle the pieces without rushing.<\/li>\n    <li><strong>Easier<\/strong> \u2014 fewer cards, simplified rules, cooperative pair play.<\/li>\n    <li><strong>More difficult<\/strong> \u2014 increase the number of elements, introduce a small strategy.<\/li>\n    <li><strong>Sign that it works<\/strong> \u2014 the person asks to play again, follows the game without getting lost.<\/li>\n    <li><strong>\u274c To avoid<\/strong> \u2014 games that require fine and quick manipulation of small pieces, a source of frustration.<\/li>\n  <\/ul>\n<\/div>\n\n<div class=\"dyn-cta\">\n  <h3>Train the team to adapt every daily gesture<\/h3>\n  <p>The DYNSEO training \"Parkinson in institutions\" explains the disease, its fluctuations, and how to adjust support at the right time of day. 32 lessons, 100% online, at your own pace, unlimited access. Certified Qualiopi organization (No. 11757351875), certificate of completion.<\/p>\n  <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/courses\/parkinson-en-etablissement-comprendre-la-maladie-et-adapter-sa-pratique-professionnelle\/\">Discover the training \u2014 \u20ac20<\/a>\n<\/div>\n\n<h2 id=\"dyn-pleasure\">Pleasure, rhythm, and social connection<\/h2>\n\n<p>Parkinson's often comes with apathy and sometimes discouragement. However, desire always precedes progress: a person who enjoys themselves moves more and speaks more. The four activities that follow do not aim for any performance. They maintain mood, identity, and connection, which conditions adherence to everything else.<\/p>\n\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\">Seated music and dance<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objective<\/strong> \u2014 mobilize the body to a rhythm, awaken mood and memory, without risk of falling.<\/li>\n    <li><strong>Materials and duration<\/strong> \u2014 a speaker, a playlist of the person's significant music, a stable chair, 15 minutes.<\/li>\n    <li><strong>Procedure<\/strong> \u2014 seated, we move our arms, tap our feet, sway our torso to the beat. Familiar tunes often revive gestures that will alone cannot trigger. We sing if the urge arises.<\/li>\n    <li><strong>Easier<\/strong> \u2014 simple hand movements to a slow tempo.<\/li>\n    <li><strong>Harder<\/strong> \u2014 standing up for a few dance steps, framed and secured.<\/li>\n    <li><strong>Sign it's working<\/strong> \u2014 the face lights up, the person hums, requests a song.<\/li>\n    <li><strong>\u274c To avoid<\/strong> \u2014 imposing music that is not theirs: it is the personal repertoire that triggers the momentum.<\/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\">Creative workshop in large<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objective<\/strong> \u2014 work on the amplitude of gestures and precision in a rewarding activity, far from exercise.<\/li>\n    <li><strong>Materials and duration<\/strong> \u2014 large sheets, big brushes, pastels, modeling clay, 20 minutes.<\/li>\n    <li><strong>Procedure<\/strong> \u2014 we paint or draw in large format, we model, we glue. The ample gesture is naturally encouraged by the size of the support. The result matters less than the movement and the pleasure.<\/li>\n    <li><strong>Easier<\/strong> \u2014 coloring large areas, kneading the clay.<\/li>\n    <li><strong>Harder<\/strong> \u2014 a project in several steps, a collective work in a small group.<\/li>\n    <li><strong>Sign it's working<\/strong> \u2014 the person willingly settles in, extends the session.<\/li>\n    <li><strong>\u274c To avoid<\/strong> \u2014 judging the result: we value engagement, never resemblance.<\/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\">Adapted gardening<\/h3>\n  <\/div>\n  <ul>\n    <li><strong>Objective<\/strong> \u2014 regain an active role and a useful gesture, mobilize hands and posture in a meaningful activity.<\/li>\n    <li><strong>Materials and duration<\/strong> \u2014 raised planters or pots on a table, potting soil, seeds, light watering can, 15 to 20 minutes.<\/li>\n    <li><strong>Procedure<\/strong> \u2014 we fill, we plant, we water, we maintain over the days. Working at table height avoids bending down. The regularity of maintenance creates a daily appointment to look forward to.<\/li>\n    <li><strong>Easier<\/strong> \u2014 just watering and monitoring.<\/li>\n    <li><strong>Harder<\/strong> \u2014 managing several plants, keeping a small log of the sowing.<\/li>\n    <li><strong>Sign it's working<\/strong> \u2014 the person worries about their plants, takes the initiative to care for them.<\/li>\n    <li><strong>\u274c To avoid<\/strong> \u2014 working on the ground, a source of imbalance: everything is done seated or at height.<\/li>\n  <\/ul>\n<\/div>\n\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  <\/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 making anyone wait. 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 putting photos in chronological order, reconstructing 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 actually takes place and happens at the right time. The typical day below schedules the most demanding activities during the times when the person moves best, to be adjusted according to the treatment times defined by the doctor.<\/p>\n\n<div class=\"dyn-tablewrap\">\n<table>\n  <thead>\n    <tr><th>Time<\/th><th>What we 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 large steps, wide gestures<\/td><td>15-20 min<\/td><\/tr>\n    <tr><td>Late morning<\/td><td>Loud 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 memory album in peace<\/td><td>10-15 min<\/td><\/tr>\n  <\/tbody>\n<\/table>\n<\/div>\n\n<p>Throughout the week, we 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 large steps, getting up from the chair<\/td><\/tr>\n    <tr><td>Tuesday<\/td><td>Speech \u2014 loud 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>Independence \u2014 large morning gestures, 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\">Arranging 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 stepping 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, glass difficult to grasp<\/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 passage 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 eyes to \"grab onto\" 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 unique 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\/nos-outils\/\">catalog of free tools<\/a>. Three of them are enough to structure the entire routine described here and to 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 was 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\/nos-outils\/carnet-de-liaison\/\">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 two 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 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: 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 \u2014 simplified interface<\/td><td>15 minutes per 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>Young 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 per 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 already fragile sleep in the disease. To establish the starting level or objectify an evolution, the <a href=\"https:\/\/www.dynseo.com\/nos-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 well 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 establishes discouragement. Observe the favorable windows and base activities on them.<\/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 wears out 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 tick per day is enough to change everyone\u2019s 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 understand what is at stake<\/a>\n  <a href=\"#aides-interlocuteurs\"><span>Support &amp; contacts<\/span>Who to contact, what support and how to maintain it over time<\/a>\n  <a href=\"#presentation-formation\"><span>Training<\/span>Program, content and who the DYNSEO Parkinson training is for<\/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 outweighs intensity by far&nbsp;: one activity from each major category per day is enough, as long as it takes place and falls during a time when the person is moving well. Five minutes on a bad day are better than a complete standstill, because 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 eliminating 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. Then, 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 achieves more than a reminder of the stakes. And we start the activity ourselves to engage them, because 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 corridor, an armchair, 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 app, for automatic level adjustment. For heavier adjustments, such as grab bars, an assessment by an occupational therapist guides what is really 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 capabilities. At an advanced stage, we prioritize pleasure, music, memories, and assisted 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 moment. 32 lessons, 100% online, at their own pace, unlimited access. Qualiopi certified (No. 11757351875), with a certificate of completion.<\/p>\n  <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/courses\/parkinson-en-etablissement-comprendre-la-maladie-et-adapter-sa-pratique-professionnelle\/\">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],"tags":[],"class_list":["post-759664","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-advice-from-our-coaches"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Parkinson in Establishment: Activities, Supports and Concrete Arrangements 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-establishment-activities-supports-and-concrete-arrangements-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 Establishment: Activities, Supports and Concrete Arrangements to Implement - DYNSEO - Educational apps &amp; brain training apps for all\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.dynseo.com\/en\/parkinson-in-establishment-activities-supports-and-concrete-arrangements-to-implement\/\" \/>\n<meta property=\"og:site_name\" content=\"DYNSEO - Educational apps &amp; brain training apps for all\" \/>\n<meta property=\"article:published_time\" content=\"2026-08-18T19:37:29+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-18T19:41:16+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2025\/09\/abcdhe-5.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"576\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"DYNSEO\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"DYNSEO\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"22 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.dynseo.com\\\/en\\\/parkinson-in-establishment-activities-supports-and-concrete-arrangements-to-implement\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.dynseo.com\\\/en\\\/parkinson-in-establishment-activities-supports-and-concrete-arrangements-to-implement\\\/\"},\"author\":{\"name\":\"DYNSEO\",\"@id\":\"https:\\\/\\\/www.dynseo.com\\\/en\\\/#\\\/schema\\\/person\\\/78ef63df2ee64e0989bc68f8401b38d6\"},\"headline\":\"Parkinson in Establishment: Activities, Supports and Concrete Arrangements to Implement\",\"datePublished\":\"2026-08-18T19:37:29+00:00\",\"dateModified\":\"2026-08-18T19:41:16+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.dynseo.com\\\/en\\\/parkinson-in-establishment-activities-supports-and-concrete-arrangements-to-implement\\\/\"},\"wordCount\":4507,\"publisher\":{\"@id\":\"https:\\\/\\\/www.dynseo.com\\\/en\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.dynseo.com\\\/en\\\/parkinson-in-establishment-activities-supports-and-concrete-arrangements-to-implement\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.dynseo.com\\\/wp-content\\\/uploads\\\/2025\\\/09\\\/abcdhe-5.jpg\",\"articleSection\":[\"Advice from our coaches\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.dynseo.com\\\/en\\\/parkinson-in-establishment-activities-supports-and-concrete-arrangements-to-implement\\\/\",\"url\":\"https:\\\/\\\/www.dynseo.com\\\/en\\\/parkinson-in-establishment-activities-supports-and-concrete-arrangements-to-implement\\\/\",\"name\":\"Parkinson in Establishment: Activities, Supports and Concrete Arrangements to Implement - DYNSEO - Educational apps &amp; 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