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Implementation of a Community-Based Exercise Program for Parkinson Patients: Using Boxing as an Example.


ABSTRACT:

Background

Persons with Parkinson's disease (PD) benefit from continuous exercise through participation in community-based exercise programs. However, community programs often lack PD-specific knowledge needed to provide safe and adequately dosed exercise.

Objective

To evaluate the acceptability and safety of a PD-specific boxing program in the community.

Methods

We developed specific educational resources to facilitate the boxing instructors. We also organized an educational and practical workshop for patients (n?=?26) and instructors (n?=?10), and assessed: (a) participants' satisfaction; (b) instructors' appreciation of the educational resources; and (c) numbers of patients interested in participating in the boxing program. After 18 months, patients and instructors completed a questionnaire evaluating: (a) participants' satisfaction; (b) adverse events; (c) facilitators and barriers; and (d) proportion of participants at follow-up.

Results

Twenty-six persons with PD (62% men) and 10 boxing instructors participated in the workshop. 81% of patients and 80% of instructors were very satisfied. Instructors found the educational materials "very helpful" (60%) or "helpful" (40%). Patients expressed a clear interest (54%) or possible interest (46%) in the program. We initiated classes with 10 participants. At 18-months follow-up, the program consisted of four boxing sessions/week, led by three instructors, with 40 participants. Seventeen patients responded to the questionnaire at follow-up. Participants were "very satisfied" (53%), "satisfied" (35%) and neither satisfied nor unsatisfied (12%) with the program. Adverse effects were mild (e.g., muscle aches). Transportation and physical disability were the main barriers for participation.

Conclusions

The boxing program was well-received, with increasing numbers of participants at 18 months. The educational resources can support boxing instructors participating in current and future boxing classes being delivered in the community.

SUBMITTER: Domingos J 

PROVIDER: S-EPMC6839476 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature

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Publications

Implementation of a Community-Based Exercise Program for Parkinson Patients: Using Boxing as an Example.

Domingos Josefa J   Radder Danique D   Riggare Sara S   Godinho Catarina C   Dean John J   Graziano Mariella M   de Vries Nienke M NM   Ferreira Joaquim J   Bloem Bastiaan R BR  

Journal of Parkinson's disease 20190101 3


<h4>Background</h4>Persons with Parkinson's disease (PD) benefit from continuous exercise through participation in community-based exercise programs. However, community programs often lack PD-specific knowledge needed to provide safe and adequately dosed exercise.<h4>Objective</h4>To evaluate the acceptability and safety of a PD-specific boxing program in the community.<h4>Methods</h4>We developed specific educational resources to facilitate the boxing instructors. We also organized an education  ...[more]

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