In individuals diagnosed with Parkinson’s Disease (PD), a chronic neurodegenerative disorder affecting movement and functionality, therapy-based physical activity (PA) that includes repetitive, quick motions benefits physical and cognitive functioning and can positively impact the disease course. Furthermore, the benefits of therapeutic PA participation may extend beyond physiological outcomes by positively influencing social and psychological well-being, thus increasing the overall quality of life (QoL). The current research examined a regional healthcare system-supported group therapeutic boxing/PA program for PD using a biopsychosocial lens to synthesize the holistic benefits of long-term program participation. Researchers conducted semi-structured focus group interviews with program participants (n = 18) and their caregivers (n = 7) to explore the perceived benefits of a combination boxing/PA program that included 30 minutes of boxing and 30 minutes of an alternate rotating PA 1-3 times per week. Results indicated a positive impact on participants’ and caregivers’ QoL by increasing socialization and empowerment and improving/maintaining physical function. These results demonstrate the importance of using a biopsychosocial approach in program design and evaluation of PA-based PD interventions. In addition to addressing PD-specific physical needs, PA programs should be constructed to include supportive social atmospheres and consider non-physical needs and overall QoL outcomes of patients and caregivers.
References
Bandura, A. (1997). Self-efficacy: The exercise of control.
Black, R., & Dorstyn, D. (2015). A biopsychosocial model of resilience for multiple sclerosis. Journal of Health Psychology, 11, 1434–1444. https://doi.org/10.1177/1359105313512879
Brinkmann, S., & Kvale, S. (2015). InterViews learning the craft of qualitative research interviewing. 3.
Brunet, J., Price, J., Wurz, A., Mcdonough, M., & Nantel, J. (2021). Boxing with Parkinson’s Disease: Findings from a qualitative study using self-determination theory. Disability and Rehabilitation, 1–10. https://doi.org/10.1080/09638288.2021.1891465
Chen, K., Tan, Y., Lu, Y., Wu, J., Liu, X., & Zhao, Y. (2020). Effect of Exercise on Quality of Life in Parkinson’s Disease: A Systematic Review and Meta-Analysis. Parkinson’s Disease, 3257623. https://doi.org/10.1155/2020/3257623
Da Silva, F., Da Rosa Iop, R., Dos Santos, P., De Melo, L., Filho, P., & Da Silva, R. (2016). Effects of Physical-Exercise-Based Rehabilitation Programs on the Quality of Life of Patients with Parkinson’s Disease: A Systematic Review of Randomized Controlled Trials. Journal of Aging and Physical Activity, 3, 484–496. https://doi.org/10.1123/japa.2015-0162
Edmunds, J., Ntoumanis, N., & Duda, J. (2006). Health-related quality of life and alternative forms of exercise in Parkinson disease. Journal of Applied Social Psychology, 9, 644–648. https://doi.org/10.1111/j.0021-9029.2006.00102
Fasczewski, K., Nolasco, R., Stevens, H., Michels, J., & Howard. (2022). Moving beyond the physical: exploring the holistic benefits of a therapy-based physical activity program for individuals with Parkinson’s disease. Exercise and Quality of Life, 2, 21–30.
Hoehn, M., & Yahr, M. (1967). Parkinsonism: Onset, progression, and mortality. Neurology, 5, 427–427. https://doi.org/10.1212/WNL.17.5.427
How to use the ICF: A practical manual for using the International Classification of Functioning, Disability and Health (ICF). (2013). 100.
Jenkinson, C., Fitzpatrick, R., Peto, V., Greenhall, R., & Hyman, N. (1997). The Parkinson’s Disease Questionnaire (PDQ-39): Development and validation of a Parkinson’s disease summary index score. Age and Aging, 5, 353–357. https://doi.org/10.1093/ageing/26.5.353
Lucia, C., Paolo, S., Francesca, Z., Martina, L., Roberto, S., Antonino, C., & Giuseppe, M. (2014). Effects of an adapted physical activity program on motor and nonmotor functions and quality of life in patients with Parkinson’s disease. NeuroRehabilitation, 4, 789–794. https://doi.org/10.3233/NRE-141162
Mcauley, E., & Blissmer, B. (2000). Self-efficacy determinants and consequences of physical activity. Exercise and Sport Sciences Reviews, 2, 85–88.
Mla: Fasczewski, K. (2022). Moving beyond the physical: exploring the holistic benefits of a therapy-based physical activity program for individuals with Parkinson’s disease. Exercise and Quality of Life, 21–30.
Nimwegen, M., Speelman, A., Hofman-Van Rossum, E., Overeem, S., Deeg, D., Borm, G., & Munneke, M. (2011). Physical inactivity in Parkinson’s disease. Journal of Neurology, 12, 2214–2221. https://doi.org/10.1007/s00415-011-6097-7
O’reilly, F., Finnan, F., Allwright, S., Smith, G., & Ben-Shlomo, Y. (1996). The effects of caring for a spouse with Parkinson’s disease on social, psychological and physical well-being. British Journal of General Practice, 410, 507.
Patton, M. (2002). Qualitative research and evaluation methods. 3.
Perepezko, K., Hinkle, J., Shepard, M., Fischer, N., Broen, M., Leentjens, A., & Pontone, G. (2019). Social role functioning in Parkinson’s disease: A mixed-methods systematic review. International Journal of Geriatric Psychiatry, 8, 1128–1138. https://doi.org/10.1002/gps.5137
Quinn, L., Busse, M., Khalil, H., Richardson, S., Rosser, A., & Morris, H. (2010). Client and therapist views on exercise programmes for early-mid stage Parkinson’s disease and Huntington’s disease. Disability and Rehabilitation, 11, 917–928. https://doi.org/10.3109/09638280903362712
Rodrigues De Paula, F., Teixeira-Salmela, L., Coelho De Morais Faria, C., Rocha De Brito, P., & Cardoso, F. (2006). Impact of an exercise program on physical, emotional, and social aspects of quality of life of individuals with Parkinson’s disease. Movement Disorders, 8, 1073–1077. https://doi.org/10.1002/mds.20763
Rosenthal, L., & Dorsey, E. (2013). The Benefits of Exercise in Parkinson Disease. JAMA Neurology, 2, 156. https://doi.org/10.1001/jamaneurol.2013.772
Sandelowski, M., & Barroso, J. (2007). Handbook for synthesizing qualitative research.
Santiago, L., De, M., De Oliveira, D., De Macêdo Ferreira, L., De Brito Pinto, H., Spaniol, A., De Lucena Trigueiro, L., & Lindquist, A. (2015). Immediate effects of adding mental practice to physical practice on the gait of individuals with Parkinson’s disease: Randomized clinical trial. NeuroRehabilitation, 2, 263–271. https://doi.org/10.3233/NRE-151259
Schrag, A., Jahanshahi, M., & Quinn, N. (2000). What contributes to quality of life in patients with Parkinson’s disease. Journal of Neurology and Neuroscience Research, 308–312.
Stewart, D., & Yuen, T. (2011). A Systematic Review of Resilience in the Physically Ill. Psychosomatics, 3, 199–209. https://doi.org/10.1016/j.psym.2011.01.036
Šumec, R., Filip, P., Sheardová, K., & Bareš, M. (2015). Psychological Benefits of Nonpharmacological Methods Aimed for Improving Balance in Parkinson’s Disease: A Systematic Review. Behavioural Neurology, 1–16. https://doi.org/10.1155/2015/620674
Sunvisson, H., & Ekman, S.-L. (2001). Environmental influences on the experiences of people with Parkinson’s disease. Nursing Inquiry, 1, 41–50. https://doi.org/10.1046/j.1440-1800.2001.00089.x
Sweet, S., Fortier, M., Strachan, S., & Blanchard, C. (2012). Testing and integrating selfdetermination theory and self-efficacy theory in a physical activity context. Canadian Psychology/Psychologie Canadienne, 4, 319–327. https://doi.org/10.1037/a0030280
Teixeira, P., Carraça, E., Markland, D., Silva, M., & Ryan, R. (2012). Exercise, physical activity, and self-determination theory: A systematic review. International Journal of Behavioral Nutrition & Physical Activity, 1, 78–107. https://doi.org/10.1186/1479-5868-9-78
Urell, C., Zetterberg, L., Hellström, K., & Anens, E. (2019). Factors explaining physical activity level in Parkinson’s disease: A gender focus. Physiotherapy Theory and Practice, 1–10. https://doi.org/10.1080/09593985.2019.1630875
Wade, D., & Halligan, P. (2017). The biopsychosocial model of illness: A model whose time has come. Clinical Rehabilitation, 8, 995–1004. https://doi.org/10.1177/0269215517709890
Wu, P.-L., Lee, M., Huang, T.-T., Stevens, K., Michels, N., Howard, H., & J. (2017). Moving beyond the physical: exploring the holistic benefits of a therapybased physical activity program for individuals with Parkinson’s disease. PLOS ONE, 7, 21–30. https://doi.org/10.1371/journal.pone.0181515
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