A comparison of Irish set dancing and exercises for people with Parkinson’s disease: A phase II feasibility study
Tóm tắt
People with idiopathic Parkinson’s disease (PD) frequently have low activity levels, poor mobility and reduced quality of life. Although increased physical activity may improve mobility, balance and wellbeing, adherence to exercises and activity programs over the longer term can be challenging, particularly for older people with progressive neurological conditions such as PD. Physical activities that are engaging and enjoyable, such as dancing, might enhance adherence over the long term. The objective of this study was to evaluate the feasibility of a randomized controlled trial of Irish set dancing compared with routine physiotherapy for people with mild to moderately severe PD. Twenty-four people with idiopathic PD referred for movement rehabilitation were randomized to receive standard physiotherapy exercises or Irish set dancing classes once per week plus a weekly home program for 6 months (12 in each group). The feasibility and safety of the proposed RCT protocol was the main focus of this evaluation. The primary outcome was motor disability measured by the motor component of the UPDRS, which was assessed prior to and after therapy by trained assessors blinded to group assignment. The Timed Up and Go, the Berg Balance Scale and the modified Freezing of Gait Questionnaire were secondary measures. Quality of life of the people with PD was evaluated using the PDQ-39. Both the Irish set dancing and physiotherapy exercise program were shown to be feasible and safe. There were no differences between groups in the rate of adverse events such as falls, serious injuries, death or rates of admission to hospital. The physiotherapists who provided usual care remained blind to group allocation, with no change in their standard clinical practice. Compliance and adherence to both the exercise and dance programs were very high and attrition rates were low over the 6 months of therapy. Although improvements were made in both groups, the dance group showed superior results to standard physiotherapy in relation to freezing of gait, balance and motor disability. Irish dancing and physiotherapy were both safe and feasible in this sample from Venice, with good adherence over a comparatively long time period of 6 months. A larger multi-centre trial is now warranted to establish whether Irish set dancing is more effective than routine physiotherapy for enhancing mobility, balance and quality of life in people living with idiopathic PD. EudraCT number 2012-005769-11
Tài liệu tham khảo
citation_journal_title=N Engl J Med; citation_title=Tai chi and postural stability in patients with Parkinson's disease; citation_author=F Li, P Harmer, K Fitzgerald, E Eckstrom, R Stock, J Galver, G Maddalozzo, SS Batya; citation_volume=366; citation_issue=6; citation_publication_date=2012; citation_pages=511-519; citation_doi=10.1056/NEJMoa1107911; citation_id=CR1
citation_journal_title=Arch Phys Med Rehabil; citation_title=The effects of balance training and high- intensity resistance training on persons with idiopathic Parkinson's disease; citation_author=MA Hirsch, T Toole, CG Maitland, RA Rider; citation_volume=84; citation_issue=8; citation_publication_date=2003; citation_pages=1109-1117; citation_doi=10.1016/S0003-9993(03)00046-7; citation_id=CR2
citation_journal_title=Mov Disord; citation_title=Balance and falls in Parkinson's disease: a meta-analysis of the effect of exercise and motor training; citation_author=NE Allen, C Sherrington, SS Paul, CG Canning; citation_volume=26; citation_issue=9; citation_publication_date=2011; citation_pages=1605-1615; citation_doi=10.1002/mds.23790; citation_id=CR3
citation_journal_title=J Neurol Neurosurg Psychiatry; citation_title=A randomised controlled trial of a home based exercise programme to reduce the risk of falling among people with Parkinson's disease; citation_author=A Ashburn, L Fazakarley, C Ballinger, R Pickering, LD McLellan, C Fitton; citation_volume=78; citation_issue=7; citation_publication_date=2007; citation_pages=678-684; citation_doi=10.1136/jnnp.2006.099333; citation_id=CR4
citation_journal_title=J Neurol Neurosurg Psychiatry; citation_title=An exercise intervention to prevent falls in people with Parkinson's disease: a pragmatic randomised controlled trial; citation_author=VA Goodwin, SH Richards, W Henley, P Ewings, AH Taylor, JL Campbell; citation_volume=82; citation_issue=11; citation_publication_date=2011; citation_pages=1232-1238; citation_doi=10.1136/jnnp-2011-300919; citation_id=CR5
citation_journal_title=Parkinsonism Relat Disord; citation_title=Determinants of health-related quality of life in Parkinson's disease: a systematic review; citation_author=SE Soh, ME Morris, JL McGinley; citation_volume=17; citation_issue=1; citation_publication_date=2011; citation_pages=1-9; citation_doi=10.1016/j.parkreldis.2010.08.012; citation_id=CR6
citation_journal_title=Mov Disord; citation_title=A randomized controlled trial of movement strategies compared with exercise for people with Parkinson's disease; citation_author=ME Morris, R Iansek, B Kirkwood; citation_volume=24; citation_issue=1; citation_publication_date=2009; citation_pages=64-71; citation_doi=10.1002/mds.22295; citation_id=CR7
citation_journal_title=Lancet Neurol; citation_title=Efficacy of community-based physiotherapy networks for patients with Parkinson's disease: a cluster-randomised trial; citation_author=M Munneke, MJ Nijkrake, SH Keus, G Kwakkel, HW Berendse, RA Roos, GF Borm, EM Adang, S Overeem, BR Bloem; citation_volume=9; citation_issue=1; citation_publication_date=2010; citation_pages=46-54; citation_doi=10.1016/S1474-4422(09)70327-8; citation_id=CR8
citation_journal_title=Mov Disord; citation_title=The effect of cueing therapy on single and dual-task gait in a drug naive population of people with Parkinson's disease in northern Tanzania; citation_author=L Rochester, D Rafferty, C Dotchin, O Msuya, V Minde, RW Walker; citation_volume=25; citation_issue=7; citation_publication_date=2010; citation_pages=906-911; citation_doi=10.1002/mds.22978; citation_id=CR9
citation_journal_title=Parkinson's disease; citation_title=Community walking in people with Parkinson's disease; citation_author=RM Lamont, ME Morris, MH Woollacott, SG Brauer; citation_volume=2012; citation_publication_date=2012; citation_pages=856237; citation_doi=10.1155/2012/856237; citation_id=CR10
citation_journal_title=Parkinsons Dis; citation_title=Feasibility, safety, and compliance in a randomized controlled trial of physical therapy for Parkinson's disease; citation_author=JL McGinley, C Martin, FE Huxham, HB Menz, M Danoudis, AT Murphy, JJ Watts, R Iansek, ME Morris; citation_volume=2012; citation_publication_date=2012; citation_pages=795294; citation_id=CR11
citation_journal_title=Parkinsonism Relat Disord; citation_title=Relationships between motor aspects of gait impairments and activity limitations in people with Parkinson's disease: a systematic review; citation_author=D Tan, M Danoudis, J McGinley, ME Morris; citation_volume=18; citation_issue=2; citation_publication_date=2012; citation_pages=117-124; citation_doi=10.1016/j.parkreldis.2011.07.014; citation_id=CR12
citation_journal_title=Parkinsonism Relat Disord; citation_title=Planned stopping in people with Parkinson; citation_author=D Cameron, A Murphy, ME Morris, S Raghav, R Iansek; citation_volume=16; citation_issue=3; citation_publication_date=2010; citation_pages=191-196; citation_doi=10.1016/j.parkreldis.2009.11.008; citation_id=CR13
citation_journal_title=Phys Ther; citation_title=Striding out with Parkinson disease: evidence- based physical therapy for gait disorders; citation_author=ME Morris, CL Martin, ML Schenkman; citation_volume=90; citation_issue=2; citation_publication_date=2010; citation_pages=280-288; citation_doi=10.2522/ptj.20090091; citation_id=CR14
citation_journal_title=Phys Ther; citation_title=Locomotor training in people with Parkinson disease; citation_author=ME Morris; citation_volume=86; citation_issue=10; citation_publication_date=2006; citation_pages=1426-1435; citation_doi=10.2522/ptj.20050277; citation_id=CR15
citation_journal_title=Neurorehabil Neural Repair; citation_title=Randomized controlled trial of community-based dancing to modify disease progression in Parkinson disease; citation_author=RP Duncan, GM Earhart; citation_volume=26; citation_issue=2; citation_publication_date=2012; citation_pages=132-143; citation_doi=10.1177/1545968311421614; citation_id=CR16
citation_title=Duncan RP; citation_publication_date=2012; citation_id=CR17; citation_author=ER Foster; citation_author=L Golden; citation_publisher=A community-based Argentine tango dance program is associated with increased activity participation among individuals with Parkinson disease. Arch Phys Med Rehabil
citation_journal_title=Complement Ther Med; citation_title=Effects of a short duration, high dose contact improvisation dance workshop on Parkinson disease: a pilot study; citation_author=D Marchant, JL Sylvester, GM Earhart; citation_volume=18; citation_issue=5; citation_publication_date=2010; citation_pages=184-190; citation_doi=10.1016/j.ctim.2010.07.004; citation_id=CR18
citation_journal_title=Complementary therapies in medicine; citation_title=Short duration, intensive tango dancing for Parkinson disease: an uncontrolled pilot study; citation_author=ME Hackney, GM Earhart; citation_volume=17; citation_issue=4; citation_publication_date=2009; citation_pages=203-207; citation_doi=10.1016/j.ctim.2008.10.005; citation_id=CR19
citation_title=Frequencies of falls and associated features at different stages of Parkinson's disease; citation_inbook_title=European journal of neurology: the official journal of the European Federation of Neurological Societies; citation_publication_date=2012; citation_id=CR20; citation_author=YH Hiorth; citation_author=K Lode; citation_author=JP Larsen
citation_journal_title=Neurology; citation_title=Parkinsonism: onset, progression and mortality; citation_author=MM Hoehn, MD Yahr; citation_volume=17; citation_issue=5; citation_publication_date=1967; citation_pages=427-442; citation_doi=10.1212/WNL.17.5.427; citation_id=CR21
citation_journal_title=Parkinsons Dis; citation_title=Rehabilitation and Parkinson's disease; citation_author=GM Earhart, T Ellis, A Nieuwboer, LE Dibble; citation_volume=2012; citation_publication_date=2012; citation_pages=371406; citation_id=CR22
citation_journal_title=Front Aging Neurosci; citation_title=Impact of a weekly dance class on the functional mobility and on the quality of life of individuals with Parkinson's disease; citation_author=L Heiberger, C Maurer, F Amtage, I Mendez-Balbuena, J Schulte-Monting, MC Hepp-Reymond, R Kristeva; citation_volume=3; citation_publication_date=2011; citation_pages=14; citation_doi=10.3389/fnagi.2011.00014; citation_id=CR23
citation_journal_title=Parkinsonism Relat Disord; citation_title=Motor learning in Parkinson's disease: limitations and potential for rehabilitation; citation_author=A Nieuwboer, L Rochester, L Muncks, SP Swinnen; citation_volume=15; citation_issue=Suppl 3; citation_publication_date=2009; citation_pages=S53-58; citation_doi=10.1016/S1353-8020(09)70781-3; citation_id=CR24
citation_journal_title=Mov Disord; citation_title=Test- retest reliability of UPDRS-III, dyskinesia scales, and timed motor tests in patients with advanced Parkinson's disease: an argument against multiple baseline assessments; citation_author=LV Metman, B Myre, N Verwey, S Hassin-Baer, J Arzbaecher, D Sierens, R Bakay; citation_volume=19; citation_issue=9; citation_publication_date=2004; citation_pages=1079-1084; citation_doi=10.1002/mds.20101; citation_id=CR25