La maladie de Parkinson au Canada (serveur d'exploration)

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Tango for treatment of motor and non-motor manifestations in Parkinson's disease: a randomized control study.

Identifieur interne : 000526 ( PubMed/Curation ); précédent : 000525; suivant : 000527

Tango for treatment of motor and non-motor manifestations in Parkinson's disease: a randomized control study.

Auteurs : Silvia Rios Romenets [Canada] ; Julius Anang [Canada] ; Seyed-Mohammad Fereshtehnejad [Suède] ; Amelie Pelletier [Canada] ; Ronald Postuma [Canada]

Source :

RBID : pubmed:25847555

English descriptors

Abstract

To determine effects of Argentine tango on motor and non-motor manifestations of Parkinson's disease.

DOI: 10.1016/j.ctim.2015.01.015
PubMed: 25847555

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pubmed:25847555

Le document en format XML

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<name sortKey="Rios Romenets, Silvia" sort="Rios Romenets, Silvia" uniqKey="Rios Romenets S" first="Silvia" last="Rios Romenets">Silvia Rios Romenets</name>
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<name sortKey="Fereshtehnejad, Seyed Mohammad" sort="Fereshtehnejad, Seyed Mohammad" uniqKey="Fereshtehnejad S" first="Seyed-Mohammad" last="Fereshtehnejad">Seyed-Mohammad Fereshtehnejad</name>
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<term>Dance Therapy (methods)</term>
<term>Dancing</term>
<term>Gait</term>
<term>Humans</term>
<term>Motor Skills</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Parkinson Disease (therapy)</term>
<term>Pilot Projects</term>
<term>Postural Balance</term>
<term>Quality of Life</term>
<term>Treatment Outcome</term>
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<term>Dance Therapy</term>
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<term>Parkinson Disease</term>
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<term>Dancing</term>
<term>Gait</term>
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<div type="abstract" xml:lang="en">To determine effects of Argentine tango on motor and non-motor manifestations of Parkinson's disease.</div>
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<Day>07</Day>
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<Title>Complementary therapies in medicine</Title>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To determine effects of Argentine tango on motor and non-motor manifestations of Parkinson's disease.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Randomized control trial.</AbstractText>
<AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">Forty patients with idiopathic Parkinson's disease.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">Movement disorder clinic and dance studio.</AbstractText>
<AbstractText Label="INTERVENTION" NlmCategory="METHODS">Two randomized groups: group (N=18) with 24 partnered tango classes, and control self-directed exercise group (N=15).</AbstractText>
<AbstractText Label="MAIN OUTCOMES MEASURES" NlmCategory="METHODS">The primary outcome was overall motor severity. Secondary outcomes included other motor measures, balance, cognition, fatigue, apathy, depression and quality of life.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">On the primary intention-to-treat analysis there was no difference in motor severity between groups MDS-UPDRS-3 (1.6 vs.1.2-point reduction, p=0.85). Patient-rated clinical global impression of change did not differ (p=0.33), however examiner rating improved in favor of tango (p=0.02). Mini-BESTest improved in the tango group compared to controls (0.7±2.2 vs. -2.7±5.9, p=0.032). Among individual items, tango improved in both simple TUG time (-1.3±1.6s vs. 0.1±2.3, p=0.042) and TUG Dual Task score (0.4±0.9 vs. -0.2±0.4, p=0.012), with borderline improvement in walk with pivot turns (0.2±0.5 vs. -0.1±0.5, p=0.066). MoCa (0.4±1.6 vs. -0.6±1.5, p=0.080) and FSS (-3.6±10.5 vs. 2.5±6.2, p=0.057) showed a non-significant trend toward improvement in the tango group. Tango participants found the activity more enjoyable (p<0.001) and felt more "overall" treatment satisfaction (p<0.001). We found no significant differences in other outcomes or adverse events.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Argentine tango can improve balance, and functional mobility, and may have modest benefits upon cognition and fatigue in Parkinson's disease. These findings must be confirmed in longer-term trials explicitly powered for cognition and fatigue.</AbstractText>
<CopyrightInformation>Copyright © 2015 Elsevier Ltd. All rights reserved.</CopyrightInformation>
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<LastName>Rios Romenets</LastName>
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