• 6 Sports for People With Parkinson's Disease

    Boxing

    The effects of Parkinson's disease (PD) include difficulty with movement and thinking. Although symptoms and their severity can vary widely, the chronic degenerative disease affects brain chemicals responsible for control of body movements, thought processes, decision making, moods, and body awareness and positioning. However, this does not mean that people with PD can’t participate in sports they like; in fact, the opposite is true!

    Research shows that a consistent exercise program, including fun sports activities, can improve all of those body functions, plus walking balance, strength, flexibility, and fitness in people with PD. A physical therapist can help people with PD participate in these sports safely by conducting a physical evaluation and developing an individualized treatment plan that includes the person’s preferred sport at the right level and intensity.

    Sports and activities that have been shown by research to relieve symptoms of PD include:

    Boxing. The upper body motions of boxing (ie, punching, jabbing, protecting the face, aiming the fists) help to restore strength, endurance, body positioning and awareness, and hand–eye coordination. The lower body actions (ie, lunging, weight shifting from one foot to foot the other) help improve leg strength, endurance, and balance.

    Cycling. The repetitive motion of pedaling a bicycle has been shown to decrease tremors, improve walking ability and arm and leg control, increase endurance, strength, and sitting balance, and improve mood.

    Tai chi. The slow and controlled flowing movement of tai chi has been found to help with coordination, body positioning and awareness, and standing balance.

    Dancing. The constant changing movement patterns in dance help improve coordination, flexibility, body positioning and awareness, balance while moving, and mood. Simply hearing music helps some people to move better, as music seems to stimulate brain signals to muscles in a different way. Many styles of dance have been shown to be effective, including ballroom, Latin, waltz, modern dance, two-stepping, and line dancing.

    Karate. Training in "katas" (set sequence of karate moves) and fighting techniques improves balance, mood, and thinking ability.

    Weight training. Lifting weights (or doing other kinds of “resistance” training) improves strength, endurance, and balance while moving. Weight lifting also reduces fatigue.

    Participating in any of these activities for up to 12 weeks has been shown to have long-lasting beneficial effects. Work with your physical therapist to pick the most appropriate sport for you.

    Bibliography

    Dahmen-Zimmer K, Jansen P. Karate and dance training to improve balance and stabilize mood in patients with Parkinson's disease: a feasibility study. Front Med (Lausanne). 2017;4:237. Free Article.

    Subramanian I. Complementary and alternative medicine and exercise in nonmotor symptoms of Parkinson's disease. Int Rev Neurobiol. 2017;134:1163–1188. Article Summary in PubMed.

    Hulbert S, Ashburn A, Roberts L, Verheyden G. Dance for Parkinson's: the effects on whole body co-ordination during turning around. Complement Ther Med. 2017;32:91–97. Article Summary in PubMed.

    Storzer L, Butz M, Hirschmann J, et al. Bicycling suppresses abnormal beta synchrony in the Parkinsonian basal ganglia. Ann Neurol. 2017;82(4):592–601. Article Summary in PubMed.

    Kwok JY, Choi KC, Chan HY. Effects of mind-body exercises on the physiological and psychosocial well-being of individuals with Parkinson's disease: a systematic review and meta-analysis. Complement Ther Med. 2016;29:121–131. Article Summary in PubMed.

    Ventura MI, Barnes DE, Ross JM, Lanni KE, Sigvardt KA, Disbrow EA. A pilot study to evaluate multi-dimensional effects of dance for people with Parkinson's disease. Contemp Clin Trials. 2016;51:50–55. Free Article.

    Arcolin I, Pisano F, Delconte C, et al. Intensive cycle ergometer training improves gait speed and endurance in patients with Parkinson's disease: a comparison with treadmill training. Restor Neurol Neurosci. 2015;34(1):125–138. Article Summary in PubMed.

    Combs SA, Diehl MD, Chrzastowski C, et al. Community-based group exercise for persons with Parkinson disease: a randomized controlled trial. NeuroRehabilitation. 2013;32(1):117–124. Article Summary in PubMed.

    Earhart GM. Dance as therapy for Individuals with Parkinson disease. Eur J Phys Rehabil Med. 2009;45(2):231–238. Free Article.

     

    Authored by Andrea Avruskin, PT, DPT

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