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Tango for treatment of motor and non-motor manifestations in Parkinson's disease: a randomized control study.
Complement Ther Med. 2015 Apr; 23(2):175-84.CT

Abstract

OBJECTIVE

To determine effects of Argentine tango on motor and non-motor manifestations of Parkinson's disease.

DESIGN

Randomized control trial.

PARTICIPANTS

Forty patients with idiopathic Parkinson's disease.

SETTING

Movement disorder clinic and dance studio.

INTERVENTION

Two randomized groups: group (N=18) with 24 partnered tango classes, and control self-directed exercise group (N=15).

MAIN OUTCOMES MEASURES

The primary outcome was overall motor severity. Secondary outcomes included other motor measures, balance, cognition, fatigue, apathy, depression and quality of life.

RESULTS

On the primary intention-to-treat analysis there was no difference in motor severity between groups MDS-UPDRS-3 (1.6 vs.1.2-point reduction, p=0.85). Patient-rated clinical global impression of change did not differ (p=0.33), however examiner rating improved in favor of tango (p=0.02). Mini-BESTest improved in the tango group compared to controls (0.7±2.2 vs. -2.7±5.9, p=0.032). Among individual items, tango improved in both simple TUG time (-1.3±1.6s vs. 0.1±2.3, p=0.042) and TUG Dual Task score (0.4±0.9 vs. -0.2±0.4, p=0.012), with borderline improvement in walk with pivot turns (0.2±0.5 vs. -0.1±0.5, p=0.066). MoCa (0.4±1.6 vs. -0.6±1.5, p=0.080) and FSS (-3.6±10.5 vs. 2.5±6.2, p=0.057) showed a non-significant trend toward improvement in the tango group. Tango participants found the activity more enjoyable (p<0.001) and felt more "overall" treatment satisfaction (p<0.001). We found no significant differences in other outcomes or adverse events.

CONCLUSION

Argentine tango can improve balance, and functional mobility, and may have modest benefits upon cognition and fatigue in Parkinson's disease. These findings must be confirmed in longer-term trials explicitly powered for cognition and fatigue.

Authors+Show Affiliations

Department of Neurology, McGill University, Montreal General Hospital, Montreal, Quebec, Canada.Department of Neurology, McGill University, Montreal General Hospital, Montreal, Quebec, Canada.Division of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet, Stockholm, Sweden.Department of Neurology, McGill University, Montreal General Hospital, Montreal, Quebec, Canada.Department of Neurology, McGill University, Montreal General Hospital, Montreal, Quebec, Canada. Electronic address: ron.postuma@mcgill.ca.

Pub Type(s)

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

Language

eng

PubMed ID

25847555

Citation

Rios Romenets, Silvia, et al. "Tango for Treatment of Motor and Non-motor Manifestations in Parkinson's Disease: a Randomized Control Study." Complementary Therapies in Medicine, vol. 23, no. 2, 2015, pp. 175-84.
Rios Romenets S, Anang J, Fereshtehnejad SM, et al. Tango for treatment of motor and non-motor manifestations in Parkinson's disease: a randomized control study. Complement Ther Med. 2015;23(2):175-84.
Rios Romenets, S., Anang, J., Fereshtehnejad, S. M., Pelletier, A., & Postuma, R. (2015). Tango for treatment of motor and non-motor manifestations in Parkinson's disease: a randomized control study. Complementary Therapies in Medicine, 23(2), 175-84. https://doi.org/10.1016/j.ctim.2015.01.015
Rios Romenets S, et al. Tango for Treatment of Motor and Non-motor Manifestations in Parkinson's Disease: a Randomized Control Study. Complement Ther Med. 2015;23(2):175-84. PubMed PMID: 25847555.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Tango for treatment of motor and non-motor manifestations in Parkinson's disease: a randomized control study. AU - Rios Romenets,Silvia, AU - Anang,Julius, AU - Fereshtehnejad,Seyed-Mohammad, AU - Pelletier,Amelie, AU - Postuma,Ronald, Y1 - 2015/02/09/ PY - 2014/11/28/received PY - 2015/01/21/revised PY - 2015/01/30/accepted PY - 2015/4/8/entrez PY - 2015/4/8/pubmed PY - 2015/11/5/medline KW - Argentine tango KW - Dance therapy KW - Parkinson's disease KW - Treatment SP - 175 EP - 84 JF - Complementary therapies in medicine JO - Complement Ther Med VL - 23 IS - 2 N2 - OBJECTIVE: To determine effects of Argentine tango on motor and non-motor manifestations of Parkinson's disease. DESIGN: Randomized control trial. PARTICIPANTS: Forty patients with idiopathic Parkinson's disease. SETTING: Movement disorder clinic and dance studio. INTERVENTION: Two randomized groups: group (N=18) with 24 partnered tango classes, and control self-directed exercise group (N=15). MAIN OUTCOMES MEASURES: The primary outcome was overall motor severity. Secondary outcomes included other motor measures, balance, cognition, fatigue, apathy, depression and quality of life. RESULTS: On the primary intention-to-treat analysis there was no difference in motor severity between groups MDS-UPDRS-3 (1.6 vs.1.2-point reduction, p=0.85). Patient-rated clinical global impression of change did not differ (p=0.33), however examiner rating improved in favor of tango (p=0.02). Mini-BESTest improved in the tango group compared to controls (0.7±2.2 vs. -2.7±5.9, p=0.032). Among individual items, tango improved in both simple TUG time (-1.3±1.6s vs. 0.1±2.3, p=0.042) and TUG Dual Task score (0.4±0.9 vs. -0.2±0.4, p=0.012), with borderline improvement in walk with pivot turns (0.2±0.5 vs. -0.1±0.5, p=0.066). MoCa (0.4±1.6 vs. -0.6±1.5, p=0.080) and FSS (-3.6±10.5 vs. 2.5±6.2, p=0.057) showed a non-significant trend toward improvement in the tango group. Tango participants found the activity more enjoyable (p<0.001) and felt more "overall" treatment satisfaction (p<0.001). We found no significant differences in other outcomes or adverse events. CONCLUSION: Argentine tango can improve balance, and functional mobility, and may have modest benefits upon cognition and fatigue in Parkinson's disease. These findings must be confirmed in longer-term trials explicitly powered for cognition and fatigue. SN - 1873-6963 UR - https://www.unboundmedicine.com/medline/citation/25847555/Tango_for_treatment_of_motor_and_non_motor_manifestations_in_Parkinson's_disease:_a_randomized_control_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0965-2299(15)00029-1 DB - PRIME DP - Unbound Medicine ER -