Are the effects of community-based dance on Parkinson disease severity, balance, and functional mobility reduced with time? A 2-year prospective pilot study.
Identifieur interne : 000011 ( PubMed/Curation ); précédent : 000010; suivant : 000012Are the effects of community-based dance on Parkinson disease severity, balance, and functional mobility reduced with time? A 2-year prospective pilot study.
Auteurs : Ryan P. Duncan [États-Unis] ; Gammon M. EarhartSource :
- Journal of alternative and complementary medicine (New York, N.Y.) [ 1557-7708 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen (MeSH), Caractéristiques de l'habitat (MeSH), Femelle (MeSH), Humains (MeSH), Maladie de Parkinson (physiopathologie), Maladie de Parkinson (thérapie), Maladie de Parkinson (épidémiologie), Marche à pied (physiologie), Mâle (MeSH), Projets pilotes (MeSH), Sujet âgé (MeSH), Thérapie par la danse (MeSH), Études prospectives (MeSH).
- MESH :
- physiologie : Marche à pied.
- physiopathologie : Maladie de Parkinson.
- thérapie : Maladie de Parkinson.
- épidémiologie : Maladie de Parkinson.
- Adulte d'âge moyen, Caractéristiques de l'habitat, Femelle, Humains, Mâle, Projets pilotes, Sujet âgé, Thérapie par la danse, Études prospectives.
English descriptors
- KwdEn :
- Aged (MeSH), Dance Therapy (MeSH), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Parkinson Disease (epidemiology), Parkinson Disease (physiopathology), Parkinson Disease (therapy), Pilot Projects (MeSH), Prospective Studies (MeSH), Residence Characteristics (MeSH), Walking (physiology).
- MESH :
- epidemiology : Parkinson Disease.
- physiology : Walking.
- physiopathology : Parkinson Disease.
- therapy : Parkinson Disease.
- Aged, Dance Therapy, Female, Humans, Male, Middle Aged, Pilot Projects, Prospective Studies, Residence Characteristics.
Abstract
OBJECTIVE
To determine the effects of participation in a 2-year community-based dance class on disease severity and functional mobility in people with Parkinson disease (PD).
DESIGN
Randomized controlled trial.
SETTINGS/LOCATION
Dance classes took place in a community-based location. Outcome measures were collected in a university laboratory.
PATIENTS
Ten individuals with PD were randomly assigned to the Argentine tango (AT) group (n=5 [4 men]; mean age±standard deviation, 69.6±6.6 years) or the control group (n=5 [4 men]; mean age±standard deviation, 66±11.0 years).
INTERVENTIONS
The AT group participated in a community-based AT class for 1 hour twice weekly for 2 years. Control group participants were given no prescribed exercise. Blinded assessments occurred at baseline and 12 and 24 months.
OUTCOME MEASURES
Movement Disorder Society-Unified Parkinson Disease Rating Scale (MDS-UPDRS) III, Mini-Balance Evaluation Systems Test (Mini-BESTest), gait velocity (forward and backward), Timed Up and Go and dual-task Timed Up and Go, Six-Minute Walk Test (6MWT), MDS-UPDRS II, MDS-UPDRS I, and Freezing of Gait Questionnaire.
RESULTS
There were no differences between groups at baseline. A significant group-by-time interaction (F [2,8]=17.59; p<0.0001) was noted for the MDS-UPDRS III, with the AT group having lower scores at 12 and 24 months than the controls. Significant interactions were also noted for the Mini-BESTest, MDS-UPDRS II and I, and 6MWT.
CONCLUSION
This is believed to be one of the longest-duration studies to examine the effects of exercise on PD. Participation in community-based dance classes over 2 years was associated with improvements in motor and nonmotor symptom severity, performance on activities of daily living, and balance in a small group of people with PD. This is noteworthy given the progressive nature of PD and the fact that the control group declined on some outcome measures over 2 years.
DOI: 10.1089/acm.2012.0774
PubMed: 25192393
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<affiliation wicri:level="2"><nlm:affiliation>1 Program in Physical Therapy, Washington University School of Medicine in St. Louis , St. Louis, MO.</nlm:affiliation>
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<term>Dance Therapy (MeSH)</term>
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<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
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<term>Parkinson Disease (epidemiology)</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Parkinson Disease (therapy)</term>
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<term>Caractéristiques de l'habitat (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Maladie de Parkinson (physiopathologie)</term>
<term>Maladie de Parkinson (thérapie)</term>
<term>Maladie de Parkinson (épidémiologie)</term>
<term>Marche à pied (physiologie)</term>
<term>Mâle (MeSH)</term>
<term>Projets pilotes (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Thérapie par la danse (MeSH)</term>
<term>Études prospectives (MeSH)</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Parkinson Disease</term>
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<term>Dance Therapy</term>
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<term>Caractéristiques de l'habitat</term>
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<term>Mâle</term>
<term>Projets pilotes</term>
<term>Sujet âgé</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>To determine the effects of participation in a 2-year community-based dance class on disease severity and functional mobility in people with Parkinson disease (PD).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>DESIGN</b>
</p>
<p>Randomized controlled trial.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>SETTINGS/LOCATION</b>
</p>
<p>Dance classes took place in a community-based location. Outcome measures were collected in a university laboratory.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>PATIENTS</b>
</p>
<p>Ten individuals with PD were randomly assigned to the Argentine tango (AT) group (n=5 [4 men]; mean age±standard deviation, 69.6±6.6 years) or the control group (n=5 [4 men]; mean age±standard deviation, 66±11.0 years).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>INTERVENTIONS</b>
</p>
<p>The AT group participated in a community-based AT class for 1 hour twice weekly for 2 years. Control group participants were given no prescribed exercise. Blinded assessments occurred at baseline and 12 and 24 months.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>OUTCOME MEASURES</b>
</p>
<p>Movement Disorder Society-Unified Parkinson Disease Rating Scale (MDS-UPDRS) III, Mini-Balance Evaluation Systems Test (Mini-BESTest), gait velocity (forward and backward), Timed Up and Go and dual-task Timed Up and Go, Six-Minute Walk Test (6MWT), MDS-UPDRS II, MDS-UPDRS I, and Freezing of Gait Questionnaire.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>There were no differences between groups at baseline. A significant group-by-time interaction (F [2,8]=17.59; p<0.0001) was noted for the MDS-UPDRS III, with the AT group having lower scores at 12 and 24 months than the controls. Significant interactions were also noted for the Mini-BESTest, MDS-UPDRS II and I, and 6MWT.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>This is believed to be one of the longest-duration studies to examine the effects of exercise on PD. Participation in community-based dance classes over 2 years was associated with improvements in motor and nonmotor symptom severity, performance on activities of daily living, and balance in a small group of people with PD. This is noteworthy given the progressive nature of PD and the fact that the control group declined on some outcome measures over 2 years.</p>
</div>
</front>
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<AbstractText Label="SETTINGS/LOCATION" NlmCategory="METHODS">Dance classes took place in a community-based location. Outcome measures were collected in a university laboratory.</AbstractText>
<AbstractText Label="PATIENTS" NlmCategory="METHODS">Ten individuals with PD were randomly assigned to the Argentine tango (AT) group (n=5 [4 men]; mean age±standard deviation, 69.6±6.6 years) or the control group (n=5 [4 men]; mean age±standard deviation, 66±11.0 years).</AbstractText>
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