Boxing & Parkinson’s: Respiratory Alternating Reciprocal Movement (PRI).
- R Brettschneider
- Apr 13, 2025
- 3 min read
Updated: Jan 3
I've always been captivated by the brain and nervous system, how the body functions, adapts, and heals continues to amaze me. This deep curiosity naturally steered me toward the fields of health, rehabilitation, human movement, physical therapy. Boxing, too, has been a constant in my life for as long as I can remember. It's more than just a sport—it's a way of being, a form of expression. And when you begin to understand the brain as a prediction machine designed for movement, you start to see boxing in a whole new light. The alternating movement patterns, rhythm, and coordination required in boxing aren't just physically demanding, they're neurologically enriching, especially for individuals with conditions like Parkinson’s disease.
"Respiratory Reciprocal Alternation" in human movement and it's importance is not widely recognized, however, Postural Restoration (PRI) emphasizes this integral movement component for overall health and the body's functions, respiratory reciprocal alternating movement = more brain activity = better function.
Parkinson's doesn’t just affect how you move it touches nearly every part of how your brain and body communicate. And while medications help, there’s something incredibly powerful you can do with your own two hands and feet: move in rhythm, alternate your limbs, and breathe with intention.
Boxing for Parkinson’s isn’t just about exercise it’s about rewiring the brain. Every jab, step, or defensive move is an opportunity to reconnect lost pathways, challenge the mind, and stimulate new patterns. Structured rest periods support recovery and nervous system.

Neuroplasticity: Your Brain's Secret Weapon
Even with a condition like Parkinson's, your brain still has the ability to form new connections, strengthen existing ones, and build alternative neural pathways to support function. This amazing process is called neuroplasticity and it's the key to improving movement, thinking, and emotional regulation in people living with Parkinson's. Neuroplasticity needs stimulation to happen. Repetitive, rhythmic, coordinated movement is one of the most powerful ways to wake up the brain and encourage rewiring.
Why Alternating Movement Works
Boxing makes you alternate sides constantly. Left jab, right cross. One foot forward, one back. You step, duck, and pivot.This kind of movement wakes up both sides of your brain. It strengthens the areas that control coordination and balance. For people with Parkinson's, these areas often get weaker over time.
ANS Autonomic Nervous System
Your autonomic nervous system controls all non-concision functions your heart rate, your digestion and body temperature even your stress response.
With Parkinson's, this system can stop working as well as it should. You might feel tired all the time, sensitive to heat or cold, your digestion slows down and sleep gets worse. Boxing helps fix this. It trains your nervous system to handle stress better and recover faster. Between rounds, you breathe and rest. That calms your system down. During drills, your body activates just enough to build strength without overdoing it. This pattern teaches your nervous system how to regulate itself again.Over time, you might notice better energy, less stress, smoother digestion, and steadier moods. Moving with rhythm and purpose does more than you'd think.
Because boxing combines intensity with rhythm, it trains the ANS to better adapt and self-regulate. Breathwork between rounds activates the parasympathetic branch, the rest-and-digest part of your system. Challenging drills activate the sympathetic response just enough to build resilience, though you're careful to not overwhelm the system. This back-and-forth creates a kind of "neural gym" for your ANS, improving flexibility, recovery, and internal balance in ways that compound over weeks of practice.
This regulation often shows up as better energy levels, improved stress tolerance, better digestion, and moods. All thsi from moving intentionally, in rhythm, and with a little sweat.
Here is a link to an article by the ABC. https://www.abc.net.au/news/2023-04-27/boxing-program-helps-fight-off-parkinsons-disease/102272114
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