Exercise and physical activity promotion for people newly diagnosed with Parkinson's disease: a UK survey exploring current practice and the views of healthcare professionals.

Autor: Agley L; Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK. Electronic address: la463@cam.ac.uk., Hartley P; Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK; Department of Physiotherapy, Cambridge University Hospital NHS Foundation Trust, Cambridge, UK., Lafortune L; Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK; Cambridge Public Health, Interdisciplinary Research Centre, University of Cambridge, Cambridge, UK.
Jazyk: angličtina
Zdroj: Physiotherapy [Physiotherapy] 2024 Mar; Vol. 122, pp. 17-26. Date of Electronic Publication: 2023 Dec 15.
DOI: 10.1016/j.physio.2023.12.004
Abstrakt: Objectives: Exercise and physical activity (PA) are increasingly recognized as important components in the management of Parkinson's disease (PD). Their promotion at diagnosis is essential for better management of symptoms and overall well-being. Healthcare professionals (HCPs) are pivotal to the promotion of exercise and PA, but there is limited guidance on the content of such interventions. This study describes current practice, and explores views of HCPs around PA and exercise promotion at diagnosis for people with PD (PwP) DESIGN: A cross-sectional study using an anonymous online survey.
Participants: HCPs working with PwP in the UK.
Results: Twenty-nine doctors, 17 nurses and 106 physiotherapists completed the survey. All nurses, 99% of physiotherapists and 72% of doctors reported that they always promote exercise and PA during clinic appointments. HCPs identified how PA impacts PD symptoms, evidence on the role of exercise, and signposting to support groups as core topics in PA promotion for PwP. However, these topics are mainly addressed during physiotherapy appointments. Referrals to physiotherapy occur most frequently when PwP experience falls or mobility issues, rather than at diagnosis. HCPs (52% doctors and 41% of nurses) identified lack of confidence as a barrier to prescribing exercise to PwP.
Conclusion: The importance of promoting PA at diagnosis is widely acknowledged by HCPs. There are variations between disciplines in terms of the tools used, and the timing and duration of interventions. Previously identified barriers to exercise promotion were also found in this study, and should be explored further in order to aid the implementation of effective interventions.
Competing Interests: Declaration of Competing Interest None declared.
(Copyright © 2023 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE
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