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
1.
Bandura A. Self-efficacy: The exercise of control. W.H. Freeman; 1997.
2.
Black R, Dorstyn D. A biopsychosocial model of resilience for multiple sclerosis. Journal of Health Psychology. 2015. p. 1434–44.
3.
Brinkmann S, Kvale S. InterViews learning the craft of qualitative research interviewing. Sage; 2015.
4.
Brunet J, Price J, Wurz A, Mcdonough M, Nantel J. Boxing with Parkinson’s Disease: Findings from a qualitative study using self-determination theory. Disability and Rehabilitation. 2021. p. 1–10.
5.
Chen K, Tan Y, Lu Y, Wu J, Liu X, Zhao Y. Effect of Exercise on Quality of Life in Parkinson’s Disease: A Systematic Review and Meta-Analysis. Parkinson’s Disease. 2020. p. 3257623.
6.
Da Silva F, Da Rosa Iop R, Dos Santos P, De Melo L, Filho P, Da Silva R. 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. 2016. p. 484–96.
7.
Edmunds J, Ntoumanis N, Duda J. Health-related quality of life and alternative forms of exercise in Parkinson disease. Journal of Applied Social Psychology. 2006. p. 644–8.
8.
Hoehn M, Yahr M. Parkinsonism: Onset, progression, and mortality. Neurology. 1967. p. 427–427.
9.
Jenkinson C, Fitzpatrick R, Peto V, Greenhall R, Hyman N. The Parkinson’s Disease Questionnaire (PDQ-39): Development and validation of a Parkinson’s disease summary index score. Age and Aging. 1997. p. 353–7.
10.
Lucia C, Paolo S, Francesca Z, Martina L, Roberto S, Antonino C, et al. Effects of an adapted physical activity program on motor and nonmotor functions and quality of life in patients with Parkinson’s disease. NeuroRehabilitation. 2014. p. 789–94.
11.
Mcauley E, Blissmer B. Self-efficacy determinants and consequences of physical activity. Exercise and Sport Sciences Reviews. 2000. p. 85–8.
12.
Nimwegen M, Speelman A, Hofman-Van Rossum E, Overeem S, Deeg D, Borm G, et al. Physical inactivity in Parkinson’s disease. Journal of Neurology. 2011. p. 2214–21.
13.
O’reilly F, Finnan F, Allwright S, Smith G, Ben-Shlomo Y. The effects of caring for a spouse with Parkinson’s disease on social, psychological and physical well-being. British Journal of General Practice. 1996. p. 507.
14.
Patton M. Qualitative research and evaluation methods. Sage Publications; 2002.
15.
Perepezko K, Hinkle J, Shepard M, Fischer N, Broen M, Leentjens A, et al. Social role functioning in Parkinson’s disease: A mixed-methods systematic review. International Journal of Geriatric Psychiatry. 2019. p. 1128–38.
16.
Quinn L, Busse M, Khalil H, Richardson S, Rosser A, Morris H. Client and therapist views on exercise programmes for early-mid stage Parkinson’s disease and Huntington’s disease. Disability and Rehabilitation. 2010. p. 917–28.
17.
Rodrigues De Paula F, Teixeira-Salmela L, Coelho De Morais Faria C, Rocha De Brito P, Cardoso F. Impact of an exercise program on physical, emotional, and social aspects of quality of life of individuals with Parkinson’s disease. Movement Disorders. 2006. p. 1073–7.
18.
Rosenthal L, Dorsey E. The Benefits of Exercise in Parkinson Disease. JAMA Neurology. 2013. p. 156.
19.
Sandelowski M, Barroso J. Handbook for synthesizing qualitative research. Springer Publishing Company; 2007.
20.
Santiago L, De M, De Oliveira D, De Macêdo Ferreira L, De Brito Pinto H, Spaniol A, et al. Immediate effects of adding mental practice to physical practice on the gait of individuals with Parkinson’s disease: Randomized clinical trial. NeuroRehabilitation. 2015. p. 263–71.
21.
Schrag A, Jahanshahi M, Quinn N. What contributes to quality of life in patients with Parkinson’s disease. Journal of Neurology and Neuroscience Research. 2000. p. 308–12.
22.
Stewart D, Yuen T. A Systematic Review of Resilience in the Physically Ill. Psychosomatics. 2011. p. 199–209.
23.
Šumec R, Filip P, Sheardová K, Bareš M. Psychological Benefits of Nonpharmacological Methods Aimed for Improving Balance in Parkinson’s Disease: A Systematic Review. Behavioural Neurology. 2015. p. 1–16.
24.
Sunvisson H, Ekman SL. Environmental influences on the experiences of people with Parkinson’s disease. Nursing Inquiry. 2001. p. 41–50.
25.
Sweet S, Fortier M, Strachan S, Blanchard C. Testing and integrating selfdetermination theory and self-efficacy theory in a physical activity context. Canadian Psychology/Psychologie Canadienne. 2012. p. 319–27.
26.
Teixeira P, Carraça E, Markland D, Silva M, Ryan R. Exercise, physical activity, and self-determination theory: A systematic review. International Journal of Behavioral Nutrition & Physical Activity. 2012. p. 78–107.
27.
Urell C, Zetterberg L, Hellström K, Anens E. Factors explaining physical activity level in Parkinson’s disease: A gender focus. Physiotherapy Theory and Practice. 2019. p. 1–10.
28.
Wade D, Halligan P. The biopsychosocial model of illness: A model whose time has come. Clinical Rehabilitation. 2017. p. 995–1004.
29.
How to use the ICF: A practical manual for using the International Classification of Functioning, Disability and Health (ICF). World Health Organization; 2013. p. 100.
30.
Wu PL, Lee M, Huang TT, Stevens K, Michels N, Howard H, et al. Moving beyond the physical: exploring the holistic benefits of a therapybased physical activity program for individuals with Parkinson’s disease. PLOS ONE. Exercise and Quality of Life; 2017. p. 21–30.
31.
Mla: Fasczewski K. 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. 2022. p. 21–30.
32.
Fasczewski K, Nolasco R, Stevens H, Michels J, Howard. 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. 2022. p. 21–30.
The statements, opinions and data contained in the journal are solely those of the individual authors and contributors and not of the publisher and the editor(s). We stay neutral with regard to jurisdictional claims in published maps and institutional affiliations.
,
