Danse-thérapie et Parkinson

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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/Corpus ); précédent : 000010; suivant : 000012

Are 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 ; Gammon M. Earhart

Source :

RBID : pubmed:25192393

English descriptors

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

Links to Exploration step

pubmed:25192393

Le document en format XML

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<nlm:affiliation>1 Program in Physical Therapy, Washington University School of Medicine in St. Louis , St. Louis, MO.</nlm:affiliation>
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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>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Parkinson Disease (epidemiology)</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Parkinson Disease (therapy)</term>
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<b>OBJECTIVE</b>
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<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>
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<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>
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<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>
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<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>
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