{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T17:56:58Z","timestamp":1776880618712,"version":"3.51.2"},"reference-count":9,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Pract Neurol"],"accepted":{"date-parts":[[2026,4,3]]},"abstract":"<jats:p>When recommending suitable ways for people with Parkinson\u2019s disease (PD) to increase their physical activity, healthcare professionals and caregivers often base their advice on observable motor impairments. Yet we might also consider the dimension of happiness. A 66-year-old former professional water polo player with longstanding PD felt completely freed from his symptoms while swimming, with a sustained post-exercise benefit. His experience in the water was a feeling of happiness. He noticeably worsened on days when he did not swim. However, objective video analysis found no corresponding motor improvement during swimming, which remained significantly impaired due to poor interlimb coordination and ineffective leg movements. This discrepancy underscores the importance of recognising meaningful subjective benefits, including reduced tension and stress that may not be captured by motor assessments alone. In addition to safety concerns, including drowning risk during swimming, exercise recommendations should also consider subjective patient-reported benefits.<\/jats:p>","DOI":"10.1136\/pn-2025-005057","type":"journal-article","created":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T17:20:35Z","timestamp":1776878435000},"page":"pn-2025-005057","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Happiness in Parkinson\u2019s disease: an overlooked concept"],"prefix":"10.1136","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0070-2785","authenticated-orcid":false,"given":"Cindel","family":"Albers","sequence":"first","affiliation":[{"name":"Department of Rehabilitation, Radboud University Medical Center, Donders Institute for Brain, Cogntion and Behaviour, Nijmegen, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anouk","family":"Tosserams","sequence":"additional","affiliation":[{"name":"Department of Neurology, Center of Expertise for Parkinson & Movement Disorders, Radboud University Medical Center, Donders Institute for Brain, Cogntion and Behaviour, Nijmegen, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorik","family":"Nonnekes","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Radboud University Medical Center, Donders Institute for Brain, Cogntion and Behaviour, Nijmegen, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bastiaan R","family":"Bloem","sequence":"additional","affiliation":[{"name":"Department of Neurology, Center of Expertise for Parkinson & Movement Disorders, Radboud University Medical Center, Donders Institute for Brain, Cogntion and Behaviour, Nijmegen, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,4,22]]},"reference":[{"key":"2026042210202141000_pn-2025-005057v1.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cortex.2008.11.010"},{"key":"2026042210202141000_pn-2025-005057v1.2","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1002\/mdc3.12989","article-title":"Why People With Parkinson\u2019s Disease Experience Near-Drowning-and How to Prevent It","volume":"7","author":"Tosserams","year":"2020","journal-title":"Mov Disord Clin Pract"},{"key":"2026042210202141000_pn-2025-005057v1.3","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1002\/mds.27918","article-title":"Swimming is compromised in Parkinson\u2019s disease patients","volume":"35","author":"Neves","year":"2020","journal-title":"Mov 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