Evidence-based exercise programming for every stage of Parkinson's.
Prescribed from UPDRS motor scores · Hoehn & Yahr staging · Neurologist-referred
1%
of adults over 60 live with Parkinson's - 1M+ in the US alone
97.7%
session adherence in FIGHT-PD periodized boxing trials
9/10
participants improved UPDRS motor score after structured boxing
35%
greater improvement with forced cycling vs. voluntary exercise
We read your motor score before we write your program.
Every Stride program begins with a structured clinical intake. Your assigned exercise physiologist administers the MDS-UPDRS Part III motor exam and places you on the Hoehn & Yahr staging scale. The numbers tell us exactly which modalities apply, at what intensity, and how often.
MDS-UPDRS III
Motor Exam
Measures bradykinesia, tremor & rigidity severity across 33 items
Hoehn & Yahr
Staging 1–5
Tracks overall disease progression from unilateral to full impairment
Developed in 1967 (H&Y) and 1987 (UPDRS), these remain the gold-standard tools neurologists use to track Parkinson's progression and treatment response.
STRIDE CLINICAL INTAKE
Assessment Date: Feb 24, 2026
MDS-UPDRS III — Motor Subscores
Program Assignment →
Boxing 3×/wk · Forced cycling 2×/wk · LSVT-amplitude daily
97.7%
Session adherence rate
9/10
Participants improved UPDRS motor score
35%
UPDRS improvement vs. voluntary exercise
Bradykinesia severity determines your boxing frequency. Not a guess.
The FIGHT-PD periodized protocol structures training in three distinct blocks: technique development, cardiovascular intensity (including HIIT), and cognitively demanding dual-task training. Each block is five weeks. Your UPDRS bradykinesia subscore determines which block you enter and at what load.
Block A — Technique
Movement patterning, footwork, cross-jab combinations
Block B — Cardio
HIIT rounds, sustained aerobic load, combination speed
Block C — Dual-Task
Cognitive stimulus overlaid on motor sequences
Forced cycling at 80–90 RPM — beyond the patient's voluntary cadence — has been shown to shift motor control from feedback to feedforward processing, the mechanism disrupted in Parkinson's.
One hour. Five phases. Your trainer counts every rep aloud.
Sessions run exactly 60 minutes. Amplitude is never optional — your trainer is trained to cue "BIGGER" and "LOUDER" until the nervous system responds. Every movement is logged. Nothing is approximate.
Warm-Up & Neurological Activation
Rhythmic stepping, voice amplification drills (LSVT-informed), and shoulder mobility. 12 minutes.
Boxing Combinations
Jab-cross-hook sequences prescribed at amplitude well above comfortable range. Trainer counts reps and calls cues aloud. 20 minutes.
Forced Cycling
Tandem or stationary cycling at 80–90 RPM with motorized assistance to exceed voluntary cadence. 20 minutes.
Gait & Balance Circuit
Stride-length markers on the floor, obstacle navigation, and direction-change drills targeting freezing of gait. 10 minutes.
UPDRS Re-Check & Log
Brief motor assessment at session end. Results logged to your clinical record and shared with your referring neurologist monthly.
Rachel Torres, MS, CSCS
Certified Exercise Physiologist · LSVT BIG Trained · 6 years PD-specific programming
GAIT VELOCITY — 12-WEEK BOXING PROGRAM
H&Y Stage 1.0–3.0 · n=24 participants · Anonymized
Mean gait speed improvement at 8 weeks
87.6 → 101.9 cm/s
MOTOR SCORE IMPROVEMENT BY MODALITY
% of participants with moderate or better improvement
Sources: FIGHT-PD periodized boxing protocol; forced cycling RCT (Ridgel et al.); community boxing observational study (Combs et al.). Data anonymized. Individual results vary.
The numbers after 8 weeks don't need interpretation.
In a 12-week community boxing program, mean gait velocity improved from 87.6 cm/s at baseline to 101.9 cm/s at mid-term — a gain of 16.3 cm/s that translates directly to safer, more independent walking. Forced cycling participants showed 35% greater UPDRS motor score improvement compared to voluntary exercise, with gains maintained 4 weeks post-cessation.
68%
Moderate or better motor improvement
Forced cycling trial
35%
Greater UPDRS improvement
vs. voluntary exercise
16.3
cm/s gait speed gain
at 8 weeks
4 wk
Post-cessation gains maintained
cycling protocol
For referring neurologists: Monthly UPDRS motor re-assessments are logged to a shared clinical portal. Stride provides a structured exercise report alongside your patient's next neurology visit. No form to complete on your end.
The program schedule is one click away.
View session types, times, locations, and availability. No commitment required to look. Registration takes four minutes.
See the Program ScheduleAccepting referrals from neurologists · Classes in New York, Chicago, and Boston