Abstract
Objectives To determine the feasibility, tolerability and safety of a 15 week block periodized, auto regulated, non-contact boxing training program for early PD.
Methods Participants were recruited from an existing data base, then screened for conditions contra-indicating exercise. Boxing training was organised into three, five week training blocks; boxer’s technique development, high-intensity boxing, boxer’s brain (cognitive load and dual tasking). Each block included a familiarisation phase (week one), training phase (weeks 2–4) and rest phase (week 5).Training sessions were undertaken three times a week for 60 minutes. Physical and cognitive demands were progressively increased. Rates of perceived physical (RPE) and mental (mRPE) exertion, and heart rate were recorded. Pain, fatigue, sleep and adverse events were recorded. The Unified Parkinson Disease Rating (UPDRS) motor component was measured at baseline and completion.
Results From 77 invitees, 11 were recruited; one excluded due to a positive cardiac stress test. Four females, six males, mean age 63, Hoehn and Yahr 1 or 2, mean baseline UPDRS 17.6 (6–32) completed 348/360 (96.7%) workouts; four missed due to minor injury, four to COVID-related issues, and four miscellaneous. Prescribed HR and RPE ranges were exceeded in all training blocks. In block two, participants exceeded 85% maximum HR for more than 30 minutes. Positive effects were observed for fatigue, sleep and UPDRS-motor outcomes. Group camaraderie was reported as a highlight.
Conclusions It is feasible and safe for individuals with early stage PD to complete a block periodized boxing training program with high physical and cognitive demands.
