Randomized controlled trial of community-based dancing to modify disease progression in Parkinson disease.
Identifieur interne : 000136 ( Main/Exploration ); précédent : 000135; suivant : 000137Randomized controlled trial of community-based dancing to modify disease progression in Parkinson disease.
Auteurs : Ryan P. Duncan [États-Unis] ; Gammon M. Earhart [États-Unis]Source :
- Neurorehabilitation and neural repair [ 1552-6844 ] ; 2012.
Descripteurs français
- KwdFr :
- Activités de la vie quotidienne (MeSH), Caractéristiques de l'habitat (MeSH), Démarche (physiologie), Facteurs temps (MeSH), Femelle (MeSH), Humains (MeSH), Indice de gravité de la maladie (MeSH), Maladie de Parkinson (physiopathologie), Maladie de Parkinson (psychologie), Maladie de Parkinson (rééducation et réadaptation), Membre supérieur (physiopathologie), Mâle (MeSH), Performance psychomotrice (MeSH), Résultat thérapeutique (MeSH), Thérapie par la danse (méthodes), Équilibre postural (physiologie), Études de suivi (MeSH), Évolution de la maladie (MeSH).
- MESH :
- méthodes : Thérapie par la danse.
- physiologie : Démarche, Équilibre postural.
- physiopathologie : Maladie de Parkinson, Membre supérieur.
- psychologie : Maladie de Parkinson.
- rééducation et réadaptation : Maladie de Parkinson.
- Activités de la vie quotidienne, Caractéristiques de l'habitat, Facteurs temps, Femelle, Humains, Indice de gravité de la maladie, Mâle, Performance psychomotrice, Résultat thérapeutique, Études de suivi, Évolution de la maladie.
English descriptors
- KwdEn :
- Activities of Daily Living (MeSH), Dance Therapy (methods), Disease Progression (MeSH), Female (MeSH), Follow-Up Studies (MeSH), Gait (physiology), Humans (MeSH), Male (MeSH), Parkinson Disease (physiopathology), Parkinson Disease (psychology), Parkinson Disease (rehabilitation), Postural Balance (physiology), Psychomotor Performance (MeSH), Questionnaires (MeSH), Residence Characteristics (MeSH), Severity of Illness Index (MeSH), Time Factors (MeSH), Treatment Outcome (MeSH), Upper Extremity (physiopathology).
- MESH :
- methods : Dance Therapy.
- physiology : Gait, Postural Balance.
- physiopathology : Parkinson Disease, Upper Extremity.
- psychology : Parkinson Disease.
- rehabilitation : Parkinson Disease.
- Activities of Daily Living, Disease Progression, Female, Follow-Up Studies, Humans, Male, Psychomotor Performance, Questionnaires, Residence Characteristics, Severity of Illness Index, Time Factors, Treatment Outcome.
Abstract
BACKGROUND
Tango dancing has been effective in improving measures of physical function in people with Parkinson disease (PD). However, all previous studies were institution-based, tested participants on medication, and employed short-term interventions.
OBJECTIVE
To determine the effects of a 12-month community-based tango program for individuals with PD on disease severity and physical function.
METHODS
Sixty-two participants were randomly assigned to a twice weekly, community-based Argentine Tango program or a Control group (no intervention). Participants were assessed off anti-Parkinson medication at baseline, 3, 6, and 12 months. The primary outcome measure was the Movement Disorders Society-Unified Parkinson Disease Rating Scale 3 (MDS-UPDRS-3). Secondary outcome measures were the MDS-UPDRS-1, MDS-UPDRS-2, MiniBESTest balance test; Freezing of Gait Questionnaire (FOG_Q); 6-Minute Walk Test (6MWT); gait velocity for comfortable forward, fast as possible forward, dual task, and backward walking; and Nine-Hole Peg Test (9HPT).
RESULTS
Groups were not different at baseline. Overall, the Tango group improved whereas the Control group showed little change on most measures. For the MDS-UPDRS-3, there was no significant change in the Control group from baseline to 12 months, whereas the Tango group had a reduction of 28.7% (12.8 points). There were significant group by time interactions for MDS-UPDRS-3, MiniBESTest, FOG_Q, 6MWT, forward and dual task walking velocities, and 9HPT in favor of the dance group.
CONCLUSIONS
Improvements in the Tango group were apparent off medication, suggesting that long-term participation in tango may modify progression of disability in PD.
DOI: 10.1177/1545968311421614
PubMed: 21959675
Affiliations:
- États-Unis
- Missouri (État)
- Saint-Louis (Missouri)
- Université Washington de Saint-Louis, École de médecine (Université Washington de Saint-Louis)
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Le document en format XML
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Duncan</name><affiliation wicri:level="4"><nlm:affiliation>Washington University in St Louis, St Louis, MO, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Washington University in St Louis, St Louis, MO</wicri:regionArea><placeName><region type="state">Missouri (État)</region><settlement type="city">Saint-Louis (Missouri)</settlement></placeName><orgName type="university">Université Washington de Saint-Louis</orgName></affiliation></author><author><name sortKey="Earhart, Gammon M" sort="Earhart, Gammon M" uniqKey="Earhart G" first="Gammon M" last="Earhart">Gammon M. Earhart</name><affiliation><country>États-Unis</country><placeName><settlement type="city">Saint-Louis (Missouri)</settlement><region type="state">Missouri (État)</region></placeName><orgName type="university" n="3">École de médecine (Université Washington de Saint-Louis)</orgName><orgName type="institution">Université Washington de Saint-Louis</orgName><country>États-Unis</country><placeName><settlement type="city">Saint-Louis (Missouri)</settlement><region type="state">Missouri (État)</region></placeName><orgName type="university" n="3">École de médecine (Université Washington de Saint-Louis)</orgName><orgName type="institution">Université Washington de Saint-Louis</orgName></affiliation></author></analytic><series><title level="j">Neurorehabilitation and neural repair</title><idno type="eISSN">1552-6844</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Activities of Daily Living (MeSH)</term><term>Dance Therapy (methods)</term><term>Disease Progression (MeSH)</term><term>Female (MeSH)</term><term>Follow-Up Studies (MeSH)</term><term>Gait (physiology)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Parkinson Disease (physiopathology)</term><term>Parkinson Disease (psychology)</term><term>Parkinson Disease (rehabilitation)</term><term>Postural Balance (physiology)</term><term>Psychomotor Performance (MeSH)</term><term>Questionnaires (MeSH)</term><term>Residence Characteristics (MeSH)</term><term>Severity of Illness Index (MeSH)</term><term>Time Factors (MeSH)</term><term>Treatment Outcome (MeSH)</term><term>Upper Extremity (physiopathology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Activités de la vie quotidienne (MeSH)</term><term>Caractéristiques de l'habitat (MeSH)</term><term>Démarche (physiologie)</term><term>Facteurs temps (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Indice de gravité de la maladie (MeSH)</term><term>Maladie de Parkinson (physiopathologie)</term><term>Maladie de Parkinson (psychologie)</term><term>Maladie de Parkinson (rééducation et réadaptation)</term><term>Membre supérieur (physiopathologie)</term><term>Mâle (MeSH)</term><term>Performance psychomotrice (MeSH)</term><term>Résultat thérapeutique (MeSH)</term><term>Thérapie par la danse (méthodes)</term><term>Équilibre postural (physiologie)</term><term>Études de suivi (MeSH)</term><term>Évolution de la maladie (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="physiologie" xml:lang="fr"><term>Démarche</term><term>Équilibre postural</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Gait</term><term>Postural Balance</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Maladie de Parkinson</term><term>Membre supérieur</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Parkinson Disease</term><term>Upper Extremity</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Maladie de Parkinson</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Maladie de Parkinson</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Activities of Daily Living</term><term>Disease Progression</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Psychomotor Performance</term><term>Questionnaires</term><term>Residence Characteristics</term><term>Severity of Illness Index</term><term>Time Factors</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Activités de la vie quotidienne</term><term>Caractéristiques de l'habitat</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Indice de gravité de la maladie</term><term>Mâle</term><term>Performance psychomotrice</term><term>Résultat thérapeutique</term><term>Études de suivi</term><term>Évolution de la maladie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Tango dancing has been effective in improving measures of physical function in people with Parkinson disease (PD). However, all previous studies were institution-based, tested participants on medication, and employed short-term interventions.</p></div><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To determine the effects of a 12-month community-based tango program for individuals with PD on disease severity and physical function.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Sixty-two participants were randomly assigned to a twice weekly, community-based Argentine Tango program or a Control group (no intervention). Participants were assessed off anti-Parkinson medication at baseline, 3, 6, and 12 months. The primary outcome measure was the Movement Disorders Society-Unified Parkinson Disease Rating Scale 3 (MDS-UPDRS-3). Secondary outcome measures were the MDS-UPDRS-1, MDS-UPDRS-2, MiniBESTest balance test; Freezing of Gait Questionnaire (FOG_Q); 6-Minute Walk Test (6MWT); gait velocity for comfortable forward, fast as possible forward, dual task, and backward walking; and Nine-Hole Peg Test (9HPT).</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Groups were not different at baseline. Overall, the Tango group improved whereas the Control group showed little change on most measures. For the MDS-UPDRS-3, there was no significant change in the Control group from baseline to 12 months, whereas the Tango group had a reduction of 28.7% (12.8 points). There were significant group by time interactions for MDS-UPDRS-3, MiniBESTest, FOG_Q, 6MWT, forward and dual task walking velocities, and 9HPT in favor of the dance group.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Improvements in the Tango group were apparent off medication, suggesting that long-term participation in tango may modify progression of disability in PD.</p></div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Missouri (État)</li></region><settlement><li>Saint-Louis (Missouri)</li></settlement><orgName><li>Université Washington de Saint-Louis</li><li>École de médecine (Université Washington de Saint-Louis)</li></orgName></list><tree><country name="États-Unis"><region name="Missouri (État)"><name sortKey="Duncan, Ryan P" sort="Duncan, Ryan P" uniqKey="Duncan R" first="Ryan P" last="Duncan">Ryan P. Duncan</name></region><name sortKey="Earhart, Gammon M" sort="Earhart, Gammon M" uniqKey="Earhart G" first="Gammon M" last="Earhart">Gammon M. Earhart</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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