Ask an Expert: Allie Saks Discusses the Numerous Benefits of the Pedaling for Parkinson’s™ Program
Allie Saks has been a driving force in bringing innovative, evidence-informed exercise programs to people living with Parkinson’s disease (PD) in British Columbia. In 2016, she became Vancouver’s first certified Rock Steady Boxing (RSB) coach. This year marks ten years of her leadership in delivering and growing the program locally.
As a registered Occupational Therapist, Allie has combined her clinical expertise with specialized training in both RSB and Parkinson Wellness Recovery (PWR!) to deliver dynamic, tailored classes that support strength, balance, mobility, and overall quality of life. In addition to her work with RSB, Allie also helped launch Vancouver’s first Pedaling for Parkinson’s™ program, further expanding access to effective, research-based exercise options for people living with Parkinson’s.
Her programs provide more than physical benefits; they create a welcoming, non-clinical environment where participants build confidence, connection, and resilience. Through careful assessment and personalized adaptations, she ensures each participant can engage safely and meaningfully, regardless of experience or ability.
Please tell us about the Pedaling for Parkinson’s™ program – how did it begin, and what inspired you to get involved personally?
In 2003, neuroscientist Dr. Jay Alberts and Cathy Frazier, who lives with Parkinson’s disease, rode a tandem bike during a multi-day ride across Iowa. Cathy noticed a dramatic reduction in her symptoms, saying she felt like she “didn’t have Parkinson’s anymore.” This experience sparked research into the effects of high-cadence cycling (meaning pedaling at a faster-than-normal rate, typically 90+ revolutions per minute) on Parkinson’s symptoms. With support from the Davis Phinney Foundation in 2009, Dr. Alberts developed a structured cycling protocol. Early clinical success led to the creation of community-based Pedaling for Parkinson’s™ classes.
By 2013, the program expanded nationwide and is now delivered by trained instructors to support people with Parkinson’s in living well today. I was inspired to get involved because of my personal passion for cycling and through my work as an Occupational Therapist and Head Coach at Rock Steady Boxing Vancouver, where I see daily how targeted, evidence-informed exercise improves quality of life for people with PD.
What are the benefits of cycling for Parkinson’s disease? What does the current research say about its benefits?
The Pedaling for Parkinson’s™ program is informed by research demonstrating that consistent, high-cadence cycling can help reduced PD symptoms. Research has shown the participants who ride three days per week over eight weeks have shown improvement in their PD-related symptoms by as much as 35%.
For over 17 years, Dr. Alberts and his team at the Cleveland Clinic have studied the impact of forced and high-intensity aerobic exercise on people living with PD. Their findings include improved motor function, better cognitive performance, reduced symptoms severity, and enhanced quality of life.
Can you walk us through a typical class, from warm-up to cool-down? What can participants expect in terms of structure, class size, and the kind of real-time feedback or guidance they receive during the session?
The warm-up generally features gentle pedaling to gradually increase heart rate, with a focus on posture, breathing, and smooth movement.
The main set usually features structured intervals using cadence, resistance, and rhythm, with an emphasis on consistency, symmetry, and effort rather than competition.
The cool-down usually has a gradual slowing of pace, stretching, and body awareness.
Class sizes are usually a small group format to allow individualized attention (approximately five to eight individuals per class, with a maximum of 12).
Coaching offers real-time verbal cues and feedback, with ongoing posture, cadence, and effort adjustments. We make sure to have plenty of encouragement and education throughout the session.
We always make it FUN – we play upbeat, motivating, feel-good music and we take song requests!
How does Pedaling for Parkinson’s™ differ from other forms of exercise for PD, such as boxing, tai chi, or dance?
Cycling is low-impact and joint-friendly, and is primarily seated, making it an accessible way for individuals with balance challenges to get their heart rate up. Compared to boxing, dance, or tai chi, there is less emphasis on complex choreography or standing balance, and a greater focus on rhythmic, repetitive cardio. It complements other PD programs rather than replacing them –many participants combine cycling with boxing, strength training, or balance work!
As an instructor, what has surprised or inspired you the most while leading these classes?
It’s been incredibly inspiring to watch participants grow more confident in their bodies, especially seeing those who were hesitant at first become consistent, committed riders. There’s also such a strong sense of community and encouragement in every class – we have so much FUN riding together! Some of our participants have even started their own support group and meet monthly. Improvements extend beyond the classes as well, such as better walking endurance or increased daily activity.
What adaptations or modifications are available for riders with balance challenges, mobility limitations, or varying fitness levels?
Resistance and cadence are tailored to individual ability – you are in charge of your bike and how hard you can or want to work. There is always the option for slower pacing, shorter intervals, and frequent rest breaks. We also ensure ongoing adjustments based on how participants are feeling that day and put an emphasis on “meeting people where they are.”
Are there individuals with Parkinson’s for whom Pedaling for Parkinson’s™ classes may not be suitable? How can someone determine whether it’s a good fit for them?
Individuals with unstable cardiac conditions, severe orthopedic pain not tolerated with cycling, or medical restrictions on aerobic exercise may not be suitable for the classes. Riders must be able to get onto their stationary bike with minimal assistance and pedal for 45 minutes. Participants are encouraged to speak with their healthcare provider if unsure, and start slowly and build gradually. A trial class is often the best way to determine fit!
What encouragement or advice would you give to someone who feels nervous about starting an exercise program, or who hasn’t exercised in years?
You are welcome to have a carepartner participate in the class with you – free of charge! It’s also never too late to begin moving – always remember that “Movement is Medicine!”
You do not need prior fitness or cycling experience, as most of our riders started as beginners having never done a cycling class before. Be assured that Parkinson’s-specific programs are designed to be supportive and adaptable. The hardest part is often just showing up the first time.
If individuals would like to try Pedaling for Parkinson’s™, where can they learn more and sign up?
Classes are currently being offered at the Jewish Community Centre (JCC) at 950 W 41st Ave, Vancouver, BC, on Tuesdays from 12:30 – 1:15pm until June 16, 2026.
We will be taking a break for July and August, but classes will resume in September!
Stay tuned for the upcoming fall schedule. For more information or to join a class, please email vancouver@rsbaffiliate.com
Is there anything else you would like to add?
Exercise is one of the most empowering tools people with Parkinson’s have. Movement, when done safely and intentionally, can truly change how people live with Parkinson’s disease. Programs like Pedaling for Parkinson’s™ provide not just physical benefits, but connection, confidence, and hope. We hope to see you at one of our upcoming classes!
This content was published in the Summer 2026 edition of our quarterly magazine, Viewpoints. The content was accurate as of this publication date.