Swimming Safety Checklist: For People with Parkinson’s & their care partners

1. Pre-Swim Preparation

• [ ] Physician Clearance: Has the swimmer discussed aquatic exercise with their neurologist?

• [ ] DBS Review: If the swimmer has Deep Brain Stimulation, have they been warned that "land success" does not always equal "water safety"?

• [ ] The "Buddy" Rule: Is there a dedicated person in the water or on the deck specifically watching this swimmer? (Never swim alone).

2. Entry & Environment

• [ ] Safe Access: Use a ramp or stairs with a handrail. Avoid ladders or diving.

• [ ] Depth Check: Ensure the swimmer stays in "chest-deep" water or remains close to the pool edge.

• [ ] Lifeguard Brief: Has the on-duty lifeguard been notified about the swimmer’s condition?

3. Mobility & Coordination Assessment

• [ ] Horizontal Stability: Can the swimmer maintain a flat position without their legs sinking?

• [ ] Stroke Sync: Are the arms and legs moving in a coordinated rhythm?

• [ ] Treading Water: Can the swimmer keep their head above water for 30 seconds without assistance?

• [ ] Breathing: Is the swimmer able to time their breaths without gasping or swallowing water?

4. Warning Signs (Stop Immediately if:)

• [ ] Swimmer is struggling to stay horizontal.

• [ ] Movements become excessively "small" or "frozen."

• [ ] Sudden loss of coordination (common with DBS settings).

• [ ] Increased tremors or visible fatigue.

💡 Why This Matters

• The Benefit: Water reduces fall risk and builds strength/posture.

• The Risk: Nearly 50% of Parkinson’s swimmers in a major study reported near-drowning experiences due to sudden coordination loss.

• The DBS Factor: Deep Brain Stimulation can improve walking but may "short-circuit" the complex coordination needed for swimming. Always re-test skills after a DBS adjustment.