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Exercise and Epilepsy

Discover the evolution of exercise guidelines for individuals with epilepsy and the science behind how physical activity affects seizure activity. Learn about the benefits of exercise, including reducing seizures and improving quality of life, and the potential risks of overexertion. Overcome barriers to exercise and find recommended activities. Understand the neuromodulation effects of exercise and the impact on seizure threshold. Explore how aerobic exercise can delay seizure development and find out which sports and activities to avoid or proceed with caution. Stay informed on the safety measures and precautions for exercising with epilepsy.

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Exercise and Epilepsy

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  1. Exercise and Epilepsy Patti Ogden, APN, FNP, NP-C Nurse Practitioner

  2. Disclaimer No conflict of interest No financial disclosers Presentation Title Here |

  3. Did You Know? People with Epilepsy are less active than the general population Exercise and Epilepsy|

  4. In The Past: People with epilepsy have been previously discouraged from participating in physical activity and sports for fear of inducing seizures or increasing seizure activity Exercise and Epilepsy|

  5. Evolution of Exercise Guidelines in People with Epilepsy 1968- All sports should be avoided 1974:-People with good seizure control can participate in any sports except those in which chronic head injury may occur 1983-People with well controlled epilepsy should not be excluded from hockey, football, basketball or wrestling 1997-Avoid skydiving and scuba diving Exercise and Epilepsy|

  6. Science of Exercise and Epilepsy Studies looking at the effects of physical exercise on epilepsy Have shown that interictal epileptiform activity remains unchanged or decreases during or immediately after exercise in the majority of patients studied Abnormal EEG discharges disappear during physical exercise Fewer seizures occurred during both mental and physical activity compared with periods of rest suggests that exercise raises seizure threshold and may have a protective effect Exercise and Epielpsy|

  7. Our Mice Friends-Models of Epilepsy Kindling “seizures beget seizures” -aerobic exercise was found to delay kindling effect on development of seizures Pilocarpine-susceptibility to evoke seizures were longer and seizures were lower and intensity and frequency and duration of status epilepticus was shorter Exercise and Epilepsy|

  8. Neuromodulation Modulation of brain neurotransmitters induced by physical exercise may contribute to reduce seizures and decrease epileptiform activity Exercise and Epilepsy|

  9. Is Exercise Safe? Majority of physical activities or sports are SAFE for people with epilepsy People with good seizure control can participate in both contact and non-contact sports Uncommon occurrences in which exercise can induce seizures-but should not prevent your from at least trying Exercise and Epilepsy|

  10. Barriers to Exercise What is keeping you from exercising or participating in sports activity? Medication side effects such as: Excessive sleepiness, Fatigue, lack of energy Headaches Nausea Weight changes Exercise and Epilepsy|

  11. Barriers to Exercise What is keeping you from exercising or participating in sports activity? Depression One third of people with epilepsy may also have depressed mood Lack of motivation Exercise and Epilepsy|

  12. Barriers to Exercise What is keeping you from exercising or participating in sports activity? Fear of uncontrolled seizures Fear of hurting yourself Fear of provoking more seizures Exercise and Epilepsy|

  13. Barriers to Exercise What is keeping you from exercising or participating in sports activity? Limited access to facilities Transportation Untrained sports personnel No exercise partner Exercise and Epilepsy|

  14. Recommendations on specific sporting activities for persons with regular epilepsy Activities to be avoided Scuba diving Parachuting High-altitude climbing Gliding Hand-gliding Aviation Motor-racing Boxing Activities requiring precautions or supervision Water-skiing Swimming Canoeing (Wind) surfing Sailing Activities requiring knowledge of seizure type and sports Cycle racing Skating Horse-riding Gymnastics Exercise and Epilepsy|

  15. What exercises can you do ? Walking, running, bike riding, elliptical Yoga, dancing, zumba, pilates Weight training Team sports like baseball, basketball, soccer, volleyball You can choose an activity that would be fun for you. Exercise and Epilepsy|

  16. Contact Sports In general there is no evidence that repetitive minor head trauma will worsen frequency or severity of epilepsy Exercise and Epilepsy|

  17. Sports and Recreation Activities Exercise and Epilepsy|

  18. Exercise activities with caution General seizure precautions: no swimming unless 1:1 supervision, no high climbing activities (without supervision) Swimming is an excellent form of exercise, but you will need adequate supervision to participate. Exercise and Epilepsy|

  19. Benefits of Exercise For your epilepsy, exercise has been shown to provide the following benefits: Reduce the frequency of seizures Improvement of quality of life Reduction of anxiety Reduction of depression Improvement in bone density Exercise and Epilepsy|

  20. Given the benefits, are there risks of exercise with people with epilepsy? Presentation Title Here |

  21. Risks of exercising for people with epilepsy Getting over exerted or dehydrated can cause body stress which can lower the seizure threshold and cause seizures during exercise Watch for signs of such as headache, nausea, dizziness, confusion or hunger Some medications such as Topamax may alter your body temperature regulation and your body may overheat during exercise, especially when outdoors. Make sure you drink plenty of fluids during and soon after exercise It is UNCOMMON that exercise can induce seizures Exercise and Epilepsy|

  22. Tips for Exercising Proper protection such as bicycle helmet, knee/elbow pads to prevent injury if you fall Medical alert bracelet If exercising alone, tell someone details of your activity Exercise and Epilepsy|

  23. Tips for Exercising Drink plenty of fluids during and after exercise Watch for signs getting too hot Rest when you feel tired Exercise and Epilepsy|

  24. Exercise As Part of Your Epilepsy Management Plan Physical exercise can be integrated with conventional therapy for epilepsy Exercise and Epilepsy|

  25. “not only is exercise good for your heart, it is good for your brain” Exercise and Epilepsy|

  26. ” Exercise and Epilepsy|

  27. References Arida, R.M.,et al.,2010,.Favorable Effects of Physical Activity For Recovery in Temporal Lobe Epilepsy, Epilepsia,51 (Suppl 3),76-79 Ablah,E.,et al.,2009,Exercise and Epilepsy-A Survey in Midwest Epilepsy Patients, Epilepsy and Behavior, 14, 162-166 Arida,R.M.,et al.,2008,Physical Activity and Epilepsy. Proven and Predicted Benefits. Sports Med, 28 (7), 607-615 Arida, R.M, et at 1998, Effect of Physical Exercise on Kindling Development, Epilepsy Research, 30, 127-132 Exercise and Epilepsy|

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