SEATTLE - We're all encouraged to get a daily dose of exercise, to help stave off some diseases.
But for people with Parkinson's disease, it's not just encouraged - a daily dose of activity is critical to stopping the disease from getting worse.
It's so important to Seattle physical therapist Nate Coomer that he now dedicates his practice to Parkinson's patients.
He started working with patients with neurologic diagnoses more than a decade ago and now he offers a unique way to reach more people.
"It was the first time in my life as a physical therapist where I really felt like I had a truly important role in each client's plan of care," said Coomer.
Coomer still sees patients, one-on-one, at one of two offices he operates in Seattle, but he also offers a live stream and video library of workouts online.
He calls his unique delivery of workouts Daily Dose PD.
"For me it's really appealing," said Cris Miller from her West Seattle living room.
"If there's a day that I can't get to the gym or I'm not scheduled to see Nate with one of his programs I can turn this on," she said.
Miller said she's certainly experienced the difference exercise makes with her Parkinson's.
"You have to remain really active because Parkinson's is working to keep you stiff and rigid," Miller said.
Coomer designs his Daily Dose workouts to counter that, focusing on the size of the movement.
"Because part of the issue with Parkinson's revolves around slowness of movement and so we're always working on whole body, big movements throughout each exercise," said Coomer.
Andy Shepherd, diagnosed about 10 years ago, said he feels the added benefit of working out regularly with Coomer.
"The first time I saw Andy, he had stooped posture, really had trouble with shuffling of gate,” Coomer said.
So, in every session, they work on balance, control and cognitive, dual tasking.
On a recent workout, Coomer had Shepherd name off wine regions in Italy, while simultaneously bouncing a large medicine ball from side to side.
"And over the course of two years he's still moving completely independently," said Coomer.
Plus, Coomer said this daily dose of exercise has been shown to decrease falls.
"And if we can have a hand in decreasing risk of falls in the community, people have a much higher likelihood to have a better quality of life going forward and continue to stay on their feet with this disease and that's a big thing as you go along with Parkinson’s," said Coomer.
While Shepherd and Miller each keep up with their Daily Dose of exercise in Seattle, others do it around the globe.
Daily Dose PD has hundreds of clients, throughout the U.S., Canada, Mexico, India, the U.K. and more.