Browsing by Author "Dean, John"
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- Acceptability of a novel trampoline intervention in rehabilitation for Parkinson’s disease. Perceived barriers and facilitatorsPublication . Domingos, Josefa; Godinho, Catarina; Dean, John; Śmiłowska, Katarzyna; Melo, Filipe
- 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 cognitive and motor exercise hydrotherapy community-based program for individuals with Parkinson’s diseasePublication . Godinho, Catarina; Domingos, Josefa; Dean, John; Melo, Filipe
- 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.
- Is being physically active enough or do people with Parkinson’s disease need structured supervised exercise? Lessons learned from COVID-19Publication . Domingos, Josefa; Familia, Carlos; Fernandes, Júlio Belo; Dean, John; Godinho, CatarinaSocial isolation imposed by the COVID-19 pandemic negatively impacted people’s lifestyles and daily activities. In this work we compared pre- and post-pandemic clinical outcomes in people with Parkinson’s disease, to assess differences according to the type of behaviour and exercise habits adopted by participants. After two months of COVID-19 lockdown, we assessed: changes in exercise behaviour; motor and non-motor aspects of daily life experiences (MDS-UPDRS I & II); activities of daily living (The Schwab & England scale); quality of life (Parkinson Disease Questionnaire); sleep (Parkinson Disease Sleep Scale); falls; and Clinical Global Impression Change. Twenty-seven individuals aged between 57 and 92 years old participated; from these, ten individuals (37%) completely interrupted physical activities, while seventeen (63%) maintained some level of active lifestyle. Regardless of whether they remained active or not, all participants perceived a significant worsening of their clinical condition, reporting an increase in difficulties completing daily activities or chores (37%) and worsening of their health condition (51.8%). The quantifiable influence of exercise habits was borderline for the group who kept active. The active group seem to have a better self-perception of their health condition, although it was not enough to show a clear benefit. People with Parkinson’s disease should be informed that being physically active may not be enough and more structured exercise could be needed.
- A novel boot camp program to help guide personalized exercise in people with Parkinson diseasePublication . Domingos, Josefa; Dean, John; Cruickshank, Travis M.; Śmiłowska, Katarzyna; Fernandes, J. B.; Godinho, CatarinaGiven the variety of exercise programs available for people with Parkinson’s disease (PD), such individuals may struggle to make decisions about what exercise to perform. The objective of this study was to assess the usefulness, satisfaction, and preferences regarding participation in a PD-personalized educational and exercise boot camp program. Attendees participated in a four-day program consisting of exercise sessions, workshops, and social activities. We collected demographic and clinical information. We assessed satisfaction and preferences immediately after. At one-month follow-up, participants assessed usefulness and changes in exercise habits. Eight individuals diagnosed with PD, with a mean age of 59.5 ± 6.8 years, participated. All participants felt “very satisfied” and likely to attend future events. The two favorite sessions were: cognitive stepping and dance-based movements. At one-month follow-up, participants considered the program “very useful” and reported changes in their exercise routine. Our results suggest that the boot camp program was considered useful and capable of influencing participants’ exercise habits.
- Professionals’ self-reported difficulties towards integrating dual task training in care for people with Parkinson’s DiseasePublication . Domingos, Josefa; Dean, John; Fernandes, Júlio Belo; Godinho, CatarinaBackground: Despite the growing use of dual task training (DTT) in clinical practice with people with Parkinson Disease (PD), there is still limited evidence on how to best implement it. Data regarding professionals’ difficulties when integrating such practices are critical as a first step to generate further guidance on how to apply it. The aim of this study was to identify the difficulties perceived by professionals to integrate dual task in their practice. Methods: A descriptive, observational and cross-sectional study was conducted using a web-based survey. Convenience sampling was used to recruit exercise and healthcare professionals working with people with PD through various social media channels. Data were collected and then analyzed thematically using the method of constant comparisons. The study report follows the consolidated criteria for reporting qualitative research (COREQ) checklist. Results: Of the 205 eligible responses, 68.8% were Physiotherapist. The majority of the participants reported having Parkinson-specific training (91.7%) and 59.0% applied DTT in individual one-on-one sessions. We identified ten categories of difficulties faced by professionals. Conclusions: Professionals struggle to integrate DTT into PD clinical care. Challenges were identified and the most significant refer to difficulties in managing the chronicity of the disease and lack of patient compliance with home exercises. Understanding current challenges towards dual task exercise will help to reflect upon strategies to be applied effectively and safe.
- Professionals’ self-reported difficulties towards integrating dual task training in care for people with Parkinson’s diseasePublication . Domingos, Josefa; Dean, John; Fernandes, Júlio Belo; Godinho, CatarinaBackground: Despite the growing use of dual task training (DTT) in clinical practice with people with Parkinson Disease (PD), there is still limited evidence on how to best implement it. Data regarding professionals’ difficulties when integrating such practices are critical as a first step to generate further guidance on how to apply it. The aim of this study was to identify the difficulties perceived by professionals to integrate dual task in their practice.
- Proliferation of community exercise programs with limited evidence and expertise: safety implicationsPublication . Domingos, Josefa; Dean, John; Melo, Filipe; Godinho, Catarina
- The applicability of a multitask boxing program using the BoxMaster ® for Parkinson’s diseasePublication . Domingos, Josefa; Loureiro, Rita; Godinho, Catarina; Dean, John; Ferreira, Joaquim J."Objective: To test the applicability of a multitasking boxing program using the BoxMaster® in individuals with Parkinson’s disease that combines motor, cognitive and vocal exercises."