Research aims and study questions.

Purpose
Regular exercise can reduce the symptoms of Parkinson’s disease, a common neurodegenerative disorder. The Rock Steady Boxing organization created an exercise program for people with Parkinson’s Disease (pwPD) modelled after traditional boxing. The purpose of this study was to better understand the physical function, exercise beliefs, contextual factors, class experiences and outcome perceptions of pwPD participating in Rock Steady Boxing.
Materials and methods
A pragmatic qualitative approach of semi-structured interviews and class observations was supplemented by cross-sectional physical function measures.
Results
Ten study participants were community dwelling adults with Parkinson’s Disease, participating in Rock Steady Boxing two to three times a week for an average of 10.6 (6.2) months. Most participants (7/10) had good mobility with Timed Up and Go scores below the 14.8 second average for community dwelling pwPD (7/10) and Parkinson’s Disease Questionnaire-39 Mobility Scores < 50% (8/10). Participants (9/10) had good exercise self-efficacy, with average scores on the Short Self-efficacy for Exercise Scale > 3/5. Thematic analysis revealed a history of exercise and strong exercise beliefs positively influenced participation. Rock Steady Boxing provided valued social interactions and offered individualized attention through personalized modifications.
Conclusions
Instructor enthusiasm, program modifiability and social support drive participation and provide a challenge for differing abilities. RSB is a valued community offering for pwPD.

研究目的
规律运动可缓解帕金森病（Parkinson’s Disease）——一种常见的神经退行性疾病——的症状。Rock Steady Boxing组织为帕金森病患者（people with Parkinson’s Disease, 以下简称pwPD）开发了一套模仿传统拳击的运动方案。本研究旨在深入了解参与Rock Steady Boxing运动的pwPD的身体功能、运动信念、情境因素、课程体验及结局认知。

材料与方法
本研究采用务实性定性研究范式，结合半结构化访谈与课程观察，并辅以横断面身体功能测量手段。

研究结果
本研究共纳入10名社区居住的帕金森病患者，他们每周参与2~3次Rock Steady Boxing运动，平均参与时长为10.6（标准差6.2）个月。多数受试者（7/10）运动功能良好，计时起立-行走测试（Timed Up and Go）得分低于社区居住帕金森病患者的14.8秒平均水平；8/10的受试者帕金森病问卷-39运动维度得分低于50%。9/10的受试者运动自我效能感良好，运动简短自我效能量表（Short Self-efficacy for Exercise Scale）平均得分高于3/5。主题分析显示，既往运动史与坚定的运动信念对受试者的参与具有积极促进作用。Rock Steady Boxing项目为受试者提供了宝贵的社交互动机会，并通过个性化调整提供个体化关怀。

结论
教练的热情、项目的可调整性与社会支持是推动受试者参与的核心驱动因素，同时也为不同运动能力水平的受试者带来了适配挑战。Rock Steady Boxing是一项深受帕金森病患者认可的优质社区运动项目。