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Sardinian Folk Dance for Individuals with Parkinson's Disease: A Randomized Controlled Pilot Trial.
J Altern Complement Med. 2019 Mar; 25(3):305-316.JA

Abstract

OBJECTIVES

Among different exercise models proposed for individuals with Parkinson's disease (IwPD), the popularity of traditional forms of dance is increasing. The aim of this study was to evaluate the effects of Sardinian folk dance (Ballu Sardu, BS) on functional performance and motor and nonmotor symptoms in IwPD.

DESIGN

Single-blind, randomized controlled pilot trial.

SETTINGS

Outpatient health clinic.

SUBJECTS AND INTERVENTIONS

Twenty IwPD (13M, 7F; 67.4 ± 6.1 years) were randomly assigned to BS (n = 10) or usual care (n = 10). The dance program consisted of two sessions/week, 90-min/class, for 12 weeks.

OUTCOME MEASURES

Motor and nonmotor symptoms, as well as functional performance, were evaluated using different questionnaires and tests such as the Unified Parkinson's Disease Rating Scale Part-III (UPDRS-III), 6-min walking test (6MWT), Berg Balance Scale (BBS), Timed Up-and-Go (TUG) test, Five Times Sit-to-Stand Test (FTSST), Back Scratch Test (BST), Sit-and-Reach Test (SRT), instrumented gait analysis, Parkinson's Disease Fatigue Scale (PFS-16), Beck Depression Inventory, Starkstein Apathy Scale (SAS), and Montreal Cognitive Assessment (MOCA) scale.

RESULTS

Repeated-measures analysis of variance revealed significant Time × Group interactions for UPDRS-III and functional variables such as the 6MWT, BBS, FTSST, TUG (all, p < 0.001), BST (p = 0.04), and gait analysis parameters (stride length, p = 0.031; gait speed, p = 0.049; and gait fatigue index (GFI), p = 0.005). For nonmotor symptoms, significant Time × Group interactions for depression (p < 0.001), apathy (p = 0.016), and MOCA scores (p = 0.012) were observed. Of note, for GFI and SAS, the BS group only showed a trend toward improvement, while the condition of the controls worsened significantly. No between-group differences were observed for SRT and PFS-16.

CONCLUSIONS

BS is an enjoyable activity, which has been proved to be superior to usual care alone in inducing changes in different motor and nonmotor symptoms associated with PD. Results show that BS can be considered a safe tool for contrasting impairments observed in IwPD due to the intrinsic nature of the neurodegenerative disease.

Authors+Show Affiliations

1 Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.1 Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.2 Department of Biomedical Sciences, University of Sassari, Sassari, Italy.2 Department of Biomedical Sciences, University of Sassari, Sassari, Italy. 3 Department of Electronics and Telecommunications, Politecnico di Torino, Torino, Italy.2 Department of Biomedical Sciences, University of Sassari, Sassari, Italy.4 Department of Electrical and Electronic Engineering, University of Cagliari, Cagliari, Italy.1 Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.1 Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.1 Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.1 Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.1 Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

30624952

Citation

Solla, Paolo, et al. "Sardinian Folk Dance for Individuals With Parkinson's Disease: a Randomized Controlled Pilot Trial." Journal of Alternative and Complementary Medicine (New York, N.Y.), vol. 25, no. 3, 2019, pp. 305-316.
Solla P, Cugusi L, Bertoli M, et al. Sardinian Folk Dance for Individuals with Parkinson's Disease: A Randomized Controlled Pilot Trial. J Altern Complement Med. 2019;25(3):305-316.
Solla, P., Cugusi, L., Bertoli, M., Cereatti, A., Della Croce, U., Pani, D., Fadda, L., Cannas, A., Marrosu, F., Defazio, G., & Mercuro, G. (2019). Sardinian Folk Dance for Individuals with Parkinson's Disease: A Randomized Controlled Pilot Trial. Journal of Alternative and Complementary Medicine (New York, N.Y.), 25(3), 305-316. https://doi.org/10.1089/acm.2018.0413
Solla P, et al. Sardinian Folk Dance for Individuals With Parkinson's Disease: a Randomized Controlled Pilot Trial. J Altern Complement Med. 2019;25(3):305-316. PubMed PMID: 30624952.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sardinian Folk Dance for Individuals with Parkinson's Disease: A Randomized Controlled Pilot Trial. AU - Solla,Paolo, AU - Cugusi,Lucia, AU - Bertoli,Matilde, AU - Cereatti,Andrea, AU - Della Croce,Ugo, AU - Pani,Danilo, AU - Fadda,Laura, AU - Cannas,Antonino, AU - Marrosu,Francesco, AU - Defazio,Giovanni, AU - Mercuro,Giuseppe, Y1 - 2019/01/09/ PY - 2019/1/10/pubmed PY - 2019/4/16/medline PY - 2019/1/10/entrez KW - Parkinson's disease KW - folk dance KW - functional performance KW - gait analysis KW - motor symptoms KW - nonmotor symptoms SP - 305 EP - 316 JF - Journal of alternative and complementary medicine (New York, N.Y.) JO - J Altern Complement Med VL - 25 IS - 3 N2 - OBJECTIVES: Among different exercise models proposed for individuals with Parkinson's disease (IwPD), the popularity of traditional forms of dance is increasing. The aim of this study was to evaluate the effects of Sardinian folk dance (Ballu Sardu, BS) on functional performance and motor and nonmotor symptoms in IwPD. DESIGN: Single-blind, randomized controlled pilot trial. SETTINGS: Outpatient health clinic. SUBJECTS AND INTERVENTIONS: Twenty IwPD (13M, 7F; 67.4 ± 6.1 years) were randomly assigned to BS (n = 10) or usual care (n = 10). The dance program consisted of two sessions/week, 90-min/class, for 12 weeks. OUTCOME MEASURES: Motor and nonmotor symptoms, as well as functional performance, were evaluated using different questionnaires and tests such as the Unified Parkinson's Disease Rating Scale Part-III (UPDRS-III), 6-min walking test (6MWT), Berg Balance Scale (BBS), Timed Up-and-Go (TUG) test, Five Times Sit-to-Stand Test (FTSST), Back Scratch Test (BST), Sit-and-Reach Test (SRT), instrumented gait analysis, Parkinson's Disease Fatigue Scale (PFS-16), Beck Depression Inventory, Starkstein Apathy Scale (SAS), and Montreal Cognitive Assessment (MOCA) scale. RESULTS: Repeated-measures analysis of variance revealed significant Time × Group interactions for UPDRS-III and functional variables such as the 6MWT, BBS, FTSST, TUG (all, p < 0.001), BST (p = 0.04), and gait analysis parameters (stride length, p = 0.031; gait speed, p = 0.049; and gait fatigue index (GFI), p = 0.005). For nonmotor symptoms, significant Time × Group interactions for depression (p < 0.001), apathy (p = 0.016), and MOCA scores (p = 0.012) were observed. Of note, for GFI and SAS, the BS group only showed a trend toward improvement, while the condition of the controls worsened significantly. No between-group differences were observed for SRT and PFS-16. CONCLUSIONS: BS is an enjoyable activity, which has been proved to be superior to usual care alone in inducing changes in different motor and nonmotor symptoms associated with PD. Results show that BS can be considered a safe tool for contrasting impairments observed in IwPD due to the intrinsic nature of the neurodegenerative disease. SN - 1557-7708 UR - https://www.unboundmedicine.com/medline/citation/30624952/Sardinian_Folk_Dance_for_Individuals_with_Parkinson's_Disease:_A_Randomized_Controlled_Pilot_Trial_ L2 - https://www.liebertpub.com/doi/10.1089/acm.2018.0413?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -