LAUSR

PURPOSE To understand the meaning of regular participation in multiple types of vigorous-intensity exercise for those with Parkinson's disease (PD). MATERIALS AND METHODS Using a qualitative phenomenological approach, in-depth individual interviews were conducted with eight male participants who engaged in at least two modes of vigorous-intensity exercise, including Rock Steady Boxing, about their experiences with exercise and the multifaceted role it played in their lives. Interview data were analyzed using systematic coding and organized into primary themes. RESULTS Three primary themes emerged from the interview data: (1) the unique importance of social connections with others diagnosed with PD, (2) a sense of purpose, and (3) determination and confidence. Specifically, for those with a minimal history of engagement in exercise, regular participation in multiple types of vigorous-intensity exercise accompanied life-affirming social connections that served to boost feelings of hope and foster a clear sense of purpose in the face of disease. Participation in regular vigorous-intensity exercise fueled determination and confidence to engage in even more vigorous activities. CONCLUSIONS Implications for rehabilitation practice include the importance of collaboration between health care professionals and community programs for people with PD. Promotion of group-based community activities, vigorous-intensity modes of exercise, and consideration of a patient's exercise history will be essential for the successful delivery of future services. IMPLICATIONS FOR REHABILITATION Social connections built through Rock Steady Boxing, a group exercise program, served as a catalyst for increasing hope, sense of purpose and motivation for people with Parkinson's disease; Vigorous-intensity exercise at Rock Steady Boxing fueled determination and confidence to engage in additional vigorous exercise regimens; Collaboration between health care providers and community partners is essential for long-term service provision for individuals with disability; Exercise history should be considered when making recommendations for physical activity.