Tango for treatment of motor and non-motor manifestations in Parkinson's disease: a randomized control study.
Identifieur interne : 000007 ( Main/Exploration ); précédent : 000006; suivant : 000008Tango 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 :
- Complementary therapies in medicine [ 1873-6963 ] ; 2015.
Descripteurs français
- KwdFr :
- MESH :
- méthodes : Thérapie par la danse.
- physiopathologie : Maladie de Parkinson.
- thérapie : Maladie de Parkinson.
- Aptitudes motrices, Danse, Démarche, Humains, Projets pilotes, Qualité de vie, Résultat thérapeutique, Équilibre postural.
English descriptors
- KwdEn :
- MESH :
- methods : Dance Therapy.
- physiopathology : Parkinson Disease.
- therapy : Parkinson Disease.
- Dancing, Gait, Humans, Motor Skills, Pilot Projects, Postural Balance, Quality of Life, Treatment Outcome.
Abstract
OBJECTIVE
To determine effects of Argentine tango on motor and non-motor manifestations of Parkinson's disease.
DESIGN
Randomized control trial.
PARTICIPANTS
Forty patients with idiopathic Parkinson's disease.
SETTING
Movement disorder clinic and dance studio.
INTERVENTION
Two randomized groups: group (N=18) with 24 partnered tango classes, and control self-directed exercise group (N=15).
MAIN OUTCOMES MEASURES
The primary outcome was overall motor severity. Secondary outcomes included other motor measures, balance, cognition, fatigue, apathy, depression and quality of life.
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.
CONCLUSION
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.
DOI: 10.1016/j.ctim.2015.01.015
PubMed: 25847555
Affiliations:
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Electronic address: ron.postuma@mcgill.ca.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Neurology, McGill University, Montreal General Hospital, Montreal, Quebec</wicri:regionArea><orgName type="university">Université McGill</orgName><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author></analytic><series><title level="j">Complementary therapies in medicine</title><idno type="eISSN">1873-6963</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Dance Therapy (methods)</term><term>Dancing (MeSH)</term><term>Gait (MeSH)</term><term>Humans (MeSH)</term><term>Motor Skills (MeSH)</term><term>Parkinson Disease (physiopathology)</term><term>Parkinson Disease (therapy)</term><term>Pilot Projects (MeSH)</term><term>Postural Balance (MeSH)</term><term>Quality of Life (MeSH)</term><term>Treatment Outcome (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Aptitudes motrices (MeSH)</term><term>Danse (MeSH)</term><term>Démarche (MeSH)</term><term>Humains (MeSH)</term><term>Maladie de Parkinson (physiopathologie)</term><term>Maladie de Parkinson (thérapie)</term><term>Projets pilotes (MeSH)</term><term>Qualité de vie (MeSH)</term><term>Résultat thérapeutique (MeSH)</term><term>Thérapie par la danse (méthodes)</term><term>Équilibre postural (MeSH)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dance Therapy</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Thérapie par la danse</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Maladie de Parkinson</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Maladie de Parkinson</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Dancing</term><term>Gait</term><term>Humans</term><term>Motor Skills</term><term>Pilot Projects</term><term>Postural Balance</term><term>Quality of Life</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Aptitudes motrices</term><term>Danse</term><term>Démarche</term><term>Humains</term><term>Projets pilotes</term><term>Qualité de vie</term><term>Résultat thérapeutique</term><term>Équilibre postural</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To determine effects of Argentine tango on motor and non-motor manifestations of Parkinson's disease.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>Randomized control trial.</p></div><div type="abstract" xml:lang="en"><p><b>PARTICIPANTS</b></p><p>Forty patients with idiopathic Parkinson's disease.</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>Movement disorder clinic and dance studio.</p></div><div type="abstract" xml:lang="en"><p><b>INTERVENTION</b></p><p>Two randomized groups: group (N=18) with 24 partnered tango classes, and control self-directed exercise group (N=15).</p></div><div type="abstract" xml:lang="en"><p><b>MAIN OUTCOMES MEASURES</b></p><p>The primary outcome was overall motor severity. Secondary outcomes included other motor measures, balance, cognition, fatigue, apathy, depression and quality of life.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>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.</p></div></front></TEI><affiliations><list><country><li>Canada</li><li>Suède</li></country><region><li>Québec</li><li>Svealand</li></region><settlement><li>Montréal</li><li>Stockholm</li></settlement><orgName><li>Université McGill</li></orgName></list><tree><country name="Canada"><region name="Québec"><name sortKey="Rios Romenets, Silvia" sort="Rios Romenets, Silvia" uniqKey="Rios Romenets S" first="Silvia" last="Rios Romenets">Silvia Rios Romenets</name></region><name sortKey="Anang, Julius" sort="Anang, Julius" uniqKey="Anang J" first="Julius" last="Anang">Julius Anang</name><name sortKey="Pelletier, Amelie" sort="Pelletier, Amelie" uniqKey="Pelletier A" first="Amelie" last="Pelletier">Amelie Pelletier</name><name sortKey="Postuma, Ronald" sort="Postuma, Ronald" uniqKey="Postuma R" first="Ronald" last="Postuma">Ronald Postuma</name></country><country name="Suède"><region name="Svealand"><name sortKey="Fereshtehnejad, Seyed Mohammad" sort="Fereshtehnejad, Seyed Mohammad" uniqKey="Fereshtehnejad S" first="Seyed-Mohammad" last="Fereshtehnejad">Seyed-Mohammad Fereshtehnejad</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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