好色先生

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Abstract Details

KICK-OUT PD: Qualitative Analysis of Expectations and Outcomes in a Pilot Study of a Parkinson’s Disease Karate Intervention
Movement Disorders
P2 - Poster Session 2 (5:30 PM-6:30 PM)
10-017

To investigate expectations regarding exercise, karate, and mindfulness in individuals with early- to middle-stage Parkinson’s (PD) prior to a community-based karate class, and post-intervention perceptions of change in mobility, wellbeing, and quality of life.

 

Different exercise modalities benefit PD patients, including aerobic, resistance, and mindfulness-based activities. Karate incorporates these in a community-based class. The combination of exercise modalities and the class setting may lead to improved mobility and wellbeing.

PD patients participating in a 10-week, open label feasibility study of karate were invited to participate in a focus group prior to and following the karate course. The classes were twice weekly for one hour.  Patients were included in a one-hour, pre-intervention focus group led by the PI (JF) exploring prior experience with exercise and expectations for the intervention.  Post-intervention focus groups explored patient perceptions of changes in their balance, mobility, and overall wellbeing, whether the intervention met expectations, and opportunities for program improvement. Qualitative data were analyzed using a grounded theory approach.

Fifteen participants (8 women), 93% at Hoehn & Yahr stage 2, with median age 68 years (range: 39-80) and PD duration 6 years (2-20), completed the pre- and post-intervention focus groups. Each group comprised 6-9 individuals, the majority endorsing prior experience with and positive attitude towards exercise. Participants expressed goals of improving balance and mindfulness. Following the intervention, participants felt karate had been beneficial for movement, breathing, and wellbeing. Additional themes were camaraderie and encouragement from the instructors and each other. All participants planned to continue their karate practice and recommend it to others. 

A twice weekly karate class tailored to individuals with PD yielded subjective improvements in balance, mobility, and general wellbeing, as well as unexpected camaraderie. There was enthusiasm for continued participation, highlighting the need for further long-term, controlled studies of this promising intervention.

Authors/Disclosures
Jori Fleisher, MD, MSCE, FAAN (Rush University Parkinson's and Movement Disorders Program)
PRESENTER
The institution of Dr. Fleisher has received research support from Parkinson's Foundation. The institution of Dr. Fleisher has received research support from NIH/NINDS. The institution of Dr. Fleisher has received research support from NIH/NINDS. The institution of Dr. Fleisher has received research support from NIA/NINDS. The institution of Dr. Fleisher has received research support from NIA/NINDS. Dr. Fleisher has received publishing royalties from a publication relating to health care. Dr. Fleisher has received personal compensation in the range of $0-$499 for serving as a Speaker with Parkinson's Foundation. Dr. Fleisher has received personal compensation in the range of $500-$4,999 for serving as a Speaker with Lewy Body Dementia Association. Dr. Fleisher has received personal compensation in the range of $500-$4,999 for serving as a Speaker with Davis Phinney Foundation. Dr. Fleisher has a non-compensated relationship as a Editorial Board Member with AAN Brain & Life Magazine that is relevant to AAN interests or activities.
No disclosure on file
Brianna J. Sennott, MD An immediate family member of Dr. Sennott has received personal compensation for serving as an employee of Abbott Laboratories.
Monica Lee No disclosure on file
No disclosure on file
Deborah H. Hall, MD, PhD, FAAN (Rush University) Dr. Hall has received personal compensation in the range of $10,000-$49,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for 好色先生. Dr. Hall has received personal compensation in the range of $500-$4,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Elsevier - Parkinsonism and Related Disorders. Dr. Hall has received personal compensation in the range of $500-$4,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Annals of Neurology. The institution of Dr. Hall has received research support from Parkinson's Foundation. The institution of Dr. Hall has received research support from CHDI. The institution of Dr. Hall has received research support from Uniqure. The institution of Dr. Hall has received research support from NIH.
Cynthia L. Comella, MD, FAAN (Rush University Medical Center) Dr. Comella has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for Ipsen. Dr. Comella has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Vima. Dr. Comella has received publishing royalties from a publication relating to health care. Dr. Comella has received publishing royalties from a publication relating to health care.