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Effects of a community-based recreational therapy balance exercise program for individuals with Parkinson’s disease

Brandt Auston Brickell, MS, CTRS, Tim Passmore, EdD, CTRS/L, FDRT, Michelle Bateman, PhD, CTRS/L, EP-C, Sabiha Parveen, PhD, CCC-SLP, Donna Lindenmeier, PhD, Chad Romoser, MS, CTRS

Abstract


Parkinson’s disease (PD) is a neurodegenerative disease, which produces motor symptoms that increase the fall risk to those individuals living with PD. The focus of this study is the application of recreational therapy static and dynamic balance interventions with the aim to maintain and improve the balance, feelings of safety associated with risk of falling, and overall functioning for individuals living independently in the community with PD. The results of this study indicate that the recreational therapy interventions aided individuals living independently in the community and the ability to maintain their current level of independence. The lack of statistical significance provides insight to recreational therapy interventions, which were successful in maintaining function.


Keywords


Parkinson’s disease, neurodegenerative, recreational therapy, exercise, balance

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References


Karlsen KH, Tandberg E, Arsland D, et al.: Health and related quality of life in Parkinson’s disease: A prospective longitudinal study. J Neurol Neurosurg Psychiatr. 2000; 69: 584-589.

Parkinson’s Outcome Project: Parkinson’s Foundation. Available at https://parkinson.org/research/Parkinsons-Outcomes-Project. Accessed August 23, 2020.

Porter HR, Wiggins BP, Haynes N: Parkinson’s disease. In Porter HR (ed.): Recreational Therapy for Specific Diagnoses and Conditions. Enumclaw, WA: Idyll Arbor, Inc., 2015: 295-308.

Tysnes OB, Storstein A: Epidemiology of Parkinson’s disease. J Neural Transm. 2017; 124: 901-905.

De Lau LML, Breteler MM: Epidemiology of Parkinson’s disease. Lancet. 2006; 5(6): 525-535.

Plotnik M, Giladi N, Dagan Y, et al.: Postural instability and fall risk in Parkinson’s disease: Impaired dual tasking, pacing, and bilateral coordination of gait during the “on” medication state. Exp Brain Res. 2011; 210: 529-538.

Marras C, Beck JC, Bower JH, et al.: Prevalence of Parkinson’s disease across North America. NPJ Parkinson’s Dis. 2018; 4. Article no. 21.

Breckenridge CB, Berry C, Chang ET, et al.: Association between Parkinson’s disease and cigarette smoking, rural living, well-water consumption, farming and pesticide use: Systematic review and meta-analysis. PLoS One. 2016; 11(4): e0151841.

Elbaz A, Tranchant C: Epidemiologic studies of environmental exposures in Parkinson’s disease. J Neurol Sci. 2007; 262(1): 37-44.

Lee H, Myung W, Kim DK, et al.: Short-term air pollution exposure aggravates Parkinson’s disease in a population-based cohort. Sci Rep. 2017; 7(2017). Article number: 44741.

Ritz B, Lee PC, Hansen J, et al.: Traffic-related air pollution and Parkinson’s disease in Denmark: A case-control study. Environ Health Perspect. 2016; 124: 351-356.

Walker RW, Hand A, Jones C, et al.: The prevalence of Parkinson’s disease in rural area of North-East England. Parkinsonism Relat Disord. 2010; 16(9): 572-575.

Wan N, Lin G: Parkinson’s disease and pesticides exposure: New findings from a comprehensive study in Nebraska, USA. J Rural Health. 2016; 32(3): 303-313.

Farely BG, Fox CM, Ramig LO, et al.: Intensive amplitude- specific therapeutic approaches for Parkinson’s disease: Toward a neuroplasticity-principled rehabilitation model. Top Geriatr Rehabil. 2008; 24(2): 99-114.

Combs SA, Diehl MD, Chrzastowski C, et al.: Community-based group exercise for persons with Parkinson disease: A randomized controlled trial. NRE. 2013; 32(1): 117-124.

Poliakoff E, Galpin AJ, McDonald K, et al.: The effect of gym training on multiple outcomes in Parkinson’s disease: A pilot randomised waiting-list controlled trial. NRE. 2013; 32(1): 125-134.

Passmore T, DeVries D, Kavanaugh T, et al.: Coverage of Recreational Therapy: Rules and Regulations. 3rd ed. Hattiesburg, MS: American Therapeutic Recreation Association, 2016.

Conradsson D, Lofgren N, Stahle A, et al.: A novel conceptual framework for balance training in Parkinson’s disease- study protocol for a randomized controlled trial. BMC Neurol. 2012; 12: 111. DOI: 10.1186/1471-2377-12-111.

Mak MK, Wong-Yu IS, Shen X, et al.: Long-term effects of exercise and physical therapy in people with Parkinson disease. Nat Rev Neurol. 2017; 13: 689-703.

Petzinger GM, Fisher BE, Van Leeuwen J, et al.: Enhancing neuroplasticity in the basal ganglia: The role of exercise in Parkinson’s disease. Mov Disord. 2010; 25(S1): S141-S145.

Petzinger GM, Holschneider DP, Fisher BE, et al.: The effects of exercise on dopamine neurotransmission in Parkinson’s disease: Targeting neuroplasticity to modulate basal ganglia circuitry. BPL. 2015; 1(1): 29-39.

Agiovlasitis S, Baynard T, Bryant MS, et al.: Exercise prescription for other clinical populations. In Riebe D, Ehrman JK, Liguori G, et al. (eds.): ACSM’s Guidelines for Exercise Testing and Prescription. 10th ed. Philadelphia, PA: Wolters Kluwer, 2018: 348-355.

Van der Kolk NM, King LA: Effects of exercise on mobility in people with Parkinson’s disease. Mov Disord. 2013; 28(11): 1587-1596.

Dibble LE, Lange M: Predicting falls in individuals with Parkinson’s disease a reconsideration of clinical balance measures. J Neurol Phys Ther. 2006; 30(2): 60-67.

Dibble LE, Christensen J, Ballard DJ, et al.: Diagnosis of fall risk in Parkinson’s disease: An analysis of individual and collective clinical balance test interpretation. Phys Ther. 2008; 88(3): 323-332.

Dibble LE, Addison O, Papa E: The effects of exercise on balance in persons with Parkinson’s disease: A systematic review across the disability spectrum. J Neurol Phys Ther. 2009; 33(1): 14-26.

Garber CE, Blissmer B, Deschenes MR, et al.: American college of sports medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: Guidance for prescribing exercise. Med Sci Sports Exer. 2011; 43(7): 1334-1359.

Morris ME, Martin CL, Schenkman ML: Striding out with Parkinson’s disease: Evidence-based physical therapy for gait disorders. Phys Ther. 2010; 90(2): 280-288.

Morris ME: Locomotor training in people with Parkinson’s disease. Phys Ther. 2006; 86(1): 1426-1435. 30. Fritz NE, Cheek FM, Nichols-Larsen DS: Motor-cognitive dual-task training in neurological disorders: A systematic review. J Neurol Phys Ther. 2015; 39(3): 142-153.

Kelly VE, Eusterbrock AJ, Shumway-Cook A: A review of dual-task walking deficits in people with Parkinson’s disease: Motor and cognitive contributions, mechanisms, and clinical implications. Parkinsons Dis. 2012; 2012: 918719. DOI: 10.1155/2012/918719.

Passmore T, Lane S: Exercise as treatment for depression: A therapeutic recreation intervention. Am J Recreat Ther. 2006; 5(3): 31-41.

Passmore T, Gbur T, Lindenmeier L, et al.: Warmwater—A recreational therapy intervention: A case report. Am J Recreat Ther. 2018; 17(1): 21.

Passmore T, Cho D, Lindenmeier L, et al.: Effects of resistance band exercise & reported life satisfaction with older adults residing in a long-term care facility. Am J Recreat Ther. 2019; 7(4). DOI: 10.5055/ajrt.2018.0171.

Austin DR, Crawford ME, McCormick BP, et al.: Recreational Therapy: An Introduction. Ubana, IL: Sagamore Publishing, 2015.

Crew A, Petrosky J, Byrnes K, et al.: The effects of Tai Chi on physical functioning in older adults with Parkinson’s disease. Ther Recreat J. 2015; 49(1): 80-83.

Puymbroeck MV, Walter AA, Hawkins BL, et al.: Functional improvements in Parkinson’s disease following a randomized trial of yoga. Evidence-Based Complement Alternat Med. 2018; 2018: 1-1.

Bateman M, Parveen S, Brickell BA, et al.: Effects of recreational therapy and speech therapy among participants with Parkinson disease and Parkinson plus conditions: Findings from a 16-week multidisciplinary program. Am J Recreat Ther. 2020. DOI: 10.5055/ajrt.2020.0213.

Horak FB, Wrisley DM, Frank J: The balance evaluation systems test (BESTest) to differentiate balance deficits. Phys Ther. 2009; 89(5): 484-498.

Schoneburg B, Mancini M, Horak F, et al.: Framework for understanding balance dysfunction in Parkinson’s disease. Mov Disord. 2013; 28(11): 1474-1482.

Sparrow D, DeAngelis TR, Hendron K, et al.: Highly challenging balance program reduces fall rate in Parkinson’s disease. J Neurol Phys Ther. 2016; 40(1): 24-30.

Finn JA, Alvarex MM, Jett RE, et al.: Biodex balance assessment among subjects of disparate balancing abilities. Presented at 1999 American college of sports medicine annual meeting. In Balance System SD Operation/Service Manual. Shirley, NY: Biodex Medical Systems, Inc, 1999.

Parraca JA, Olivares PR, Carbonell-Baeza A, et al.: Test-retest reliability of biodex balance SD on physically active old people. JHSE. 2011; 6(2): 444-451.

Pickerill ML, Harter RA: Validity and reliability of limits-of-stability testing: A comparison of 2 postural stability evaluation devices. J Athletic Train. 2011; 46(6): 600-606.

Hoehn MM, Yahr MD: Parkinsonism onset, progression, and mortality. Neurology. 1967; 17(5): 427-442.

Zhao YJ, Wee HL, Chan Y, et al.: Progression of Parkinson’s disease as evaluated by Hoehn and Yahr stage transition times. Mov Disord. 2010; 25(6): 710-716.




DOI: https://doi.org/10.5055/ajrt.2022.0261

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