Sonne James W H, Joslyn Kyle, Reus Katherine, Angulo Michelle, Guettler Sarah, Beato Morris C
From the Department of Biomedical Sciences, School of Medicine Greenville, University of South Carolina, Greenville, SC, USA (JWHS) and Division of Physical Therapy, School of Kinesiology & Physical Therapy, College of Health Professions & Sciences, University of Central Florida, Orlando, FL, USA (KJ, KR, MA, SG, MCB).
Am J Lifestyle Med. 2021 Jul 10;18(4):558-566. doi: 10.1177/15598276211028144. eCollection 2024 Jul-Aug.
The purpose of this retrospective study is to further the limited body of evidence regarding the effects of a group-based boxing intervention for those with Parkinson's disease (PD).
A retrospective cohort study was performed analyzing data collected on outcome measures at 6-month intervals up to 2 years. Individuals participated in the standardized "Rock Steady Boxing" (RSB) program for up to 24 months. Every 6 months, measures were taken of balance (Fullerton Advanced Balance [FAB] Scale), functional mobility (Timed-Up and Go [TUG]), lower extremity strength (30-second Chair Stand [30CST]), and gait speed (10 Meter Walk Test [10MWT]).
Statistical significance ( < .05) was determined by a two-tailed t test. Data were collected from RSB-affiliated programs at 4 locations across the southeastern United States. Current and/or past participants in RSB with baseline and at least one subsequent outcome measure were included, resulting in 68 participants (54 male, 14 female, and mean age of 71.2 years ± 8.56 standard deviation).
Statistically significant improvements in FAB scale, TUG, and 30CST over time were found at both 6- and 12-month time points. Significant changes continued through 18 months for FAB and 30CST. No significant changes in 10MWT were observed; however, a moderate effect size was observed at the 1-year point.
Participants with PD were able to achieve statistically significant improvements in standard measures of functional mobility, balance, and strength within the timeline of this study. Limitations include the retrospective nature, an inability to monitor adherence, and lack of control over pharmaceutical or other interventions.
这项回顾性研究的目的是进一步补充关于帕金森病（PD）患者基于团体的拳击干预效果的有限证据。
进行了一项回顾性队列研究，分析了长达2年、每隔6个月收集的结局指标数据。个体参与标准化的“稳健拳击”（RSB）计划长达24个月。每6个月测量一次平衡能力（富勒顿高级平衡[FAB]量表）、功能移动性（计时起立行走测试[TUG]）、下肢力量（30秒坐立试验[30CST]）和步速（10米步行测试[10MWT]）。
通过双尾t检验确定统计学显著性（<0.05）。数据收集自美国东南部4个地点的RSB附属项目。纳入了有基线数据和至少一项后续结局指标的RSB现任和/或过往参与者，共68名参与者（54名男性，14名女性，平均年龄71.2岁±8.56标准差）。
在6个月和12个月时间点均发现，随着时间推移，FAB量表、TUG和30CST有统计学显著性改善。FAB和30CST在18个月时仍持续有显著变化。未观察到10MWT有显著变化；然而，在1年时间点观察到中等效应量。
在本研究的时间范围内，PD患者在功能移动性、平衡和力量的标准测量指标上取得了统计学显著性改善。局限性包括研究的回顾性性质、无法监测依从性以及缺乏对药物或其他干预措施的控制。
