scholarly journals A Survey Of Perceived Barriers And Motivators Towards Exercise Among People With Parkinson’s Disease In Malaysia

2021 ◽  
Vol 20 (3) ◽  
Author(s):  
Rajkumar Krishnan Vasanthi ◽  
Alfonsa Choo Kher Ying
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Fear Of Falling ◽  
Perceived Barriers ◽  
Cross Sectional Survey ◽  
Exercise Participation ◽  
Validated Questionnaire ◽  
Exercise Barriers ◽  
Bad Weather ◽  
Barriers And Motivators

INTRODUCTION: Considerable amount of evidence supports that exercise plays a vital role in maintaining and slowing Parkinson's disease (PD) progression. However, some people with PD have remained sedentary for undefined reasons. Therefore, the perceived barriers and motivators towards exercise among people with PD among Malaysian were investigated. METHODS: A cross-sectional survey was conducted using a self-developed and validated questionnaire distributed to forty-seven people with PD in a non[1]governmental organisation to determine exercise barriers and motivators. RESULTS: The exercise motivators in the study were having an exercise instructor (83.0%), exercise makes them feel healthier and more energetic (83.0%), and constant encouragement from family and friends (80.9%). The exercise barriers reported in this study were fatigue (40.4%) fear of falling (34%), bad weather (38.2%), and lack of transportation (31.9%). CONCLUSION: The study concluded that people with PD exercised because it makes them feel healthier and more energetic. Besides that, having an exercise instructor and being encouraged by family and friends reported being exercise motivators among the people in this study. The exercise barriers reported in this study were fatigue, bad weather, fear of falling, and lack of transportation. These findings should be taken into consideration when developing strategies and health interventions to improve exercise participation for people with PD.

scholarly journals A Comparison of Pain between Parkinson’s Disease and Multiple System Atrophy: A Clinical Cross-Sectional Survey

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
He-Yang You ◽  
Lei Wu ◽  
Hai-Ting Yang ◽  
Chen Yang ◽  
Xiao-Ling Ding
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Multiple System Atrophy ◽  
Rating Scale ◽  
Depression Scale ◽  
Healthy Controls ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Disease Rating ◽  
Vas Scores

Background. Pain is frequent in Parkinson’s disease (PD) and Parkinson-plus syndrome. This study aimed to assess the prevalence, characteristics, therapy (especially the effect of dopaminergic therapy), and associated symptoms of pain in Parkinson's disease and multiple system atrophy (MSA) patients. Methods. Seventy-one PD patients, sixty-five MSA patients, and forty age-matched healthy controls were enrolled and evaluated by using the German pain questionnaire and visual analogue scale (VAS). In addition, the influence of pain in PD patients on anxiety, depression, and the quality of life was assessed with the Hospital Anxiety and Depression Scale (HADS) and Parkinson’s Disease Questionnaire (PDQ-39). Results. Compared to that of the healthy controls, the PD and MSA patients had a significantly higher presence of pain (P<0.01, P<0.01). PD patients had a higher presence of pain than MSA patients (P=0.007). No difference in VAS scores was observed between the PD and MSA patients (P=0.148). A total of 21 PD patients (42.85%) with pain and 13 MSA patients (43.33%) with pain received treatment. A total of 13 PD patients with pain and 6 MSA patients with pain had an improved pain intensity after using dopaminergic medication. The differences in the disease duration, Hoehn and Yahr stages, and scores on the Unified Parkinson’s Disease Rating Scale motor score, HAD-D, HAD-A, and PDQ-39 were significant between the PD patients with and without pain. Conclusion. PD and MSA patients are prone to pain with insufficient treatment. Pain interventions should be provided as soon as possible to improve the patient’s life.

scholarly journals Balance and fear of falling in subjects with Parkinson’s disease is improved after exercises with motor complexity

2018 ◽  
Vol 61 ◽  
pp. 90-97 ◽  
Author(s):  
Carla Silva-Batista ◽  
Daniel M. Corcos ◽  
Hélcio Kanegusuku ◽  
Maria Elisa Pimentel Piemonte ◽  
Lilian Teresa Bucken Gobbi ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Fear Of Falling ◽  
Motor Complexity

sP1.076 Fear of falling in Parkinson's disease

2008 ◽  
Vol 14 ◽  
pp. S29
Author(s):  
M. Jahanshahi ◽  
S. Rahman ◽  
H.J. Griffin ◽  
N.P. Quinn
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Fear Of Falling

scholarly journals A new postural stability-indicator to predict the level of fear of falling in Parkinson’s disease patients

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Ehsan Pourghayoomi ◽  
Saeed Behzadipour ◽  
Mehdi Ramezani ◽  
Mohammad Taghi Joghataei ◽  
Gholam Ali Shahidi
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Postural Stability ◽  
Fear Of Falling

Screening Parkinson's disease: A validated questionnaire of high specificity and sensitivity

1995 ◽  
Vol 10 (5) ◽  
pp. 643-649 ◽  
Author(s):  
J. Duarte ◽  
L. E. Clavería ◽  
J. De Pedro-Cuesta ◽  
A. P. Sempere ◽  
F. Coria ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
High Specificity ◽  
Validated Questionnaire ◽  
Specificity And Sensitivity

Impact of Falls and Fear of Falling on Health-Related Quality of Life in Patients with Parkinson's Disease

2013 ◽  
Vol 3 (3) ◽  
pp. 409-413 ◽  
Author(s):  
Yvette A.M. Grimbergen ◽  
Annette Schrag ◽  
Gordon Mazibrada ◽  
George F. Borm ◽  
Bastiaan R. Bloem
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Fear Of Falling ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

scholarly journals WALKING DIFFICULTY IS THE MAIN CONTRIBUTOR TO FEAR OF FALLING IN PEOPLE WITH PARKINSON’S DISEASE

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 1389-1389
Author(s):  
M.H. Nilsson ◽  
S.B. Jonasson ◽  
B. Lindholm ◽  
P. Hagell ◽  
S. Iwarsson
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Fear Of Falling ◽  
Main Contributor ◽  
Walking Difficulty

scholarly journals The Role of Architecture and Design in the Management of Parkinson’s Disease: A Systematic Review

2020 ◽  
Vol 10 (4) ◽  
pp. 1301-1314
Author(s):  
Joana Beisl Ramos ◽  
Gonçalo S. Duarte ◽  
Raquel Bouça-Machado ◽  
Margherita Fabbri ◽  
Tiago A. Mestre ◽  
...  
Keyword(s):  
Systematic Review ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Fear Of Falling ◽  
Experimental Studies ◽  
Postural Instability ◽  
Functional Mobility ◽  
Housing Type ◽  
Architecture And Design ◽  
The Impact

Background: Parkinson’s disease (PD) is a neurological condition characterized by the development of daily disabling symptoms. Although the architecture and design of a PD patient’s environment can hinder or facilitate full participation in daily activities, their putative role in the management of these patients has received little attention to date. Objective: We conducted a systematic review to evaluate the evidence of architectural and design features in the management of people with PD. Methods: An electronic database search of observational and experimental studies was conducted in MEDLINE and Embase from inception to May 2020, with two independent reviewers identifying the studies. Falls, fear of falling, postural instability, gait impairment/disability, and functional mobility were our outcomes of interest. Results: Thirty-six studies were included, among which nineteen were observational and seventeen were experimental studies (overall participants = 2,965). Pavement characteristics, notably unstable surfaces and level differences, were found to be a major cause of falling. Ground-based obstacles and confined/narrowed spaces were found to disturb gait, increase postural instability, and decrease functional mobility. Housing type did not appear to increase risk of falling, nor to significantly explain concerns about falling. Conclusion: Findings suggest a need to adjust architectural features of the surrounding space to ensure appropriate care and provide a safe environment to PD patients. More evidence about the impact of such modifications on PD outcomes is needed.

The association between freezing of gait, fear of falling and anxiety in Parkinson’s disease: a longitudinal analysis

2020 ◽  
Author(s):  
Ires Ghielen ◽  
Perrie Koene ◽  
Jos WR Twisk ◽  
Gert Kwakkel ◽  
Odile A van den Heuvel ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Multidisciplinary Approach ◽  
Fear Of Falling ◽  
Freezing Of Gait ◽  
Confounding Factors ◽  
Nonmotor Symptoms ◽  
Independent Variables ◽  
Complex Interactions ◽  
Disease Characteristics

Aim: We studied the longitudinal associations between freezing of gait (FoG), fear of falling (FoF) and anxiety, and how these associations are influenced by confounding factors. Materials & methods: We analyzed longitudinal motor and nonmotor measurements from 153 Parkinson’s disease patients. Possible confounding factors were divided into three subgroups: demographics, disease characteristics, medication use and adverse effects of medication. Results: All crude associations between FoG, FoF and anxiety were significant and remained so after adjusting for confounders. When analyzing FoF and anxiety together as independent variables, the association between FoG and FoF remained, and the association between FoG and anxiety diminished. Conclusion: We confirm the complex interactions between motor and nonmotor symptoms in Parkinson’s disease, and plead for a multidisciplinary approach.

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