Exercise is increasingly being recognized as a key element in the overall management of persons living with Parkinson’s disease (PD) but various (disease-specific) barriers may impede even motivated patients to participate in regular exercise. We aimed to provide a comprehensive review of the various barriers and motivators for exercise in persons with PD. We scrutinized data on compliance-related factors published in cross-sectional studies, randomized controlled trials and reviews. We classified the barriers and motivators to exercise from a patient perspective according to the International Classification of Functioning, Disability and Health. We present an overview of the large range of potential motivators and barriers for exercise in persons with PD. Healthcare professionals should consider a wide and comprehensive range of factors, in order to identify which specific determinants matter most for each individual. Only when persons with PD are adequately motivated in a way that appeals to them and after all person-specific barriers have been tackled, we can begin to expect their long-term adherence to exercise. Such long-term compliance will be essential if exercise is to live up to its expectations, including the hope that prolonged engagement in regular exercise might help to modify the otherwise relentlessly progressive course of PD.

中文翻译：

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帕金森病患者进行锻炼的障碍和动机。


锻炼越来越被认为是帕金森病 (PD) 患者整体管理的关键要素，但各种（特定疾病）障碍甚至可能会阻碍积极主动的患者参加定期锻炼。我们的目的是对帕金森病患者运动的各种障碍和动机进行全面审查。我们仔细审查了横断面研究、随机对照试验和综述中发表的与依从性相关因素的数据。我们根据国际功能、残疾和健康分类，从患者的角度对运动的障碍和激励因素进行了分类。我们概述了帕金森病患者锻炼的各种潜在动机和障碍。医疗保健专业人员应考虑广泛而全面的因素，以确定哪些具体决定因素对每个人最重要。只有当帕金森病患者以一种吸引他们的方式得到充分的激励，并且在解决了所有个人特有的障碍之后，我们才能开始期望他们长期坚持锻炼。如果锻炼要达到预期，包括希望长期参与定期锻炼可能有助于改变帕金森病不断进展的过程，那么这种长期的依从性就至关重要。