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.

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Available from: Erin R Foster, Aug 18, 2015
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    • "doing laundry) [33]. The results of the study also indicated that, contrary to the control group, the AT group " gained a significant number of New Social Activities (p = 0.003) " (p.2) [33]. "
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    ABSTRACT: Background Parkinson’s Disease (PD) is a neurodegenerative disease with increasing motor and non-motor symptoms in advanced stages. In addition to conventional exercise therapy and drug treatment, Argentine Tango (AT) is discussed as an appropriate intervention for patients to improve physical functioning and health-related quality of life. This review aimed to summarize the current research results on the effectiveness of AT for individuals with PD. Methods The global literature search with the search terms “(Parkinson OR Parkinson’s disease) AND tango” was conducted in PubMED, AMED, CAMbase, and Google Scholar for publications in English and German. There were no limitations on the study design, year of publication, stage of disease, considered outcome or the age of participants. Results Thirteen studies met the inclusion criteria. These included 9 randomized-controlled trials, one non-randomized trial, two case studies and one uncontrolled pre-post study. Our meta-analysis revealed significant overall effects in favor of tango for motor severity measured with the Unified Parkinson’s Disease Rating Scale 3 (ES = −0.62, 95 % CI [−.1.04, −0.21]), balance as measured with the Mini-BESTest (ES = 0.96 [0.60, 1.31]) or Berg Balance Scale (ES = 0.45 [0.01, 0.90]), and gait with the Timed Up and Go Test (ES = −.46 [−0.72, −0.20]). However, gait as measured with a 6-Minute Walk Test did not demonstrate statistical significance (ES = 0.36 [−0.06, 0.77]). For freezing of gait, no significant effects were observed in favor of AT (ES = 0.16 [−.62, 0.31]). Further, our systematic review revealed a tendency for positive effects on fatigue, activity participation and Parkinson-associated quality of life. A limitation of the studies is the small number of participants in each study (maximum 75). Moreover, most studies are from the same research groups, and only a few are from other researchers. Conclusions Future studies should enroll more individuals and should also focus on long-term effects. In addition, future research should address more closely the effects of AT on personal relationships, the individual social network as well as on aspects of quality of life.
    Full-text · Article · Dec 2015 · BMC Neurology
    • "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"

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    • "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. "
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    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.
    Full-text · Article · Oct 2013 · Parkinsonism & Related Disorders
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