Danse-thérapie et Parkinson

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Effects of Dance on Movement Control in Parkinson’s Disease: A Comparison of Argentine Tango and American Ballroom

Identifieur interne : 000164 ( Pmc/Checkpoint ); précédent : 000163; suivant : 000165

Effects of Dance on Movement Control in Parkinson’s Disease: A Comparison of Argentine Tango and American Ballroom

Auteurs : Madeleine E. Hackney [États-Unis] ; Gammon M. Earhart [États-Unis]

Source :

RBID : PMC:2688709

Abstract

Objective

The basal ganglia may be selectively activated during rhythmic, metered movement like tango dancing, which may improve motor control in individuals with Parkinson disease (PD). Other partner dances may be suitable and preferable for those with PD. The purpose of this study was to compare the effects of tango, waltz/foxtrot and no intervention on functional motor control in individuals with PD.

Design

This study employed a randomised, between-subject, prospective, repeated measures design.

Subjects/Patients

Fifty-eight people with mild-moderate PD participated.

Methods

Participants were randomly assigned to Tango, Waltz/Foxtrot or no intervention (Control). Those in the dance groups attended 1-hour classes 2 times per week, completing 20 lessons within thirteen weeks. Balance, functional mobility, forward and backward walking were evaluated before and after the intervention.

Results

Both dance groups improved more than the Control group, which did not improve. Tango and Waltz/Foxtrot significantly improved on the Berg Balance Scale, six minute walk distance, and backward stride length. Tango improved as much or more than those in Waltz/Foxtrot on several measures.

Conclusions

Tango may target deficits associated with PD more than Waltz/Foxtrot, but both dances may benefit balance and locomotion.


Url:
DOI: 10.2340/16501977-0362
PubMed: 19479161
PubMed Central: 2688709


Affiliations:


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PMC:2688709

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<title>Objective</title>
<p id="P2">The basal ganglia may be selectively activated during rhythmic, metered movement like tango dancing, which may improve motor control in individuals with Parkinson disease (PD). Other partner dances may be suitable and preferable for those with PD. The purpose of this study was to compare the effects of tango, waltz/foxtrot and no intervention on functional motor control in individuals with PD.</p>
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<p id="P4">Fifty-eight people with mild-moderate PD participated.</p>
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<title>Methods</title>
<p id="P5">Participants were randomly assigned to Tango, Waltz/Foxtrot or no intervention (Control). Those in the dance groups attended 1-hour classes 2 times per week, completing 20 lessons within thirteen weeks. Balance, functional mobility, forward and backward walking were evaluated before and after the intervention.</p>
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<title>Results</title>
<p id="P6">Both dance groups improved more than the Control group, which did not improve. Tango and Waltz/Foxtrot significantly improved on the Berg Balance Scale, six minute walk distance, and backward stride length. Tango improved as much or more than those in Waltz/Foxtrot on several measures.</p>
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<title>Conclusions</title>
<p id="P7">Tango may target deficits associated with PD more than Waltz/Foxtrot, but both dances may benefit balance and locomotion.</p>
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Program in Physical Therapy, Washington University School of Medicine, St. Louis, MO 63108</aff>
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Department of Anatomy and Neurobiology, Washington University School of Medicine, St. Louis, MO 63108</aff>
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Department of Neurology, Washington University School of Medicine, St. Louis, MO 63108</aff>
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<corresp id="cor1">Corresponding Author, Gammon M. Earhart, PhD, PT, Program in Physical Therapy, Washington University School of Medicine, Campus Box 8502, 4444 Forest Park Blvd., St. Louis, MO 63108, (314) 286-1425</corresp>
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<p id="P1">Journal of Rehabilitation Medicine, Madeleine Hackney, Doctoral Candidate in Movement Science, Washington University School of Medicine, Program in Physical Therapy, 4444 Forest Park Blvd., Campus Box 8502, St. Louis, MO 63108,
<email>m.hackney@wustl.edu</email>
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<abstract>
<sec id="S1">
<title>Objective</title>
<p id="P2">The basal ganglia may be selectively activated during rhythmic, metered movement like tango dancing, which may improve motor control in individuals with Parkinson disease (PD). Other partner dances may be suitable and preferable for those with PD. The purpose of this study was to compare the effects of tango, waltz/foxtrot and no intervention on functional motor control in individuals with PD.</p>
</sec>
<sec id="S2">
<title>Design</title>
<p id="P3">This study employed a randomised, between-subject, prospective, repeated measures design.</p>
</sec>
<sec id="S3">
<title>Subjects/Patients</title>
<p id="P4">Fifty-eight people with mild-moderate PD participated.</p>
</sec>
<sec sec-type="methods" id="S4">
<title>Methods</title>
<p id="P5">Participants were randomly assigned to Tango, Waltz/Foxtrot or no intervention (Control). Those in the dance groups attended 1-hour classes 2 times per week, completing 20 lessons within thirteen weeks. Balance, functional mobility, forward and backward walking were evaluated before and after the intervention.</p>
</sec>
<sec id="S5">
<title>Results</title>
<p id="P6">Both dance groups improved more than the Control group, which did not improve. Tango and Waltz/Foxtrot significantly improved on the Berg Balance Scale, six minute walk distance, and backward stride length. Tango improved as much or more than those in Waltz/Foxtrot on several measures.</p>
</sec>
<sec id="S6">
<title>Conclusions</title>
<p id="P7">Tango may target deficits associated with PD more than Waltz/Foxtrot, but both dances may benefit balance and locomotion.</p>
</sec>
</abstract>
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<contract-num rid="HD1">K01 HD048437-04</contract-num>
<contract-sponsor id="HD1">National Institute of Child Health & Human Development : NICHD</contract-sponsor>
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