Evidence map›Paper›PMID 23288910›Full record

ArticlePhysical therapy2013

Barriers to exercise in people with Parkinson disease.

Terry Ellis, Jennifer K Boudreau, Tamara R DeAngelis, Lisa E Brown, James T Cavanaugh, Gammon M Earhart, Matthew P Ford, K Bo Foreman, Leland E Dibble

5 registry-linked trialsAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Physical therapy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 152 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
152citing papers in PubMed, 14 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01955889 nacompletednot on this map

Mobile Health Technology to Promote Physical Activity in Persons With Parkinson Disease

TypeinterventionalSponsorBoston University Charles River CampusRan2013 to 2015Enrolled60ConditionsParkinson DiseaseArmsMobile Health Technology, Stretching & Strengthening Exercises, Walking with Pedometer
NCT03329833 naunknown statusnot on this mapstarted 2017, after this paper: background citation

Motivational Interviewing and Physical Activity Change in Parkinson's Disease

TypeinterventionalSponsorShirley Ryan AbilityLabRan2017 to 2021Enrolled44ConditionsParkinson DiseaseArmsMotivational Interviewing, Web-based application
NCT03381898 naunknown statusnot on this mapstarted 2017, after this paper: background citation

Decreasing Health Disparities for Parkinson's Disease in Rural Communities: Assessing Feasibility of Coordinated Telehealth to Deliver Allied Health Care of Medication Management, Physical Therapy, and Speech Therapy

TypeinterventionalSponsorUniversity of WyomingRan2017 to 2019Enrolled20ConditionsParkinson DiseaseArmsTelehealth Exercise, speech therapy, medication management
NCT03517371 nacompletednot on this mapstarted 2019, after this paper: background citation

Walking and mHealth to Increase Participation in Parkinson Disease

TypeinterventionalSponsorBoston University Charles River CampusRan2019 to 2024Enrolled140ConditionsParkinson DiseaseArmsmHealth delivered exercise program, Exercise only
NCT05225506 nacompletednot on this mapstarted 2022, after this paper: background citation

Support + High Intensity Functional Training for Parkinson's

TypeinterventionalSponsorArkansas Colleges of Health EducationRan2022 to 2022Enrolled25ConditionsParkinson DiseaseArmsExercise
3 · Its place in the literature

Who cites it

152 citing papers in PubMed, 14 syntheses or guidelines pooled it.

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  7. Current Perspectives on Aerobic Exercise in People with Parkinson's Disease.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2020
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  11. Virtual reality for rehabilitation in Parkinson's disease.The Cochrane database of systematic reviews · 2016
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92 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Terry EllisDepartment of Physical Therapy and Athletic Training, Sargent College of Health and Rehabilitation Sciences, Boston University, 635 Commonwealth Ave, Boston, MA 02215, USA. tellis@bu.edu
Jennifer K Boudreau
Tamara R DeAngelis
Lisa E Brown
James T Cavanaugh
Gammon M Earhart
Matthew P Ford
K Bo Foreman
Leland E Dibble

Funding

Interdisciplinary Research Careers in Women's HealthK12HD043444 · NICHD · BOSTON UNIVERSITY MEDICAL CAMPUS · PI SILLIMAN, REBECCA A · 2002 to 2011
$5.0M
NICHD NIH HHS HD43444NICHD NIH HHS K12 HD043444
6 · The paper itself

Abstract

backgroundExercise is known to reduce disability and improve quality of life in people with Parkinson disease (PD). Although barriers to exercise have been studied in older adults, barriers in people with chronic progressive neurological diseases, such as PD, are not well defined.

objectiveThe purpose of this study was to identify perceived barriers to exercise in people with PD.

designThe study had a cross-sectional design.

methodsPeople who had PD, dwelled in the community, and were at stage 2.4 on the Hoehn and Yahr scale participated in this cross-sectional study (N=260; mean age=67.7 years). Participants were divided into an exercise group (n=164) and a nonexercise group (n=96). Participants self-administered the barriers subscale of the Physical Fitness and Exercise Activity Levels of Older Adults Scale, endorsing or denying specific barriers to exercise participation. Multivariate logistic regression analysis was used to examine the contribution of each barrier to exercise behavior, and odds ratios were reported.

resultsThree barriers were retained in the multivariate regression model. The nonexercise group had significantly greater odds of endorsing low outcome expectation (ie, the participants did not expect to derive benefit from exercise) (odds ratio [OR]=3.93, 95% confidence interval [CI]=2.08-7.42), lack of time (OR=3.36, 95% CI=1.55-7.29), and fear of falling (OR=2.35, 95% CI=1.17-4.71) than the exercise group. LIMITATIONS: The cross-sectional nature of this study limited the ability to make causal inferences.

conclusionsLow outcome expectation from exercise, lack of time to exercise, and fear of falling appear to be important perceived barriers to engaging in exercise in people who have PD, are ambulatory, and dwell in the community. These may be important issues for physical therapists to target in people who have PD and do not exercise regularly. The efficacy of intervention strategies to facilitate exercise adherence in people with PD requires further investigation.

Indexed as

ExerciseHealth BehaviorCross-Sectional StudiesHumansLogistic ModelsMultivariate AnalysisParkinson Disease

Identifiers

PMID23288910
PMCPMC3641403

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.