A survey of exercise beliefs among people with Parkinson’s disease in Malaysia
More details
Hide details
B.E.N. Physio, Kuala Lumpur, Malaysia
Faculty of Health and Life Sciences, INTI International University, Nilai, Malaysia
Submission date: 2020-05-10
Acceptance date: 2020-09-14
Publication date: 2022-09-26
Physiother Quart. 2022;30(3):57-63
A substantial amount of evidence supports exercise as crucial non-pharmacological management to slow down the progression of Parkinson’s disease. Despite that, people with Parkinson’s disease are still known to be physically inactive. Hence, there is a need to investigate the exercise beliefs and participation benefits so that strategies can be developed to improve their exercise involvement.

Overall, 47 respondents from a non-governmental organization who met the inclusion criteria were recruited purposively to determine their beliefs concerning exercise. A cross-sectional survey was conducted with the use of a self-administered and validated questionnaire.

A significant proportion of the participants (80.9%) believed that exercise could help slow down the progression of Parkinson’s disease; 17% were not sure and only 2.1% answered that exercise did not slow down the disease progression. The majority of the subjects (68%) were more likely to believe that exercise improved balance. Pertaining to the belief in physiotherapy for people with Parkinson’s disease, 76.6% answered yes, 17% were not sure, and 6.4% said that they did not believe in physiotherapy for people with Parkinson’s disease.

The study revealed that most participants believed in exercise and were aware of its usefulness for their condition. However, they also reported that exercise and physiotherapy were not routinely recommended to them. So, still, awareness is needed of the exercise role and participation benefits.

Sveinbjornsdottir S. The clinical symptoms of Parkinson’s disease. J Neurochem. 2016;139(Suppl. 1):318–324; doi: 10.1111/jnc.13691.
Tysnes O-B, Storstein A. Epidemiology of Parkinson’s disease. J Neural Transm. 2017;124(8):901–905; doi: 10.1007/s00702-017-1686-y.
Dorsey ER, Elbaz A, Nichols E, Abbasi N, Abd-Allah F, Abdelalim A, et al. Global, regional, and national burden of Parkinson’s disease, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol. 2018;17(11):939–953; doi: 10.1016/s1474-4422(18)30295-3.
Zgaljardic DJ, Foldi NS, Borod JC. Cognitive and behavioral dysfunction in Parkinson’s disease: neurochemical and clinicopathological contributions. J Neural Transm. 2004;111(10–11):1287–1301; doi: 10.1007/s00702-004-0178-z.
Kalia LV, Lang AE. Parkinson’s disease. Lancet. 2015;386(9996):896–912; doi: 10.1016/s0140-6736(14)61393-3.
Gökçal E, Gür VE, Selvitop R, Babacan Yildiz G, Asil T. Motor and non-motor symptoms in Parkinson’s disease: effects on quality of life. Noro Psikiyatr Ars. 2017;54(2):143–148; doi: 10.5152/npa.2016.12758.
Santos-García D, de la Fuente-Fernández R. Impact of non-motor symptoms on health-related and perceived quality of life in Parkinson’s disease. J Neurol Sci. 2013;332(1–2):136–140; doi: 10.1016/j.jns.2013.07.005.
Abbruzzese G, Marchese R, Avanzino L, Pelosin E. Rehabilitation for Parkinson’s disease: current outlook and future challenges. Parkinsonism Relat Disord. 2016;22(Suppl. 1):60–64; doi: 10.1016/j.parkreldis.2015.09.005.
Goodwin VA, Richards SH, Taylor RS, Taylor AH, Campbell JL. The effectiveness of exercise interventions for people with Parkinson’s disease: a systematic review and meta-analysis. Mov Disord. 2008;23(5):631–640; doi: 10.1002/mds.21922.
Shen X, Wong-Yu ISK, Mak MKY. Effects of exercise on falls, balance, and gait ability in Parkinson’s disease: a meta-analysis. Neurorehabil Neural Repair. 2016;30(6):512–527; doi: 10.1177/1545968315613447.
Cusso ME, Donald KJ, Khoo TK. The impact of physical activity on non-motor symptoms in Parkinson’s disease: a systematic review. Front Med. 2016;3:35; doi: 10.3389/fmed.2016.00035.
Hirsch MA, van Wegen EEH, Newman MA, Heyn PC. Exercise-induced increase in brain-derived neurotrophic factor in human Parkinson’s disease: a systematic review and meta-analysis. Transl Neurodegener. 2018;7:7; doi: 10.1186/s40035-018-0112-1.
Van Nimwegen M, Speelman AD, Hofman-van Rossum EJM, Overeem S, Deeg DJH, Borm GF, et al. Physical inactivity in Parkinson’s disease. J Neurol. 2011;258(12):2214–2221; doi: 10.1007/s00415-011-6097-7.
Janz NK, Becker MH. The Health Belief Model: a decade later. Health Educ Q. 1984;11(1):1–47; doi: 10.1177/109019818401100101.
Afshari M, Yang A, Bega D. Motivators and barriers to exercise in Parkinson’s disease. J Parkinsons Dis. 2017;7(4):703–711; doi: 10.3233/jpd-171173.
Paillard T, Rolland Y, de Souto Barreto P. Protective effects of physical exercise in Alzheimer’s disease and Parkinson’s disease: a narrative review. J Clin Neurol. 2015;11(3):212–219; doi: 10.3988/jcn.2015.11.3.212.
Poh BK Jr, Safiah MY, Tahir A, Siti Haslinda MD, Siti Norazlin N, Norimah AK, et al. Physical activity pattern and energy expenditure of Malaysian adults: findings from the Malaysian Adult Nutrition Survey (MANS). Malays J Nutr. 2010;16(1):13–37.
Ablah E, Haug A, Konda K, Tinius AM, Ram S, Sadler T, et al. Exercise and epilepsy: a survey of Midwest epilepsy patients. Epilepsy Behav. 2009;14(1):162–166; doi: 10.1016/j.yebeh.2008.09.019.
Burton LC, Shapiro S, German PS. Determinants of physical activity initiation and maintenance among community-dwelling older persons. Prev Med. 1999;29(5):422–430; doi: 10.1006/pmed.1999.0561.
Veluswamy SK, Maiya AG, Nair S, Guddattu V, Nair NS, Vidyasagar S. Awareness of chronic disease related health benefits of physical activity among residents of a rural South Indian region: a cross-sectional study. Int J Behav Nutr Phys Act. 2014;11(1):27; doi: 10.1186/1479-5868-11-27.
Ravenek MJ, Schneider MA. Social support for physical activity and perceptions of control in early Parkinson’s disease. Disabil Rehabil. 2009;31(23):1925–1936; doi: 10.1080/09638280902850261.
Ramli A. Physiotherapy service needs: physicians’ perception and patient referral in HUKM. Jurnal Kesihatan Masyarakat. 2003;9(1):38–44.
Khalil H, Nazzal M, Al-Sheyab N. Parkinson’s disease in Jordan: barriers and motivators to exercise. Physiother Theory Pract. 2016;32(7):509–519; doi: 10.1080/09593985.2016.1219433.
Keus SHJ, Bloem BR, Hendriks EJM, Bredero-Cohen AB, Munneke M. Evidence-based analysis of physical therapy in Parkinson’s disease with recommendations for practice and research. Mov Disord. 2007;22(4):451–460; doi: 10.1002/mds.21244.
Journals System - logo
Scroll to top