Danse-thérapie et Parkinson

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Randomized controlled trial of community-based dancing to modify disease progression in Parkinson disease.

Identifieur interne : 000028 ( PubMed/Curation ); précédent : 000027; suivant : 000029

Randomized controlled trial of community-based dancing to modify disease progression in Parkinson disease.

Auteurs : Ryan P. Duncan [États-Unis] ; Gammon M. Earhart

Source :

RBID : pubmed:21959675

Descripteurs français

English descriptors

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

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<nlm:affiliation>Washington University in St Louis, St Louis, MO, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<name sortKey="Earhart, Gammon M" sort="Earhart, Gammon M" uniqKey="Earhart G" first="Gammon M" last="Earhart">Gammon M. Earhart</name>
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<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>
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<term>Residence Characteristics (MeSH)</term>
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<term>Maladie de Parkinson (rééducation et réadaptation)</term>
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<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>
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<term>Disease Progression</term>
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<term>Follow-Up Studies</term>
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<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>
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