Ramos Linnette, Watson Jessica, Macalintal Ryan, Ellis Carrie
Department of Sport and Exercise Physiology, DeSales University, USA.
Doctor of Physical Therapy Department, DeSales University, USA.
Int J Exerc Sci. 2024 Nov 1;17(3):1493-1503. doi: 10.70252/IHKW5009. eCollection 2024.
Various exercise types may slow disease progression and improve physical function for people with Parkinson's disease (PWP), including community-based boxing programs (CBP). Recent research suggests that high-intensity exercise may result in greater benefits for PWP. Participants in CBP, which are typically self-paced, may not be reaching this optimal intensity. This study examines if it is feasible and beneficial for PWP to perform high-intensity exercise in a CBP. Seven subjects diagnosed with Parkinson's disease participated in a multimodal CBP twice a week for six weeks while wearing heart rate (HR) monitors to help maintain an HR of 70-85% of the age-predicted maximum. Subjects completed pre- and post-testing, including Functional Gait Assessment (FGA), Five Time Sit to Stand (5xSTS), Timed Up and Go (TUG), and Activities-Specific Balance Confidence Scale (ABC). Data were analyzed using descriptive statistics, and paired-sample t-tests were used to evaluate improvements (p <0.05) from baseline. Both Cohen's d and minimally clinically important difference (MCID) were used to evaluate effect size and efficacy. Subjects completed 37.99±8.20 minutes of high-intensity interval training (HIIT) exercise. Results demonstrated significant improvement in FGA, TUG, and 5xSTS with large effect sizes and surpassing the MCID for the FGA and 5XSTS. It is feasible for PWP to perform high-intensity exercise in a CBP, which may improve balance and functional strength.
各种运动类型可能会减缓帕金森病患者（PWP）的疾病进展并改善其身体功能，包括社区拳击项目（CBP）。最近的研究表明，高强度运动可能会给PWP带来更大的益处。CBP项目的参与者通常是自主节奏运动，可能无法达到这种最佳强度。本研究探讨了PWP在CBP中进行高强度运动是否可行且有益。七名被诊断为帕金森病的受试者每周参加两次多模式CBP，为期六周，同时佩戴心率（HR）监测器，以帮助将心率维持在年龄预测最大心率的70 - 85%。受试者完成了测试前和测试后的评估，包括功能性步态评估（FGA）、五次坐立试验（5xSTS）、计时起立行走测试（TUG）和特定活动平衡信心量表（ABC）。数据采用描述性统计进行分析，并使用配对样本t检验来评估与基线相比的改善情况（p <0.05）。同时使用科恩d值和最小临床重要差异（MCID）来评估效应大小和疗效。受试者完成了37.99±8.20分钟的高强度间歇训练（HIIT）运动。结果表明，FGA、TUG和5xSTS有显著改善，效应大小较大，且FGA和5XSTS超过了MCID。PWP在CBP中进行高强度运动是可行的，这可能会改善平衡和功能力量。
