Research rticle
The Rehabilitative Effect of Archery Exercise Intervention in
Patients with Parkinson’s Disease
Chiu-Ying Chen ,
1,2,3
Wei-Ning Wang ,
4
Ming-Kuei Lu ,
5,6,7
Yu-Wan Yang,
5
Tsung Yu ,
8
Trong-Neng Wu ,
9
and Chon-Haw Tsai
5,7,10
1
Graduate Institute of Clinical Medical Science, College of Medicine, China Medical University, Taichung, Taiwan
2
Department of Public Health, China Medical University, Taichung, Taiwan
3
Department of Nursing and Graduate Institute of Nursing, sia University, Taichung, Taiwan
4
Institute of Population Health Sciences, National Health Research Institutes, Miaoli, Taiwan
5
Department of Neurology, China Medical University Hospital, Taichung, Taiwan
6
Ph.D. Program for Translational Medicine, College of Medicine, China Medical University, Taichung, Taiwan
7
Neuroscience and Brain Disease Center, China Medical University, Taichung, Taiwan
8
Department of Public Health, National Cheng Kung University, Tainan, Taiwan
9
Department of Healthcare dministration, sia University, Taichung, Taiwan
10
School of Medicine, College of Medicine, China Medical University, Taichung, Taiwan
Correspondence should be addressed to Chon•Haw Tsai; windymovement@gmail.com
Received 16 October 2022; Revised 2 May 2023; Accepted 18 May 2023; Published 8 June 2023
Academic Editor: Giovanni Mirabella
Copyright © 2023 Chiu•Ying Chen et al. Tis is an open access article distributed under the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly
cited.
Background. Archery exercise exerts a rehabilitative efect on patients with paraplegia and might potentially serve as comple•
mentary physiotherapy for patients with Parkinson’s disease. Objective. Tis study aimed to examine the rehabilitative efects ofan
archery intervention. Methods. A randomized controlled trial of a 12•week intervention was performed in patients with idiopathic
Parkinson’s disease. Tirty•one of the 39 eligible patients recruited from a medical center in Taiwan participated in the trial, of
whom 16 were in the experimental group practicing archery exercises and 15 were in the control group at the beginning; twenty•
nine completed the whole process. Te Purdue pegboard test (PPT),theUnifedParkinson’sDiseaseRatingScaleItoIII(UPDRSI
to III), physical ftness test, and timed up and go test (TUG) were used to assess the intervention efects of archery exercise. Results.
Compared to the control group, the outcome diferences between the posthoc and baseline tests in PPT, UPDRS I to III, lower
extremity muscular strength, and TUG in the experimental group (between•group diference in diference’s mean: 2.07, 1.59, 1.36,
−2.25, −3.81, −9.10, 3.57, and −1.51, respectively) did show positive changes and their efect sizes examined from Mann–Whitney
U tests (η:0.631,0.544,0.555,0.372,0.411,0.470,0.601,and0.381,respectively;Ps < 0.05) were medium to large, indicating that the
archery intervention exerted promising efects on improving hand fexibility and fnger dexterity, activity functions in motor
movement, lower extremity muscular strength, and gait and balance ability. Conclusions. Traditional archery exercise was
suggested to have a rehabilitative efect for mild to moderate Parkinson’s disease and could be a form of physiotherapy.
Nevertheless, studies with larger sample sizes and extended intervention periods are needed to ascertain the long•term efects of
archery exercise.
1. Introduction
Parkinson’s disease (PD) is the second most prevalent
neurodegenerative disorder after Alzheimer’s disease, and its
onset often occurs in the elderly. Te estimated global
burden of PD has increased from 2.5 million in 1990 to
6.1million in 2016 and 9.4million in 2020, and the age•
standardized prevalence rates have increased by 21.7% 1, 2].
Tese changes have resulted in great public health concerns
regarding PD prevention and control since society has aged
Hindawi
Parkinson’s Disease
Volume 2023, Article ID 9175129, 11 pages
https://doi.org/10.1155/2023/9175129