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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.
J Altern Complement Med. 2014 Oct; 20(10):757-63.JA

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.

Authors+Show Affiliations

1 Program in Physical Therapy, Washington University School of Medicine in St. Louis , St. Louis, MO.No affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25192393

Citation

Duncan, Ryan P., and Gammon M. Earhart. "Are the Effects of Community-based Dance On Parkinson Disease Severity, Balance, and Functional Mobility Reduced With Time? a 2-year Prospective Pilot Study." Journal of Alternative and Complementary Medicine (New York, N.Y.), vol. 20, no. 10, 2014, pp. 757-63.
Duncan RP, Earhart GM. Are the effects of community-based dance on Parkinson disease severity, balance, and functional mobility reduced with time? A 2-year prospective pilot study. J Altern Complement Med. 2014;20(10):757-63.
Duncan, R. P., & Earhart, G. M. (2014). Are the effects of community-based dance on Parkinson disease severity, balance, and functional mobility reduced with time? A 2-year prospective pilot study. Journal of Alternative and Complementary Medicine (New York, N.Y.), 20(10), 757-63. https://doi.org/10.1089/acm.2012.0774
Duncan RP, Earhart GM. Are the Effects of Community-based Dance On Parkinson Disease Severity, Balance, and Functional Mobility Reduced With Time? a 2-year Prospective Pilot Study. J Altern Complement Med. 2014;20(10):757-63. PubMed PMID: 25192393.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Are the effects of community-based dance on Parkinson disease severity, balance, and functional mobility reduced with time? A 2-year prospective pilot study. AU - Duncan,Ryan P, AU - Earhart,Gammon M, Y1 - 2014/09/05/ PY - 2014/9/6/entrez PY - 2014/9/6/pubmed PY - 2015/4/17/medline SP - 757 EP - 63 JF - Journal of alternative and complementary medicine (New York, N.Y.) JO - J Altern Complement Med VL - 20 IS - 10 N2 - 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. SN - 1557-7708 UR - https://www.unboundmedicine.com/medline/citation/25192393/Are_the_effects_of_community_based_dance_on_Parkinson_disease_severity_balance_and_functional_mobility_reduced_with_time_A_2_year_prospective_pilot_study_ L2 - https://www.liebertpub.com/doi/10.1089/acm.2012.0774?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -