STORY
BY JACK WADDELL AND PHOTOGRAPHY BY ANNIE RICE
March 25, 2016
 |
| Courtney Meyers trains Terry Skinner to hit the speed bag at the MU Human Performance Institute. A program called Rock Steady helps patients with Parkinson's disease, a disorder of the central nervous system that affects movement and often causes tremors. |
COLUMBIA
— Fist after fist, Terry Skinner punched the heavy black bag with all his
might. He had 30 seconds left before he got a break, and he looked winded.
He
began to hit the bag slower and slower as he started to struggle. Skinner had already
worked through several exercises that day, and they were catching up to him.
“Keep
going, you’re almost there,” said his trainer, Courtney Meyers. “Don’t give up
on me.”
Skinner,
68, a retired director of advising and planning at the Missouri
Lottery, isn't the type to give up. He didn't give up during the recent
Wednesday boxing session, and he didn't give up after being diagnosed with
Parkinson’s disease 10 years ago.
Skinner
participates in the Rock Steady Boxing program at the MU Human Performance
Institute, an improvised gym in a strip center off Nifong Boulevard. Rock
Steady is an exercise program for Parkinson’s patients. It's a multimodal
regimen that targets common effects and problems that people with Parkinson’s
experience daily.
The
boxing sessions are the culmination of a series of stretching, agility
exercises and boxing workouts tailored to the struggles each person is having
with the disease.
“It’s
the hardest workout I’ve ever had,” Skinner said. “It forces you to push
yourself, and when you have Parkinson’s, you need to push yourself."Recent
research suggests that the boxing workouts promote better overall physical
functioning. People like Skinner say it's rigorous, yet fun, and it builds a
support system for those with Parkinson's.
Targeting
stiffness, flexibility
Rock
Steady Boxing is a national program that arrived in Columbia in mid-February.
It was the first Parkinson’s boxing program in Missouri, and it has sparked a
lot of local interest, said Patsy Dalton, leader of the Columbia Parkinson’s
support group. When Rock Steady trainers came to a Parkinson's support group
meeting to talk about the program, Dalton said the response was immediate.
“From
what I could tell, quite a few people were actively planning to sign up for the
program after they talked to their doctor,” she said.
The
program is designed for anyone with Parkinson’s, said Becky Edwards, physical
therapist and supervisor of Rock Steady Boxing. “We can really tailor the
program to anyone just by modifying the activities done during a session,” she
said.
The
disease has a number of symptoms, and they can be different for each person.
The four main motor symptoms are tremors, stiffness, instability and slowness
in movement, according to
the National Parkinson’s Foundation.
Meyers,
a trainer, said the most common symptom is stiffness. It can cause extreme
discomfort and affect almost everything a person does. That's why stretching at
the beginning and end of a session is so important.
It's
not all about boxing. Sessions incorporate actions like sitting down, getting
out of a chair or getting up off the floor to help balance and flexibility in
problematic situations.
“Anything
we do in Rock Steady Boxing is supposed to help people in their daily life and
routine,” Meyers said. “It’s the little things that people like you and I don’t
have problems with, but they struggle tremendously with, that we target during
the boxing.”
Boxing
techniques
A
session starts with several stretches and agility exercises, but after about 30
minutes, it’s time to really fight back.
The
boxers put on big red boxing gloves for various exercises like hitting the
heavy bag and punching the trainer’s gloves in a simulated boxing match.
The
boxing technique targets all of the symptoms and has proved effective in
reducing tremors, Edwards said. Thinking about punching with a certain hand,
then coordinating that thought with motion, are the keys.
“What
we’re experiencing is that while they are boxing, a lot of them don’t have tremors,”
Edwards said. “And when they do this boxing, it carries over into other
activities in life and can reduce the amount of tremors.”
Watching
a session, you can see people fall into a rhythm and release much of the
stiffness that is obvious at the beginning of a session. Even without seeing
them, you could hear them. The voice sometimes weakens with Parkinson's, so
auditory exercises are designed to target that problem.
“We
want them to say what they are doing — yell it, or even scream it,” Meyers said.
The
boxers will say “jab,” “hook” or “uppercut” as loudly as they can as they
execute the motions.
“The
overall goal of cheering and shouting is not just to get pumped up but to
strengthen their voice," Edwards said. “They feel like they’re being
loud because it takes a lot of effort to talk, but, in all actuality, they’re
not being loud at all.”
Overall
results
Overall,
the goal is to reduce the pain and help each person feel better inside and out.
“Right
now it’s hard for us to see where our boxers are at because the program is
new,” Meyers said. “But we hear people say they feel a lot better, more
flexible and better with themselves in general.”
Research
shows that Parkinson's progresses more slowly in those who work out. Recent
research has found that those engaged in boxing programs, as opposed to
traditional workouts, showed even better results.
Stephanie
Combs-Miller, a researcher at the University of Indianapolis, followed patients
with Parkinson’s over two years and looked at the effects of boxing versus
traditional exercise. Her team of student researchers measured the functioning
of the participants, and those who boxed were ranked higher in several
categories.
“Boxing
certainly showed more positive results,” Combs-Miller said. “The people that boxed
tended to maintain a higher level of functioning than the other folks, and
that’s a big deal with Parkinson’s disease.”
Combs-Miller
said this does not mean the boxers got better, though.
“We
didn’t see an improvement over the two-year span of time, but they maintained
their functioning and weren’t getting worse,” she said. She attributed that to
the program's high-intensity and multimodal exercises.
“If
you go out walking, you’re only getting one mode of exercise — you’re not
varying it very much,” she said. “Boxing is addressing multiple different modes
of exercise, so you’re addressing all of the things that people with
Parkinson’s are having trouble with.”
Support
systems
Dalton's
husband has Parkinson's disease. So she knows what she's talking about when she
says having a good support system is crucial.
“So
many of us are given the diagnosis, but we’re not given very much information
on how to handle it,” Dalton said. “It’s a complex disease, and not a lot of
people understand it.”
While
boxing is about fitness, the routine also gives people a place to meet others
who know what they're experiencing.
“They
understand each other and know what each other are going through," she
said. "In other places, people might not understand them.”
Combs-Miller
agreed with this notion, saying that the camaraderie between the boxers is also
helpful in fighting the disease.
“It’s
comprised of people with Parkinson’s, and I think that alone can have a huge
impact on their quality of life,” she said. “It establishes a cohesive group,
and that keeps them motivated to continue boxing.”
Jay
Brunk, 62, a boxer who drives to Columbia from St. Genevieve to put on the
gloves, was diagnosed about five years ago and said he is pretty functional
right now. He's optimistic that the boxing will hinder the progression of the
disease.
The
other benefit is that he really likes to hit the bag.
“I
get a sense of satisfaction,” he said. “I feel like I’m doing something, and
I’m doing it well.”
Supervising
editor is Katherine
Reed.
Check out “Fighting through Parkinson's” by Columbia Missourian on Vimeo.
http://www.columbiamissourian.com/news/patients-with-parkinson-s-put-on-boxing-gloves-to-fight/article_f2a6d450-ef1f-11e5-bf73-c31226057b2f.html
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