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Man in front of a punching bag with boxing gloves on.
Man hitting an uppercut at a boxing class.
Boxing instructor and class participant hitting a punching bag.

The brain can fight back against Parkinson's disease

5 min Read | by  Nick Keppler

The story of how boxing, daily movement, and community is changing the lives of people living with Parkinson’s disease.

Exercise might counter Parkinson’s disease.

Parkinson's is a degenerative brain condition in which a deficiency of dopamine can cause stiffness, difficulty with balance, and/or uncontrollable body movements. A body slipping out of control leads to an array of secondary symptoms.

Jeff Henry boxes to improve his overall health and reduce symptoms.

Facing his Parkinson’s diagnosis head-on

His hands wrapped in Title brand gloves, Jeff Henry, age 68, wailed against a cylindrical boxing column. Small and skinny with thinned gray hair, he crouched as he delivered punches, right, left, right, left, right, left. A burly gym owner shouted “switch!” to the dozen or so participants in this class and Henry moved to a speedbag — those hanging, teardrop-shaped sacks that allow boxers to train their upper body strength and reflexes. Henry did not take his eyes off it as he pummeled it back and forth.

The class ended. Everyone took off their gloves, and the group marked a classmate’s birthday with frosting-coated brownies. Henry clenched the dessert and slowly brought it up to his mouth with patience, exhausted from his workout.

Like everyone else in this class, he has Parkinson’s disease. "I started walking funny. I couldn't lift my leg," he said.

Henry, who owns a dairy farm in Western Pennsylvania, attended a cattle convention four years ago and saw a man dragging his leg, the same kind of drag Henry had developed. The man said he had Parkinson’s.

Henry, who owns a dairy farm in Western Pennsylvania, attended a cattle convention four years ago and saw a man dragging his leg, the same kind of drag Henry had developed. The man said he had Parkinson’s.

That’s when Henry realized he might have a serious disease. Dealing with it is now “like a second job,” he said.

His regimen includes attending classes several times a week at the VSN Athletic Performance & Fitness Center in Boardman, Ohio. It is one of more than 800 outposts nationwide that offers Rock Steady Boxing, an exercise program centered on no-contact boxing for people with Parkinson’s disease.

Man standing next to a goat feeding him.
Henry handles his diagnosis how he handles his cattle: with care.

That’s when Henry realized he might have a serious disease. Dealing with it is now “like a second job,” he said.

First Image: Henry stands beside the tractor on his farm in Western Pennsylvania. Second Image: Henry trains for everyday life.

His regimen includes attending classes, several times a week, at the VSN Athletic Performance & Fitness Center in Boardman, Ohio. It is one of more than 800 outposts, nationwide, that offers Rock Steady Boxing, an exercise program, centered on no-contact boxing, for people with Parkinson’s disease.

Physical activity has been shown to decrease pain, fatigue, depression, and mobility loss associated with Parkinson’s.

The disease causes a loss of coordination and agility, and physical activity works to refine the capacity for both, counteracting the decline. Also, Parkinson’s can lead to a more sedentary lifestyle that begets other health problems, like increased diminishing heart health. An exercise routine could, naturally, upend this effect.

Woman facing boxing class holding up drum sticks.
Three people stretching on a green mat.
The Rock Steady Boxing class at the VSN Fitness Center warm up before they hit the bags.

There is some evidence that physical activity could be preventative for Parkinson’s, which impacts an estimated one million Americans.

The healing power of exercise

A growing body of research has shown that exercise might help to counter Parkinson’s, a degenerative brain condition in which a deficiency of dopamine can cause stiffness, difficulty with balance and/or uncontrollable body movements. A body slipping out of control leads to an array of secondary symptoms.

Scientists are just beginning to understand the neuroprotective effects of exercise. But experiments on lab mice have shown that physical activity seems to stimulate several processes in which the brain maintains essential pathways. In these studies, physical activity was associated with survival and regeneration of cells in brain areas associated with emotion and memory. It also seemed to speed up the metabolism of neurotransmitters.

There is some evidence that physical activity could be preventative for Parkinson’s, which impacts an estimated one million Americans.

Rock Steady is the biggest name in a growing movement to encourage Parkinson’s patients to get to the gym to spar against cognitive and physical decline. Large population studies show that people who exercise regularly in their 30s and 40s are less likely to develop the disease.

Results from the Parkinson’s Outcomes Project — a massive study of 13,000 participants in five countries — showed that people who started an exercise regimen of 2.5 hours per week had a slower decline in quality of life compared to those who started later.

Rock Steady is the biggest name in a growing movement to encourage Parkinson’s patients to get to the gym to spar against cognitive and physical decline. Large population studies show that people who exercise regularly in their 30s and 40s are less likely to develop the disease.

Results from the Parkinson’s Outcomes Project — a massive study of 13,000 participants in five countries— showed that people who started an exercise regimen of 2.5 hours per week had a slower decline in quality of life compared to those who started later.

Foot balancing on a bosu ball.
First Image: Caldwell demonstrates her flexibility, a testament to the skills she has fine-tuned during boxing classes. Second Image: Henry balances on a BOSU ball, demonstrating his success in Rock Steady classes.

“...you tell yourself you have this disease and [you are] going to do whatever [you] can to deal with the disease, and when you are in good shape, everything is easier.”

-Daniel Corcos, Professor of Physical Therapy and Movement Sciences at Northwestern University who studies Parkinson’s
Man hitting an uppercut at a boxing class.

Success measured in sweat

Rock Steady Boxing was founded in 2005 by Scott Newman, an attorney who had developed early-onset Parkinson’s, meaning he was younger than 50 when symptoms began. Using advice from a former professional fighter, he found that his boxing training program helped ease his symptoms.

The program exploded in popularity after it was featured on a CBS Sunday Morning segment in 2015. Connie Fiems, a physical therapist and co-chair of Rock Steady’s Medical Advisory Committee, said that affiliate programs — overseen by a trainer who has completed a course with the national nonprofit — peaked at about 1,000. This has diminished to about 800; some classes never reformed after the Covid-19 pandemic shuttered fitness centers.

“We make it fun, and we make it sport-related and recreational. Boxers have to write juke and jive and sidestep,” said Fiems.

Caldwell throws punches at Stein's punch mitt while he pushes for more.
Stein's hands-on approach ensures clients get the most out of their warm-up and workout.

"Boxing training includes everything folk with Parkinson's require," said Fiems. “It includes speed, agility, strength, cardiovascular, and aerobic conditioning.”

The program consists of more than boxing. The crowd in Boardman, Ohio works through stretching, balance, and coordination exercises before stepping into the room of boxing equipment. Two class participants did not even box due to shoulder conditions.

But no-contact boxing is a critical part of the program, both for health and marketing purposes.

"Boxing training includes everything folk with Parkinson's require," said Fiems. “It includes speed, agility, strength, cardiovascular, and aerobic conditioning.”

The sport doesn’t just train for strength or the ability to do repetitive motions, but to develop coordination and rapid-fire reaction times, the kind of mind-body connection that Parkinson’s patients are losing.

The fact that most people have never engaged in boxing has turned out to be a benefit, said Chris Timberlake, Rock Steady’s director of training and education. It’s new to them, so they are open to it, and they don’t face the prospect of comparing their skills pre- and post-Parkinson’s.

“So they walk into the gym and they don't have any preconceived expectations of how well they did it before versus how they're going to do it in the future,” said Timberlake.

Many in the Boardman class, which has about 20 regulars, credit Rock Steady with improvements in their condition. “When I first came in, I had trouble getting out of a chair,” said Henry. “Jumping rope is my main exercise now.”

He said that when he started, he left class feeling sore but he doesn’t now. He thinks conditioning has increased his energy level. “I used to get tired so easily,” he said. “It meant I couldn’t be as sociable.”

Man jumping rope at boxing class.
Henry masters the jump rope despite his diagnosis.

Many in the Boardman class, which has about 20 regulars, credit Rock Steady with improvements in their condition. “When I first came in, I had trouble getting out of a chair,” said Henry. “Jumping rope is my main exercise now.”

He said that when he started, he left class feeling sore but he doesn’t now. He thinks conditioning has increased his energy level. “I used to get tired so easily,” he said. “It meant I couldn’t be as sociable.”

“When I first came in, I had trouble getting out of a chair... jumping rope is my main exercise now.”

JEFF Henry
Hands putting on a pair of boxing gloves.

The faces of boxing in Boardman

Doug Stein, the owner of the VSN Athletic Performance & Fitness Center, also teaches classes. He said his experience as a Navy medic makes him comfortable in helping people manage a medical condition.

The hardest thing is encouraging people to concentrate, to engage with their own coordination.

“People get too comfortable with doing what the next person is doing,” says Stein.

A man smiling in front of a squatting rack.
Portrait of Stein at his gym in Boardman, Ohio.
Portrait of Caldwell at the gym.

“We almost fly out [of class] because we got the endorphins and dopamine being produced,” she said. “We come out as a different person many times.”

Paula Caldwell, 75, a retired college professor and yoga instructor, is one of the instructors and the catalyst for the classes in Boardman. She was diagnosed in 2005. She said people often come to class feeling tired, unsure they will be able to complete it.

“We almost fly out [of class] because we got the endorphins and dopamine being produced,” she said. “We come out as a different person many times.”

After her Parkinson’s diagnosis, Caldwell called her local gym, VSN Athletic Performance & Fitness Center, to inquire about exercise classes for people like her. Stein picked up the phone. Together, they identified the need for a specialized fitness class for people diagnosed with certain diseases. Stein took it upon himself to earn a certificate to become a boxing coach, making his gym an official affiliate with Rock Steady Boxing.

Woman holding a sound healing device.
First Image: The group cools down with yoga and sound healing after their workout. Second Image: Stein helps boxers with their form.

Social solidarity

One important aspect of Rock Steady is that it is social. People meet others struggling through Parkinson’s. Once a month, the Boardman group meets up not to exercise, just to share experiences with symptoms or new medications.

“We have become comrades for fighting this together,” said Caldwell. “We've become our own little unit, like a family. I have the most supportive, loving, wonderful husband. We’ve been married for 50 years this year. But he does not know what it's like to have Parkinson’s. But with boxers, we know.”

Show your support
Group of people posing for a photo.
Portrait of Rock Steady Boxing trainers and participants at the VSN Athletic Performance & Fitness Center.
Hands putting on a pair of boxing gloves.
The brain can fight back
against Parkinson's disease
P. S.

These guys were heroes who made me realize what a gift movement is. I left the gym a lot more aware of how important it is to stay active– even when your body says, “not today.” I mean, some of these guys could kick my butt!

Ty Wright, Photographer
Henry hits a punching bag at a Rock Steady Boxing class.

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