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Implementation of a community-based exercise program for Parkinson patients: using boxing as an example

datacite.subject.fosCiências Médicas
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorDomingos, Josefa
dc.contributor.authorRadder, Danique
dc.contributor.authorRiggare, Sara
dc.contributor.authorGodinho, Catarina
dc.contributor.authorDean, John
dc.contributor.authorGraziano, Mariella
dc.contributor.authorVries, Nienke M de
dc.contributor.authorFerreira, Joaquim
dc.contributor.authorBloem, Bastiaan R
dc.date.accessioned2025-07-16T10:50:19Z
dc.date.available2025-07-16T10:50:19Z
dc.date.issued2019-07
dc.description.abstractBackground: 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.eng
dc.identifier.citationDomingos J, Radder D, Riggare S, Godinho C, Dean J, Graziano M, de Vries NM, Ferreira J, Bloem BR. Implementation of a Community-Based Exercise Program for Parkinson Patients: Using Boxing as an Example. J Parkinsons Dis. 2019;9(3):615-623. doi: 10.3233/JPD-191616
dc.identifier.doi10.3233/JPD-191616
dc.identifier.issn1877-718X
dc.identifier.issn1877-7171
dc.identifier.issn1877-7171
dc.identifier.urihttp://hdl.handle.net/10400.26/58084
dc.language.isoeng
dc.peerreviewedyes
dc.publisherIOS Press
dc.relation.hasversionhttps://doi.org/10.3233/JPD-191616
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subjectBoxing training
dc.subjectParkinson’s disease
dc.subjectcommunity exercise
dc.subjectphysiotherapy
dc.titleImplementation of a community-based exercise program for Parkinson patients: using boxing as an exampleeng
dc.typecontribution to journal
dspace.entity.typePublication
oaire.citation.endPage623
oaire.citation.issue3
oaire.citation.startPage615
oaire.citation.titleJournal of Parkinson’s Disease
oaire.citation.volume9
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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