Exercise and epilepsy: A survey of Midwest epilepsy patients

Ablah, Elizabeth; Haug, Aaron; Konda, Kurt; Tinius, Annie M.; Ram, Surya; Sadler, Toni; Liow, Kore

doi:10.1016/j.yebeh.2008.09.019

Cited by 46 publications

(42 citation statements)

References 35 publications

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“…This finding of fear as an exercise deterrent is in accordance with current research [1,4,7,8,10,30,31], however, the qualitative approach taken allowed for the diverse ways in which fear manifested itself to be revealed. Such manifestation included the fear that seizures could prevent Maya from achieving her end goal and would cause teammates to keep away from Andrew at the gym, as well as create the feelings of a loss of independence for Rose and Gwen.…”

Section: Discussionsupporting

confidence: 88%

The psychosocial impact of exercising with epilepsy: A narrative analysis

Collard

Marlow²

2016

Epilepsy & Behavior

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Abstract:Research has presented the benefits of and barriers to exercise for people with epilepsy through quantitative means. However, individual experiences through qualitative investigations have been absent. This research will present the narratives of people with epilepsy exercising over time and as a result, develop further understanding of the psychosocial impact of exercising with epilepsy. Four interviews were conducted over the course of one year (one every three to four months) with four participants (aged 23-38 years) who varied in seizure type and control (16 interviews in total). A narrative analysis was used to analyze their exercise experiences. Results showed that exercise creates a positive effect on psychological and physical well-being. However, prevention from exercise as a result of medical advice or re-current seizures can create negative effects such as social isolation, anxiety, lack of confidence, frustration, and anger. Adaptations of decreasing exercise intensity level and partaking in different physical activities are techniques used to lessen the negative impact and maintain an exercise routine. Time was shown to be an important factor in this adaptation as well as portrayed the cyclical responses of negative and positive emotions in regards to their exercise life. These findings provide valuable insight into the psychosocial benefits of and barriers to exercising with epilepsy, and draw attention to the individual differences in how a person with epilepsy copes with uncontrolled seizures and their impact on his/her exercise routine. This knowledge can lead to future research in exploring how a person with epilepsy can overcome these barriers to exercise and encourage more people with epilepsy to enjoy the benefits of exercise. Key Words:-Epilepsy; Exercise; Adaptation; Qualitative; Quality of life; Psychological Highlights:-Qualitative insight into exercising with epilepsy -Exercise is felt to be beneficial to overall physical and psychological well-being.-Adaptation methods increase the ability to maintain an exercise routine.-Time is a factor in coping with the impact of epilepsy upon one's exercise routine.2

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Section: Discussionsupporting

confidence: 88%

The psychosocial impact of exercising with epilepsy: A narrative analysis

Collard

Marlow²

2016

Epilepsy & Behavior

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“…Second, PWE have reported a fear of seizures and seizure-related injuries (Arida, Cavalheiro, da Silva, & Scorza, 2008). Third, looking at the effect social support has upon a PWE's decision to exercise, Ablah et al (2009) found that 68% of 412 surveyed epilepsy patients were actively discouraged by family members or another influence. As a consequence of this on-going hindrance, and despite the specific physical and mental benefits of physical activity, exercise is still not a regular occurrence for PWE (Dubow & Kelly, 2003).…”

Section: Introductionmentioning

confidence: 99%

“It's such a vicious cycle”: Narrative accounts of the sportsperson with epilepsy

Collard

Marlow

2016

Psychology of Sport and Exercise

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“…24 In a study of 93 people with multiple sclerosis, items related to physical exertion (eg, "exercise tires me" and "exercise is hard work for me") were the most highly ranked barriers to participation in exercise. 25 Ablah et al 26 examined barriers to exercise in adults with epilepsy and found that the most common perceived barriers were lack of motivation, personal safety concerns, insufficient time, lack of an exercise partner, excessive pain, lack of transportation, side effects of medication, fear of seizures, and limited access to exercise facilities. These adults experienced many of the same barriers as adults who were healthy in addition to barriers that were disease specific.…”

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confidence: 99%

“…These adults experienced many of the same barriers as adults who were healthy in addition to barriers that were disease specific. 26 Little is known about barriers to exercise in people with PD. Although people with PD may have barriers to exercise in common with older adults who are healthy, some barriers may be more relevant than others.…”

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confidence: 99%

Barriers to Exercise in People With Parkinson Disease

Boudreau²,

et al. 2013

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BackgroundExercise is known to reduce disability and improve quality of life in people with Parkinson disease (PD). Although barriers to exercise have been studied in older adults, barriers in people with chronic progressive neurological diseases, such as PD, are not well defined.ObjectiveThe purpose of this study was to identify perceived barriers to exercise in people with PD.DesignThe study had a cross-sectional design.MethodsPeople who had PD, dwelled in the community, and were at stage 2.4 on the Hoehn and Yahr scale participated in this cross-sectional study (N=260; mean age=67.7 years). Participants were divided into an exercise group (n=164) and a nonexercise group (n=96). Participants self-administered the barriers subscale of the Physical Fitness and Exercise Activity Levels of Older Adults Scale, endorsing or denying specific barriers to exercise participation. Multivariate logistic regression analysis was used to examine the contribution of each barrier to exercise behavior, and odds ratios were reported.ResultsThree barriers were retained in the multivariate regression model. The nonexercise group had significantly greater odds of endorsing low outcome expectation (ie, the participants did not expect to derive benefit from exercise) (odds ratio [OR]=3.93, 95% confidence interval [CI]=2.08–7.42), lack of time (OR=3.36, 95% CI=1.55–7.29), and fear of falling (OR=2.35, 95% CI=1.17–4.71) than the exercise group.LimitationsThe cross-sectional nature of this study limited the ability to make causal inferences.ConclusionsLow outcome expectation from exercise, lack of time to exercise, and fear of falling appear to be important perceived barriers to engaging in exercise in people who have PD, are ambulatory, and dwell in the community. These may be important issues for physical therapists to target in people who have PD and do not exercise regularly. The efficacy of intervention strategies to facilitate exercise adherence in people with PD requires further investigation.

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Exercise and epilepsy: A survey of Midwest epilepsy patients

Cited by 46 publications

References 35 publications

The psychosocial impact of exercising with epilepsy: A narrative analysis

The psychosocial impact of exercising with epilepsy: A narrative analysis

“It's such a vicious cycle”: Narrative accounts of the sportsperson with epilepsy

Barriers to Exercise in People With Parkinson Disease

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