Browsing by Author "Bloem, Bastiaan R."
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- Boxing with and without kicking techniques for people with Parkinson’s disease : an explorative pilot randomized controlled trialPublication . Domingos, Josefa; Lima, Ana Ligia Silva de; Steenbakkers-van der Pol, Tessa; Godinho, Catarina; Bloem, Bastiaan R.; de Vries, Nienke M.Background: People with Parkinson’s disease (PD) benefit from boxing exercise. Adding kicking variations to the boxing may provide additional benefit to improve balance. However, the benefits and adherence to such trainings is unknown. Objective: To explore the feasibility, safety, and benefits on balance of boxing training combined with kicking techniques in comparison to boxing without kicking in PD. Methods: Participants were randomized to group-based boxing training with kicking techniques (BK) or to group-based boxing alone training (BO). Both groups trained for one hour, once a week, for a period of 10 weeks. Participants were assessed at baseline and ten weeks post-intervention for difference in balance, fear of falling, balance confidence, walking ability, and quality of life. Results: Twenty-nine people with PD (median age 64 years; median disease duration 5 years) participated. Both interventions were feasible and acceptable for all participants. No adverse events occurred. Most participants (BK 80%; BO 75%) were satisfied with the training. We found no significant between group difference on either the primary (Mini-BEST) or secondary outcomes. The within group comparison showed that balance improved in both groups after the intervention (BK 22.60 (2.7) to 25.33 (2.64) p = 0.02; BO 23.09 (3.44) to 25.80 (2.39); p = 0.01 on the Mini BEST test). Conclusion: Both types of boxing seem to be feasible and safe. Adding kicking techniques to boxing does not improve balance significantly more than boxing alone. Incorporation of kicking may be a valuable addition to the exercise therapy repertoire.
- Cognitive impairment in fall-related studies in Parkinson’s DiseasePublication . Domingos, Josefa M.; Godinho, Catarina; Dean, John; Coelho, Miguel; Pinto, Anabela; Bloem, Bastiaan R.; Ferreira, Joaquim J.
- Implementation of a community-based exercise program for Parkinson patients: using boxing as an examplePublication . Domingos, Josefa; Radder, Danique; Riggare, Sara; Godinho, Catarina; Dean, John; Graziano, Mariella; Vries, Nienke M. de; Ferreira, Joaquim; Bloem, Bastiaan R.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.
- The applicability of a portable electronic falls diary to assess fall frequency in Parkinson’s diseasePublication . Domingos, Josefa; Godinho, Catarina; Dean, John; Coelho, Miguel; Guedes, Leonor Correia; Pinto, Anabela; Bloem, Bastiaan R.; Ferreira, Joaquim"Background: Although falling is a frequent occurrence in Parkinson disease, the best method(s) for measurement of falls remains unclear. Paper and electronic “falls diaries” are commonly used in health care and clinical research to assess the frequency and circumstances of falls and near fall events. However, there is a lack of objective documentation of the applicability of such diaries and limitations with respect to their use in both paper and electronic formats, which may ultimately affect the ability of these instruments to assess falls effectively."
- The European Physiotherapy Guideline for Parkinson’s Disease: translation for non-English speaking countriesPublication . Domingos, Josefa M. M.; Capato, Tamine T. C.; Almeida, Lorena R. S.; Godinho, Catarina; van Nimwegen, Marlies; Nijkrake, Maarten; de Vries, Nienke M.; Bloem, Bastiaan R.Background: The use of the European Physiotherapy Guideline for Parkinson’s Disease is limited in countries where the official language is not English.