De Hollander, Catherine, and Barnett, Fiona (2016) The efficacy of an eight week exercise and self-management education program for people with Parkinson's disease. Journal of Aging and Physical Activity, 24 (S1). S75-S75.

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Abstract

Introduction: Parkinson's disease (PD) is a chronic progressive condition which requires long-term management. Exercise is one non-medical therapy which has resulted in numerous physical, psychological, and social benefits in people with PD. In addition to the recommendation of exercise for PD, Europe has also implemented a national self-management education program called the Patient Education Parkinson's Program (PEPP). To our knowledge, no study has yet to combine these two management methods into one program for people with PD.

Methods: Five participants with PD completed the intervention. Weeks 1–4 included 2 × 1 hr weekly exercise sessions with an exercise physiologist (EP). Weeks 5–8 included 1 × 1 hr exercise session with an EP and 1 × 1 hr supervised independent exercise session weekly. Participants attended weekly group PEPP sessions. Assessments included Movement Disorder Society Unified PD Rating Scale (MDS-UPDRS), Stanford Self-Efficacy for Managing Chronic Disease Scale, physical activity level, sit-to-stand test, grip strength, Berg Balance Scale, 2-Minute Walk Test (2MWT), and 10-m gait parameters of walking. Upon completion of the program, a focus group explored the self-perceived effects, strengths, and weaknesses of the program.

Results: All participants improved motor aspects and motor examination scores (MDS-UPDRS), activity level, and 2MWT, while four participants improved their balance score. Strengths of the program included: perceived improvements in symptoms, exercising with an EP, socialising, shared identity, and cost-effectiveness. Perceived weaknesses were increases in pain, stiffness, and fatigue, independent exercise sessions, and travel. Conclusion: Exercise and self-management education is beneficial for improving physical and psychosocial wellness in people with PD.

Item ID:	43702
Item Type:	Article (Abstract)
ISSN:	1543-267X
Additional Information:	Presented at the 2016 World Congress on Active Ageing, Melbourne, VIC, Australia 28 June - 1 July, 2016.
Date Deposited:	06 Oct 2016 03:57
FoR Codes:	11 MEDICAL AND HEALTH SCIENCES > 1106 Human Movement and Sports Science > 110602 Exercise Physiology @ 50% 11 MEDICAL AND HEALTH SCIENCES > 1109 Neurosciences > 110904 Neurology and Neuromuscular Diseases @ 50%
SEO Codes:	92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920111 Nervous System and Disorders @ 100%
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