Community-Based Argentine Tango Dance Program Is Associated With Increased Activity Participation Among Individuals With Parkinson's Disease

Program in Occupational Therapy, Washington University School of Medicine
Archives of physical medicine and rehabilitation (Impact Factor: 2.57). 08/2012; 94(2). DOI: 10.1016/j.apmr.2012.07.028
Source: PubMed


OBJECTIVE: To determine the effect of a 12-month community-based tango dance program on activity participation among individuals with Parkinson disease (PD). DESIGN: Randomized controlled trial with assessment at baseline, 3, 6, and 12 months. SETTING: The intervention was administered in the community; assessments were completed in a university laboratory. PARTICIPANTS: Sixty-two volunteers with PD enrolled in the study and were randomized to treatment group. Ten participants did not receive the allocated intervention, so the final analyzed sample included 52 participants. INTERVENTION: Participants were randomly assigned to the Tango group, which involved 12 months of twice weekly Argentine tango dance classes, or to the no intervention Control group (n = 26 per group). MAIN OUTCOME MEASURES: Current, new and retained participation in instrumental, leisure and social activities as measured by the Activity Card Sort (with the "dance" activity removed). RESULTS: Total Current participation in the Tango group was higher at 3, 6, and 12 months compared to baseline (ps ≤ 0.008), while the Control group did not change (ps ≥ 0.11). Total Activity Retention (since onset of PD) in the Tango group increased from 77% to 90% (p = 0.006) over the course of the study, whereas the Control group remained around 80% (p = 0.60). These patterns were similar in the separate activity domains. The Tango group gained a significant number of New Social activities (p = 0.003), but the Control group did not (p = 0.71). CONCLUSIONS: Individuals with PD who participated in a community-based Argentine tango class reported increased participation in complex daily activities, recovery of activities lost since the onset of PD, and engagement in new activities. Incorporating dance into the clinical management of PD may benefit participation and subsequently quality of life for this population.

Download full-text


Available from: Erin R Foster, Aug 18, 2015
    • "Exercise programmes were delivered in a group format ( n = 10 studies ; 67% ; 11 articles ) ( Hassett et al . 2009 , Sims et al . 2009 , Stuart et al . 2009 , Cramp et al . 2010 , Harrington et al . 2010 , Reed et al . 2010 , Combs et al . 2011 , 2013 , Foster et al . 2013 , Poliakoff et al . 2013 , Salbach et al . 2014 ) , indi - vidual format ( n = 3 studies ; 20% ; 4 articles ) ( Wiles et al . 2008 , Elsworth et al . 2011 , Winward et al . 2012 , Corcos et al . 2013 ) , and both group and individual format ( n = 2 studies ; 13% ; 3 articles ) ( Hoffman et al . 2010 , Kilbride et al . 2013 , Norris et a"

    Physiotherapy 05/2015; 101:e1324-e1325. DOI:10.1016/ · 1.91 Impact Factor
  • Source
    • "Countless studies have shown that a variety of exercises improve the symptoms of PD, including home based exercise [3], treadmill [4], resistance exercise [5], tango dancing [6], tai chi [7], and robot-assisted gait training [8]. The LSVT Ò BIG therapy is derived from the Lee Silverman Voice Treatment, and focuses on intensive exercising of high-amplitude movements. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Parkinson's Disease (PD) is a progressive neurodegenerative disease. Increasing evidence shows that physical exercise is beneficial for motor and non-motor symptoms of PD, and animal models suggest that it may help slow progression of disease. Using a randomized delayed-start design, 31 patients were randomized to an early start group (ESG) or a delayed start group (DSG) exercise program. The ESG underwent a rigorous formal group exercise program for 1 h, three days/week, for 48 weeks (November 2011-October 2012). The DSG participated in this identical exercise program from weeks 24-48. Outcome measures included the Unified Parkinson's Disease Rating Scale (UPDRS), Walking Test (get-up-and-go), Tinetti Mobility Test, PDQ-39 Questionnaire, and the Beck Depression Inventory. There was minimal attrition in this study, with only one patient dropping out. Results did not show improvement in total UPDRS scores with early exercise. At week 48, the mean change from baseline total UPDRS score was 6.33 in the ESG versus 5.13 in the DSG (p = 0.58). However, patients randomized to the ESG scored significantly better on the Beck Depression Inventory, with a mean improvement of 1.07 points relative to those in the DSG (p = 0.04). The findings demonstrate that long-term, group exercise programs are feasible in the Parkinson's disease population, with excellent adherence and minimal drop out. While the outcome measures used in our study did not provide strong evidence that exercise has a neuroprotective effect on motor function, earlier participation in a group exercise program had a significant effect on symptoms of depression.
    Parkinsonism & Related Disorders 10/2013; 20(1). DOI:10.1016/j.parkreldis.2013.10.003 · 3.97 Impact Factor
  • Source
    • "Tango dancing is known to have a therapeutic effect. Indeed tango was shown to improve activity in patients with Parkinson's disease (Foster, Golden, Duncan & Earhart, 2013). In elderly seniors at risk of falling, tango seemed to result in greater improvement in balance skills and walking speed than did walking (McKinley et al., 2008), and can be useful as rehabilitation in patients with chronic stroke (Hackney, Hall, Echt & Wolf, 2012). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Background: Behavioral addiction is an emerging concept based on the resemblance between symptoms or feelings provided by drugs and those obtained with various behaviors such as gambling, etc. Following an observational study of a tango dancer exhibiting criteria of dependence on this dance, we performed a survey to assess whether this case was unique or frequently encountered in the tango dancing community. Methods: We designed an online survey based on both the DSM-IV and Goodman's criteria of dependence; we added questions relative to the positive and negative effects of tango dancing and a self-evaluation of the degree of addiction to tango. The questionnaire was sent via Internet to all the tango dancers subscribing to "ToutTango", an electronic monthly journal. The prevalence of dependence was analyzed using DSM-IV, Goodman's criteria and self-rating scores separately. Results: 1,129 tango dancers answered the questionnaire. Dependence rates were 45.1, 6.9 and 35.9%, respectively, according to the DSM-IV, Goodman's criteria and self-rating scores. Physical symptoms of withdrawal were reported by 20% of the entire sample and one-third described a strong craving for dancing. Positive effects were high both in dependent and non-dependent groups and were markedly greater than negative effects. Long practice of tango dancing did not modify the dependence rate or reduce the level of positive effects. Conclusions: Tango dancing could lead to dependence as currently defined. However, this dependence is associated with marked and sustained positive effects whilst the negative are few. Identifying the precise substratum of this dependence needs further investigation.
    Journal of Behavioural Addictions 09/2013; 2(3):179-86. DOI:10.1556/JBA.2.2013.007 · 1.87 Impact Factor
Show more