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Dancing for Parkinson Disease: A Randomized Trial of Irish Set Dancing Compared With Usual Care.
Arch Phys Med Rehabil. 2017 09; 98(9):1744-1751.AP

Abstract

OBJECTIVE

To examine the feasibility of a randomized controlled study design and to explore the benefits of a set dancing intervention compared with usual care.

DESIGN

Randomized controlled design, with participants randomized to Irish set dance classes or a usual care group.

SETTING

Community based.

PARTICIPANTS

Individuals with idiopathic Parkinson disease (PD) (N=90).

INTERVENTIONS

The dance group attended a 1.5-hour dancing class each week for 10 weeks and undertook a home dance program for 20 minutes, 3 times per week. The usual care group continued with their usual care and daily activities.

MAIN OUTCOME MEASURES

The primary outcome was feasibility, determined by recruitment rates, success of randomization and allocation procedures, attrition, adherence, safety, willingness of participants to be randomized, resource availability, and cost. Secondary outcomes were motor function (motor section of the Unified Parkinson's Disease Rating Scale), quality of life (Parkinson's Disease Questionnaire-39), functional endurance (6-min walk test), and balance (mini-BESTest).

RESULTS

Ninety participants were randomized (45 per group). There were no adverse effects or resource constraints. Although adherence to the dancing program was 93.5%, there was >40% attrition in each group. Postintervention, the dance group had greater nonsignificant gains in quality of life than the usual care group. There was a meaningful deterioration in endurance in the usual care group. There were no meaningful changes in other outcomes. The exit questionnaire showed participants enjoyed the classes and would like to continue participation.

CONCLUSIONS

For people with mild to moderately severe PD, set dancing is feasible and enjoyable and may improve quality of life.

Authors+Show Affiliations

Department of Clinical Therapies, Faculty of Education and Health Sciences, University of Limerick, Limerick, Ireland. Electronic address: joanne.s@outlook.com.Healthscope, Northpark Private Hospital & La Trobe University Center for Sport and Exercise Medicine Research, School Allied Health, Melbourne, VIC, Australia.Irish World Academy of Music and Dance, Faculty of Arts Humanities and Social Sciences, University of Limerick, Limerick, Ireland.Department of Neurorehabilitation, Casa di Cura Villa Margherita, Vicenza, Italy.Department of Neurology, Mater Misericordiae University Hospital, Dublin, Ireland.Department of Clinical Therapies, Faculty of Education and Health Sciences, University of Limerick, Limerick, Ireland.

Pub Type(s)

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

Language

eng

PubMed ID

28336345

Citation

Shanahan, Joanne, et al. "Dancing for Parkinson Disease: a Randomized Trial of Irish Set Dancing Compared With Usual Care." Archives of Physical Medicine and Rehabilitation, vol. 98, no. 9, 2017, pp. 1744-1751.
Shanahan J, Morris ME, Bhriain ON, et al. Dancing for Parkinson Disease: A Randomized Trial of Irish Set Dancing Compared With Usual Care. Arch Phys Med Rehabil. 2017;98(9):1744-1751.
Shanahan, J., Morris, M. E., Bhriain, O. N., Volpe, D., Lynch, T., & Clifford, A. M. (2017). Dancing for Parkinson Disease: A Randomized Trial of Irish Set Dancing Compared With Usual Care. Archives of Physical Medicine and Rehabilitation, 98(9), 1744-1751. https://doi.org/10.1016/j.apmr.2017.02.017
Shanahan J, et al. Dancing for Parkinson Disease: a Randomized Trial of Irish Set Dancing Compared With Usual Care. Arch Phys Med Rehabil. 2017;98(9):1744-1751. PubMed PMID: 28336345.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dancing for Parkinson Disease: A Randomized Trial of Irish Set Dancing Compared With Usual Care. AU - Shanahan,Joanne, AU - Morris,Meg E, AU - Bhriain,Orfhlaith Ni, AU - Volpe,Daniele, AU - Lynch,Tim, AU - Clifford,Amanda M, Y1 - 2017/03/21/ PY - 2016/09/21/received PY - 2017/02/10/revised PY - 2017/02/19/accepted PY - 2017/3/25/pubmed PY - 2017/9/22/medline PY - 2017/3/25/entrez KW - Dancing KW - Exercise KW - Parkinson disease KW - Rehabilitation SP - 1744 EP - 1751 JF - Archives of physical medicine and rehabilitation JO - Arch Phys Med Rehabil VL - 98 IS - 9 N2 - OBJECTIVE: To examine the feasibility of a randomized controlled study design and to explore the benefits of a set dancing intervention compared with usual care. DESIGN: Randomized controlled design, with participants randomized to Irish set dance classes or a usual care group. SETTING: Community based. PARTICIPANTS: Individuals with idiopathic Parkinson disease (PD) (N=90). INTERVENTIONS: The dance group attended a 1.5-hour dancing class each week for 10 weeks and undertook a home dance program for 20 minutes, 3 times per week. The usual care group continued with their usual care and daily activities. MAIN OUTCOME MEASURES: The primary outcome was feasibility, determined by recruitment rates, success of randomization and allocation procedures, attrition, adherence, safety, willingness of participants to be randomized, resource availability, and cost. Secondary outcomes were motor function (motor section of the Unified Parkinson's Disease Rating Scale), quality of life (Parkinson's Disease Questionnaire-39), functional endurance (6-min walk test), and balance (mini-BESTest). RESULTS: Ninety participants were randomized (45 per group). There were no adverse effects or resource constraints. Although adherence to the dancing program was 93.5%, there was >40% attrition in each group. Postintervention, the dance group had greater nonsignificant gains in quality of life than the usual care group. There was a meaningful deterioration in endurance in the usual care group. There were no meaningful changes in other outcomes. The exit questionnaire showed participants enjoyed the classes and would like to continue participation. CONCLUSIONS: For people with mild to moderately severe PD, set dancing is feasible and enjoyable and may improve quality of life. SN - 1532-821X UR - https://www.unboundmedicine.com/medline/citation/28336345/Dancing_for_Parkinson_Disease:_A_Randomized_Trial_of_Irish_Set_Dancing_Compared_With_Usual_Care_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0003-9993(17)30162-4 DB - PRIME DP - Unbound Medicine ER -