Tango for treatment of motor and non-motor manifestations in Parkinson's disease: a randomized control study.
Identifieur interne : 000004 ( PubMed/Corpus ); précédent : 000003; suivant : 000005Tango for treatment of motor and non-motor manifestations in Parkinson's disease: a randomized control study.
Auteurs : Silvia Rios Romenets ; Julius Anang ; Seyed-Mohammad Fereshtehnejad ; Amelie Pelletier ; Ronald PostumaSource :
- Complementary therapies in medicine [ 1873-6963 ] ; 2015.
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
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Electronic address: ron.postuma@mcgill.ca.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="doi">10.1016/j.ctim.2015.01.015</idno><idno type="RBID">pubmed:25847555</idno><idno type="pmid">25847555</idno><idno type="wicri:Area/PubMed/Corpus">000004</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000004</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Tango for treatment of motor and non-motor manifestations in Parkinson's disease: a randomized control study.</title><author><name sortKey="Rios Romenets, Silvia" sort="Rios Romenets, Silvia" uniqKey="Rios Romenets S" first="Silvia" last="Rios Romenets">Silvia Rios Romenets</name><affiliation><nlm:affiliation>Department of Neurology, McGill University, Montreal General Hospital, Montreal, Quebec, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Anang, Julius" sort="Anang, Julius" uniqKey="Anang J" first="Julius" last="Anang">Julius Anang</name><affiliation><nlm:affiliation>Department of Neurology, McGill University, Montreal General Hospital, Montreal, Quebec, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Fereshtehnejad, Seyed Mohammad" sort="Fereshtehnejad, Seyed Mohammad" uniqKey="Fereshtehnejad S" first="Seyed-Mohammad" last="Fereshtehnejad">Seyed-Mohammad Fereshtehnejad</name><affiliation><nlm:affiliation>Division of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet, Stockholm, Sweden.</nlm:affiliation></affiliation></author><author><name sortKey="Pelletier, Amelie" sort="Pelletier, Amelie" uniqKey="Pelletier A" first="Amelie" last="Pelletier">Amelie Pelletier</name><affiliation><nlm:affiliation>Department of Neurology, McGill University, Montreal General Hospital, Montreal, Quebec, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Postuma, Ronald" sort="Postuma, Ronald" uniqKey="Postuma R" first="Ronald" last="Postuma">Ronald Postuma</name><affiliation><nlm:affiliation>Department of Neurology, McGill University, Montreal General Hospital, Montreal, Quebec, Canada. Electronic address: ron.postuma@mcgill.ca.</nlm:affiliation></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="MESH" qualifier="methods" xml:lang="en"><term>Dance Therapy</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" 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></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><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">25847555</PMID><DateCreated><Year>2015</Year><Month>04</Month><Day>07</Day></DateCreated><DateCompleted><Year>2015</Year><Month>11</Month><Day>04</Day></DateCompleted><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-6963</ISSN><JournalIssue CitedMedium="Internet"><Volume>23</Volume><Issue>2</Issue><PubDate><Year>2015</Year><Month>Apr</Month></PubDate></JournalIssue><Title>Complementary therapies in medicine</Title><ISOAbbreviation>Complement Ther Med</ISOAbbreviation></Journal><ArticleTitle>Tango for treatment of motor and non-motor manifestations in Parkinson's disease: a randomized control study.</ArticleTitle><Pagination><MedlinePgn>175-84</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ctim.2015.01.015</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0965-2299(15)00029-1</ELocationID><Abstract><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></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Rios Romenets</LastName><ForeName>Silvia</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Neurology, McGill University, Montreal General Hospital, Montreal, Quebec, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Anang</LastName><ForeName>Julius</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Neurology, McGill University, Montreal General Hospital, Montreal, Quebec, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fereshtehnejad</LastName><ForeName>Seyed-Mohammad</ForeName><Initials>SM</Initials><AffiliationInfo><Affiliation>Division of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet, Stockholm, Sweden.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pelletier</LastName><ForeName>Amelie</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Neurology, McGill University, Montreal General Hospital, Montreal, Quebec, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Postuma</LastName><ForeName>Ronald</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Neurology, McGill University, Montreal General Hospital, Montreal, Quebec, Canada. Electronic address: ron.postuma@mcgill.ca.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>02</Month><Day>09</Day></ArticleDate></Article><MedlineJournalInfo><Country>Scotland</Country><MedlineTA>Complement Ther Med</MedlineTA><NlmUniqueID>9308777</NlmUniqueID><ISSNLinking>0965-2299</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D003614">Dance Therapy</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D003615">Dancing</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005684">Gait</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D009048">Motor Skills</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D010300">Parkinson Disease</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000503">physiopathology</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000628">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D010865">Pilot Projects</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D004856">Postural Balance</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D011788">Quality of Life</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D016896">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Argentine tango</Keyword><Keyword MajorTopicYN="N">Dance therapy</Keyword><Keyword MajorTopicYN="N">Parkinson's disease</Keyword><Keyword MajorTopicYN="N">Treatment</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>11</Month><Day>28</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2015</Year><Month>1</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2015</Year><Month>1</Month><Day>30</Day></PubMedPubDate><PubMedPubDate PubStatus="aheadofprint"><Year>2015</Year><Month>2</Month><Day>9</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>4</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>4</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>11</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pii">S0965-2299(15)00029-1</ArticleId><ArticleId IdType="doi">10.1016/j.ctim.2015.01.015</ArticleId><ArticleId IdType="pubmed">25847555</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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