{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T16:19:07Z","timestamp":1787933947023,"version":"build-2784847793"},"reference-count":43,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"International Table Tennis Federation Foundation","award":["Partial financial support for one of the coaches o"],"award-info":[{"award-number":["Partial financial support for one of the coaches o"]}]},{"name":"CU Denver Movement Disorders Program","award":["Funding support to Dr. Woodward was provided."],"award-info":[{"award-number":["Funding support to Dr. Woodward was provided."]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["NeuroRehabilitation"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Exercise is the only established disease-modifying intervention in Parkinson's disease (PD), and continued exploration of innovative and engaging exercise modalities may further enhance outcomes for individuals living with PD. Table tennis (TT) is a cognitively engaging, task-specific activity integrating visuospatial processing, anticipatory motor planning, and dynamic postural control.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      To examine the feasibility, including attendance, retention, and safety, and effects of a 12 week TT-based program, NeuroPong\n                      <jats:sup>TM<\/jats:sup>\n                      , on motor and non-motor symptoms in individuals with PD.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this single-arm pilot study, 30 participants were enrolled and 26 completed 12 weeks of twice-weekly, 2-h TT sessions. The primary outcome was the Movement Disorders Society-Unified Parkinson's Disease Rating Scale Part III (MDS-UPDRS III). Secondary outcomes included the Berg Balance Scale (BBS), Timed Up and Go (TUG), Six-Minute Walk Test (6MWT), Montreal Cognitive Assessment (MoCA) and several patient-reported outcomes. Pre-post comparisons were conducted using paired T-tests.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Improvements were observed in the MDS-UPDRS Part III (mean change \u22125.73, 95% CI \u22129.02 to \u22122.44, p\u2009=\u20090.0014), BBS (mean change +3.08, 95% CI 1.987 to 4.17, p\u2009&lt;\u20090.0001), TUG (mean change \u22121.04, 95% CI\n                      <jats:bold>\u2212<\/jats:bold>\n                      1.69 to \u22120.38, p\u2009=\u20090.0032), and 6MWT (mean change 66.77, 95% CI 49.82 to 83.71, p\u2009&lt;\u20090.0001). Self-reported depression decreased (Hospital Anxiety and Depression Scale, HADS-D mean change \u22121.12, 95% CI \u22121.97 to \u22120.26, p\u2009=\u20090.0129). Attendance averaged approximately 90%, and no adverse events were reported. No significant changes were observed in other outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A 12-week TT-based program, NeuroPong\u2122, was feasible and associated with improvement in motor function, balance, walking endurance and self-reported depression in PD. The multidimensional motor and cognitive demands of table tennis may contribute to these observed benefits. Larger randomized controlled trials are warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10538135261468787","type":"journal-article","created":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T13:42:13Z","timestamp":1784122933000},"page":"241-248","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A Pilot Table Tennis-Based Neurorehabilitation Program to Improve Parkinson's Disease Symptoms"],"prefix":"10.1177","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6265-2686","authenticated-orcid":false,"given":"Antonio","family":"Barbera","sequence":"first","affiliation":[{"name":"NeuroPong, Fort Collins, CO, USA"},{"name":"Department of Neurology, University of Colorado School of Medicine, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-0676-3709","authenticated-orcid":false,"given":"Matthew","family":"Woodward","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Colorado School of Medicine, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9455-6365","authenticated-orcid":false,"given":"Isabelle","family":"Buard","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Colorado School of Medicine, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8691-3139","authenticated-orcid":false,"given":"Stefan","family":"Sillau","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Colorado School of Medicine, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramon Ortega","family":"Montes","sequence":"additional","affiliation":[{"name":"International Table Tennis Federation Foundation, Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7701-3120","authenticated-orcid":false,"given":"Jeanne","family":"Feuerstein","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Colorado School of Medicine, Aurora, CO, USA"},{"name":"Rocky Mountain Regional VAMC, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,15]]},"reference":[{"key":"e_1_3_3_2_1","unstructured":"Barbera A. 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