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Senter M, Clifford AM, Bhriain ON. Using theory knitting to conceptualize social phenomena in the design and evaluation of dance programs for people living with Parkinson's disease. EVALUATION AND PROGRAM PLANNING 2024; 104:102430. [PMID: 38581972 DOI: 10.1016/j.evalprogplan.2024.102430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/22/2022] [Revised: 03/30/2024] [Accepted: 04/01/2024] [Indexed: 04/08/2024]
Abstract
Dance programs for people living with Parkinson's disease (PwPD) offer participants an opportunity to exercise, engage in artistic self-expression, and form new relationships. While it is understood that the social dimension of dance programs for PwPD contributes to dancer satisfaction and program sustainability, the social mechanisms instrumental to program success are under-examined. Engaging with theory from wider disciplines, or "theory knitting" can help program designers and evaluators examine the mechanisms and contextual factors that make classes socially meaningful with greater detail and specificity. This study identified and examined three theoretical frameworks that program planners and evaluators could use to conceptualize social engagement in dance for PwPD contexts and inform practice. Each theory was assessed for fit using the T-CaST theory comparison and selection tool developed by Birken et al. (2018). As an example, we used anthropologist Victor Turner's (1970; 1977) theory of liminality and communitas to identify five key areas for fostering a sense of social connection in dance for PwPD contexts: (1) selecting a meaningful dance space (2) creating a joyous atmosphere (3) marking entrance into the liminal time and space with rituals (4) embodying liminality and anti-structure and (5) inverting power relations and embracing fluid roles.
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Affiliation(s)
- Morgan Senter
- Irish World Academy of Music and Dance, Faculty of Arts, Humanities, and Social Sciences, University of Limerick, Co. Limerick, Ireland.
| | - Amanda M Clifford
- School of Allied Health, Faculty of Education and Health Sciences, University of Limerick, Co. Limerick, Ireland; Health Research Institute, University of Limerick, Co. Limerick, Ireland; Ageing Research Centre, University of Limerick, Co. Limerick, Ireland
| | - Orfhlaith Ni Bhriain
- Irish World Academy of Music and Dance, Faculty of Arts, Humanities, and Social Sciences, University of Limerick, Co. Limerick, Ireland; Health Research Institute, University of Limerick, Co. Limerick, Ireland
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Petts L, McGill A. Disrupting the Obligation of Objective Knowledge in Dance Science Research. J Dance Med Sci 2024:1089313X241245493. [PMID: 38676456 DOI: 10.1177/1089313x241245493] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/29/2024]
Abstract
BACKGROUND Through pressure from funding and governing bodies, an audit culture invades the rhetoric of the dance medicine and science research community, leading to undue focus on justifying and legitimizing the holistic benefits of dancing. This paper critiques this hierarchical value system which disproportionately favors objective, generalizable, and quantitative research approaches still dominant in dance medicine and science, existing since the founding of the International Association for Dance Medicine and Science (IADMS) in 1990. PURPOSE Whilst this may mean studies are generalizable when applied to broader contexts, objective outcomes lack granularity and do not automatically lead to appropriate, meaningful, inclusive, or accessible dance experiences for everyone. Subjective, idiographic, ethnographic, embodied, phenomenological, and transdisciplinary approaches to dance medicine and science research have great potential to broaden, deepen, and enrich the field. CONCLUSIONS This paper highlights the tensions between qualitative and quantitative methodologies, advocating that researchers can rigorously embrace their positionality to contribute toward ontological and epistemological clarity with any researcher bias, assumption, or expectation transparently disclosed. The writing draws on research examples from Dance for Health (DfH) as a part of dance science and medicine field of study, including but not limited to Dance for Parkinson's. This paper provides resourceful recommendations, encouraging researchers to remain imaginative and curious through application of arts-based, person-centered, collaborative mixed methods within their own studies.
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Affiliation(s)
- Louisa Petts
- Centre for Dance Research, Coventry University, Coventry, UK
| | - Ashley McGill
- Centre for Dance Research, University of Roehampton, London, UK
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Carapellotti AM, Meijerink H(J, Gravemaker-Scott C, Thielman L, Kool R, Lewin N, Abma TA. Escape, expand, embrace: the transformational lived experience of rediscovering the self and the other while dancing with Parkinson’s or Multiple Sclerosis. Int J Qual Stud Health Well-being 2023; 18:2143611. [DOI: 10.1080/17482631.2022.2143611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Affiliation(s)
| | | | | | - Lucia Thielman
- Leyden Academy on Vitality and Ageing, Leiden, The Netherlands
| | - Renée Kool
- LAPS, Research Institute for Art and Public Space, Gerrit Rietveld Academy, Amsterdam, The Netherlands
| | | | - Tineke A. Abma
- Leyden Academy on Vitality and Ageing, Leiden, The Netherlands
- Department of Ethics, Law & Medical Humanities, Amsterdam UMC, Amsterdam, The Netherlands
- Department of Public Health and Primary Care, Leiden University Medical Centre, Leiden, The Netherlands
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Kipnis D, Kruusamäe H, King M, Schreier AR, Quinn L, Shih HJS. Dance interventions for individuals post-stroke - a scoping review. Top Stroke Rehabil 2023; 30:768-785. [PMID: 35968809 DOI: 10.1080/10749357.2022.2107469] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2021] [Accepted: 07/24/2022] [Indexed: 10/15/2022]
Abstract
BACKGROUND There is a growing body of literature assessing the potential benefits of dance for individuals post-stroke. OBJECTIVES We conducted a scoping review mapping the state of the literature on feasibility, intervention procedures, and efficacy of dance to improve health-related outcomes for individuals post-stroke. ELIGIBILITY CRITERIA Included studies were original research that described the use of a dance intervention for individuals post-stroke, included any health-related outcome, and were written in English. SOURCES OF EVIDENCE Databases selected were Pubmed, Scopus, Google Scholar, Proquest, MedRxiv, and CINHAL. CHARTING METHODS Two reviewers extracted relevant data and results were organized into themes and categories determined by all authors through discussion. RESULTS We searched electronic databases were in February 2021. We included 18 publications from 14 studies. Ten were quantitative, five were qualitative, one was mixed-methods, and two were community project descriptions. Twelve publications evaluated in-person dance classes and six evaluated dance exergaming. Based on the limited studies included, evidence suggests dance is a feasible and potentially effective intervention for individuals post-stroke. Studies demonstrate dance may facilitate changes in balance and fall risk, encourage confidence, promote comfort with the changed body, increase rehabilitation motivation, and facilitate community reintegration. Evidence is limited by number of studies, design (lack of control groups and blinded assessments), intervention descriptions, and outcomes reporting. CONCLUSIONS There is growing interest in dance for stroke interventions. Further research should focus on rigorous study design, optimal intervention timing, consistency of reporting outcomes, key elements of dance classes, and the impact of cultural dance styles.
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Affiliation(s)
- Danielle Kipnis
- Department of Biobehavioral Sciences, Teachers College, Columbia University, New York City, NY, USA
| | - Helena Kruusamäe
- Institute of Sport Sciences and Physiotherapy, University of Tartu
- Estonian Military Academy
| | - Miriam King
- Department of Biobehavioral Sciences, Teachers College, Columbia University, New York City, NY, USA
| | - Abigail R Schreier
- Department of Biobehavioral Sciences, Teachers College, Columbia University, New York City, NY, USA
| | - Lori Quinn
- Department of Biobehavioral Sciences, Teachers College, Columbia University, New York City, NY, USA
- Department of Rehabilitation and Regenerative Medicine (Physical Therapy), Columbia University Irving Medical Center
| | - Hai-Jung Steffi Shih
- Department of Biobehavioral Sciences, Teachers College, Columbia University, New York City, NY, USA
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Sistarelli S, Annett LE, Lovatt PJ. Effects of Popping For Parkinson’s dance class on the mood of people with Parkinson’s disease. INTERNATIONAL JOURNAL OF THERAPY AND REHABILITATION 2023. [DOI: 10.12968/ijtr.2021.0069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/06/2023]
Abstract
Background/Aims Depression, low mood and apathy can affect people with Parkinson’s disease, impacting on their quality of life. The aim of this study was to investigate the effects of one Popping For Parkinson’s dance session on the mood of people with Parkinson’s disease. Methods A total of 33 people with Parkinson’s disease, with a mean age of 67.5 years (standard deviation 10.3 years), mean Parkinson’s level of 1.8 (standard deviation 1.6), took part in one Popping For Parkinson's dance class at four different locations: London (UK), Hatfield (UK), New York City (USA) and Turin (Italy). Participants’ mood was measured with the Profile of Mood States questionnaire at four time points: immediately before the dance class, immediately after the dance class, 24 hours after the dance class and 1 week after the dance class. Results Participants’ total mood score and the subscale score of vigour increased, while the subscales of tension, depression, and confusion decreased on the Profile of Mood States, significantly immediately after the dance intervention. However, at 24 hours and 1 week after the dance class, mood scores did not differ significantly compared with baseline measurements. The improvements in mood immediately after the dance class did not differ depending on sex, age, previous dance experience, the location of the dance class, stage of Parkinson’s disease, presence of tremor and deep brain stimulation treatment. Conclusions Participating in a Popping For Parkinson’s dance class boosts mood in the short term, and this improvement lasts less than 24 hours. This finding has implications for the provision of dance classes, suggesting that regular attendance may be necessary for sustained improvements. Further studies are needed to determine whether attending a series of Popping for Parkinson’s classes may have longer-term effects.
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Affiliation(s)
- Simone Sistarelli
- Department of Psychology, Sport and Geography, School of Life and Medical Sciences, University of Hertfordshire, Hatfield, UK
| | - Lucy E Annett
- Department of Psychology, Sport and Geography, School of Life and Medical Sciences, University of Hertfordshire, Hatfield, UK
| | - Peter J Lovatt
- Department of Psychology, Sport and Geography, School of Life and Medical Sciences, University of Hertfordshire, Hatfield, UK
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Duarte JDS, Alcantara WA, Brito JS, Barbosa LCS, Machado IPR, Furtado VKT, dos Santos-Lobato BL, Pinto DS, Krejcová LV, Bahia CP. Physical activity based on dance movements as complementary therapy for Parkinson's disease: Effects on movement, executive functions, depressive symptoms, and quality of life. PLoS One 2023; 18:e0281204. [PMID: 36730266 PMCID: PMC9894447 DOI: 10.1371/journal.pone.0281204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Accepted: 09/22/2022] [Indexed: 02/03/2023] Open
Abstract
BACKGROUND Parkinson's disease (PD) is a progressive, neurodegenerative disease with motor symptoms that are well understood, but non-motor symptoms may be present and appear at different temporal stages of the disease. Physical activity based on dance movements is emerging as a complementary therapeutic approach to a range of PD symptoms as a multidimensional activity that requires rhythmic synchronization and more neuromuscular functions. OBJECTIVE To evaluate the effects of physical activity based on dance movements on the movement, executive functions, depressive symptoms, quality of life, and severity of PD in individuals diagnosed with PD. METHODS 13 individuals with PD (Hoehn & Yahr I-III, MDS-UPDRS 67.62 ± 20.83), underwent physical activity based on dance movements (2x week for 6 months). Participants were assessed at baseline and after 6 months on movement (POMA, TUG and MDS-UPDRS Part III), executive function (FAB), depressive symptoms (MADRS), quality of life (PDQ-39), and severity of PD (MDS-UPDRS TOTAL). Student's t-test was used to compare pre and post-intervention results. RESULTS We observed a significant improvement in the movement (balance and gait) by the POMA test, p = 0.0207, executive function by the FAB test, p = 0.0074, abstract reasoning and inhibitory control by the FAB, Conceptualization test, p = 0.0062, and Inhibitory Control, p = 0.0064, depressive symptoms assessed by the MADRS test significantly reduced, p = 0.0214, and the quality of life by the PDQ-39 had a significant increase after the intervention, p = 0.0006, showed significant improvements between the pre-and post-intervention periods of physical activity based on dance movements. CONCLUSION Physical activity based on dance movements contributed to significant improvements in movement (balance and gait), executive functions, especially in cognitive flexibility and inhibitory control, and the quality of life too. Sensorimotor integration, most cognitive processing and social skills may have contributed to the results. TRIAL REGISTRATION The study was registered in the Brazilian registry of clinical trials: RBR-3bhbrb5.
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Affiliation(s)
- Juliana dos Santos Duarte
- Laboratory of Neuroplasticity, Institute of Health Sciences, Federal University of Pará, Belém, Pará, Brazil
- Parkinson Group, Art Science Institute, Federal University of Pará, Belém, Pará, Brazil
| | | | - Juliana Silva Brito
- Parkinson Group, Art Science Institute, Federal University of Pará, Belém, Pará, Brazil
| | | | | | | | | | - Denise Silva Pinto
- Laboratory of Neuroplasticity, Institute of Health Sciences, Federal University of Pará, Belém, Pará, Brazil
| | - Lane Viana Krejcová
- Laboratory of Neuroplasticity, Institute of Health Sciences, Federal University of Pará, Belém, Pará, Brazil
- Parkinson Group, Art Science Institute, Federal University of Pará, Belém, Pará, Brazil
| | - Carlomagno Pacheco Bahia
- Laboratory of Neuroplasticity, Institute of Health Sciences, Federal University of Pará, Belém, Pará, Brazil
- * E-mail:
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Zhang L, Liu X, Xi X, Chen Y, Wang Q, Qu X, Cao H, Wang L, Sun W, Chen G, Liu H, Jiang X, Su H, Jiang J, Bi H. Effect of Zhan Zhuang Qigong on upper limb static tremor and aerobic exercise capacity in patients with mild-to-moderate Parkinson's disease: study protocol for a randomised controlled trial. BMJ Open 2022; 12:e059625. [PMID: 35820757 PMCID: PMC9274526 DOI: 10.1136/bmjopen-2021-059625] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
INTRODUCTION Currently, the first choice for the clinical treatment of static tremor in Parkinson's disease (PD) is drug therapy, however side effects are common. In recent years, the effects of physical therapy on PD has become a serious research focus. Studies have indicated that aerobic and resistance exercises alleviate PD movement disorders and improve aerobic capacity, but the effects of Qigong on PD static tremor and aerobic capacity remain unknown. METHODS AND ANALYSIS OBJECTIVE: To observe the effects of Zhan Zhuang Qigong on upper limb static tremor and aerobic capacity in patients with PD, we established a rigorous randomised, parallel-controlled, assignment hidden, evaluator-blinded protocol. METHODS Seventy-two patients with PD, at the Affiliated Hospital of Shandong University of Traditional Chinese Medicine, were recruited and randomly divided into a control (n=36) and experimental group (n=36). The intervention group received conventional medicine plus Zhan Zhuang Qigong exercises five times a week at 30 min each time, over an 8-week period. The long-term effects of Zhan Zhuang Qigong on PD was investigated after the intervention. Phyphox APP, CRST, CPET, UPDRS(II, III) were used to evaluate tremor, aerobic capacity, and motor function in groups. DISCUSSION We are investigating the effects of Zhan Zhuang Qigong on upper limb static tremor and aerobic capacity in patients with PD. If positive are identified, they will add a new research direction and evidence for the clinical exploration of exercise therapy for PD. ETHICS AND DISSEMINATION This study was approved by the Ethics Committee of Shandong University of Traditional Chinese Medicine (Approval Number: 2021-025-KY). The Committee will be informed of any changes to the trial protocol, such as intervention intensity, outcome indicators and data collection. Study results will be presented as a paper at an international conference or in a journal. TRIAL REGISTRATION NUMBER ChiCTR2100053529.
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Affiliation(s)
- Linlin Zhang
- Shandong University of Traditional Chinese Medicine, Jinan, china
| | - Xihua Liu
- Shandong University of Traditional Chinese Medicine Affiliated Hospital, Jinan, Shandong, China
| | - Xiaoming Xi
- Shandong University of Traditional Chinese Medicine, Jinan, china
| | - Yuxiao Chen
- Shandong University of Traditional Chinese Medicine, Jinan, china
| | - Qing Wang
- Shandong University of Traditional Chinese Medicine, Jinan, china
| | - Xinjie Qu
- Shandong University of Traditional Chinese Medicine, Jinan, china
| | - Haihao Cao
- Shandong University of Traditional Chinese Medicine, Jinan, china
| | - Limin Wang
- Shandong University of Traditional Chinese Medicine, Jinan, china
| | - Wenyu Sun
- Shandong University of Traditional Chinese Medicine Affiliated Hospital, Jinan, Shandong, China
| | - Guoming Chen
- Shandong University of Traditional Chinese Medicine Affiliated Hospital, Jinan, Shandong, China
| | - Huifen Liu
- Shandong University of Traditional Chinese Medicine, Jinan, china
| | - Xiaoyu Jiang
- Shandong University of Traditional Chinese Medicine, Jinan, china
| | - Hang Su
- Shandong University of Traditional Chinese Medicine, Jinan, china
| | - Jiahui Jiang
- Shandong University of Traditional Chinese Medicine, Jinan, china
| | - Hongyan Bi
- Shandong University of Traditional Chinese Medicine Affiliated Hospital, Jinan, Shandong, China
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Colombo B, Rigby A, Gnerre M, Biassoni F. The Effects of a Dance and Music-Based Intervention on Parkinson's Patients' Well-Being: An Interview Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19127519. [PMID: 35742768 PMCID: PMC9224214 DOI: 10.3390/ijerph19127519] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/12/2022] [Revised: 06/16/2022] [Accepted: 06/17/2022] [Indexed: 11/29/2022]
Abstract
Previous research has shown the positive effects of music and dance-based interventions on the physical and psychosocial symptoms of Parkinson’s disease (PD). The aims of this study were: (1) to investigate how PD patients subjectively perceive the emotional, cognitive, and social benefits of a music- and dance-based intervention; (2) to apply an innovative methodology for an interview analysis combining findings from a linguistic text with an analytic approach and conducted with the software LIWC and from the content analysis performed by human coders. Extensive, open-ended interviews were conducted with 13 patients with PD who had participated in a dance and music program. The interviews were analyzed using both human coders and the computer-based approach. The results show that emotional and social aspects are considered the most frequent perceived benefits of the dance program. The data confirm the positive impact of dance- and music-based programs on promoting participants’ emotional and social well-being. A combined approach to text analysis appears to be a promising way to achieve more in-depth insights into patients’ subjective perceptions.
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Affiliation(s)
- Barbara Colombo
- Behavioral Neuroscience Lab, Champlain College, Burlington, VT 05401, USA;
- Correspondence:
| | - Alison Rigby
- Behavioral Neuroscience Lab, Champlain College, Burlington, VT 05401, USA;
| | - Martina Gnerre
- Università Cattolica del Sacro Cuore, 20123 Milano, Italy; (M.G.); (F.B.)
| | - Federica Biassoni
- Università Cattolica del Sacro Cuore, 20123 Milano, Italy; (M.G.); (F.B.)
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Wang LL, Sun CJ, Wang Y, Zhan TT, Yuan J, Niu CY, Yang J, Huang S, Cheng L. Effects of dance therapy on non-motor symptoms in patients with Parkinson's disease: a systematic review and meta-analysis. Aging Clin Exp Res 2022; 34:1201-1208. [PMID: 35091970 DOI: 10.1007/s40520-021-02030-7] [Citation(s) in RCA: 16] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2021] [Accepted: 11/09/2021] [Indexed: 12/14/2022]
Abstract
BACKGROUND Parkinson's disease (PD) represents the second most common neurodegenerative disease. OBJECTIVE To evaluate the effects of dance therapy (DT) aimed at improving non-motor symptoms in PD. METHODS Studies were performed through PubMed, Web of Science, The Cochrane Library, Embase, and Science Direct from inception to October 27, 2021. The data were screened independently by two reviewers, and the quality of the papers was assessed using the Cochrane manual. The included studies were randomized controlled trials and quasi-randomized controlled trials, reporting random-effects standardized mean differences, and 95% confidence intervals as the effect size. I2 statistics were used to assess heterogeneity. The main outcomes included the Montreal Cognitive Assessment Scale (MOCA), Baker Depression Scale (BDI), Parkinson's Fatigue Scale (FPS-16), and Apathy Scale (AS). RevMan 5.3 software was integrated for meta-analysis. RESULTS Nine literatures were analyzed for the meta-analysis with a total of 307 patients. Random effects showed that DT significantly improved cognitive of PD (MD = 1.50, 95% CI [0.52, 2.48], P = 0.0003; I2 = 51%). However, this meta-analysis demonstrated that dance therapy had no significance for improving depression (MD = - 1.33, 95% CI [- 4.11, 1.45], P = 0.35; I2 = 79%), fatigue (MD = 0.26, 95% CI [- 0.31, 0.83], P = 0.37; I2 = 0%), and apathy (MD = 0.07, 95% CI [- 2.55, 2.69], P = 0.96; I2 = 50%). CONCLUSION The meta-analysis suggests that dance can improve cognitive function in PD.
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Affiliation(s)
- Li-Li Wang
- School of Nursing, Anhui University of Chinese Medicine, No. 103 Meishan Street, Hefei, 230031, Anhui, China
| | - Cai-Jie Sun
- School of Nursing, Anhui University of Chinese Medicine, No. 103 Meishan Street, Hefei, 230031, Anhui, China
| | - Yan Wang
- School of Nursing, Anhui University of Chinese Medicine, No. 103 Meishan Street, Hefei, 230031, Anhui, China
| | - Ting-Ting Zhan
- Department of Brain Center, The First Affiliated Hospital of Anhui University of Chinese Medicine, No. 117 Meishan Street, Hefei, 230031, Anhui, China.
| | - Juan Yuan
- School of Nursing, Anhui University of Chinese Medicine, No. 103 Meishan Street, Hefei, 230031, Anhui, China
| | - Cong-Ying Niu
- School of Nursing, Anhui University of Chinese Medicine, No. 103 Meishan Street, Hefei, 230031, Anhui, China
| | - Jie Yang
- School of Nursing, Anhui University of Chinese Medicine, No. 103 Meishan Street, Hefei, 230031, Anhui, China
| | - Shan Huang
- School of Nursing, Anhui University of Chinese Medicine, No. 103 Meishan Street, Hefei, 230031, Anhui, China
| | - Ling Cheng
- School of Humanities and International Educational Exchange, Anhui University of Chinese Medicine, No. 103 Meishan Street, Hefei, 230031, Anhui, China
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Callupe Luna J, Martinez Rocha J, Monacelli E, Foggea G, Hirata Y, Delaplace S. WISP, Wearable Inertial Sensor for Online Wheelchair Propulsion Detection. SENSORS 2022; 22:s22114221. [PMID: 35684843 PMCID: PMC9185644 DOI: 10.3390/s22114221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/03/2022] [Revised: 05/25/2022] [Accepted: 05/26/2022] [Indexed: 12/10/2022]
Abstract
Manual wheelchair dance is an artistic recreational and sport activity for people with disabilities that is becoming more and more popular. It has been reported that a significant part of the dance is dedicated to propulsion. Furthermore, wheelchair dance professionals such as Gladys Foggea highlight the need for monitoring the quantity and timing of propulsions for assessment and learning. This study addresses these needs by proposing a wearable system based on inertial sensors capable of detecting and characterizing propulsion gestures. We called the system WISP. Within our initial configuration, three inertial sensors were placed on the hands and the back. Two machine learning classifiers were used for online bilateral recognition of basic propulsion gestures (forward, backward, and dance). Then, a conditional block was implemented to rebuild eight specific propulsion gestures. Online paradigm is intended for real-time assessment applications using sliding window method. Thus, we evaluate the accuracy of the classifiers in two configurations: “three-sensor” and “two-sensor”. Results showed that when using “two-sensor” configuration, it was possible to recognize the propulsion gestures with an accuracy of 90.28%. Finally, the system allows to quantify the propulsions and measure their timing in a manual wheelchair dance choreography, showing its possible applications in the teaching of dance.
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Affiliation(s)
- Jhedmar Callupe Luna
- Versailles Engineering Systems Laboratory, University of Versailles Saint-Quentin-en-Yvelines, University of Paris-Saclay, 78140 Vélizy, France; (E.M.); (S.D.)
- Correspondence: (J.C.L.); (J.M.R.); Tel.: +33-01-3925-4958 (J.C.L. & J.M.R.)
| | - Juan Martinez Rocha
- Versailles Engineering Systems Laboratory, University of Versailles Saint-Quentin-en-Yvelines, University of Paris-Saclay, 78140 Vélizy, France; (E.M.); (S.D.)
- Correspondence: (J.C.L.); (J.M.R.); Tel.: +33-01-3925-4958 (J.C.L. & J.M.R.)
| | - Eric Monacelli
- Versailles Engineering Systems Laboratory, University of Versailles Saint-Quentin-en-Yvelines, University of Paris-Saclay, 78140 Vélizy, France; (E.M.); (S.D.)
| | - Gladys Foggea
- Compagnie Tatoo “Danse Contemporaine Inclusive”, 77185 Lognes, France;
| | - Yasuhisa Hirata
- Smart Robots Design Lab, Tohoku University, Sendai 980-8579, Japan;
| | - Stéphane Delaplace
- Versailles Engineering Systems Laboratory, University of Versailles Saint-Quentin-en-Yvelines, University of Paris-Saclay, 78140 Vélizy, France; (E.M.); (S.D.)
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11
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Docu Axelerad A, Stroe AZ, Muja LF, Docu Axelerad S, Chita DS, Frecus CE, Mihai CM. Benefits of Tango Therapy in Alleviating the Motor and Non-Motor Symptoms of Parkinson’s Disease Patients—A Narrative Review. Brain Sci 2022; 12:brainsci12040448. [PMID: 35447980 PMCID: PMC9031475 DOI: 10.3390/brainsci12040448] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2022] [Revised: 03/15/2022] [Accepted: 03/23/2022] [Indexed: 02/06/2023] Open
Abstract
The present study examines the efficacy of tango therapy on motor and non-motor symptomatology in Parkinson’s disease, as detailed in articles published over the previous four decades (1980–2022). All data was collected using PubMed, Google Scholar, Web of Science, and Science Direct. The present descriptive study outlines the advantages of tango in the rehabilitation of Parkinson’s disease’s motor and non-motor symptoms. Numerous studies have been conducted to determine the usefulness of tango for people with PD. Information from various research is critical for determining if tango is a useful supplementary therapy for the variety of symptoms related to Parkinson’s disease. The purpose of this review was to describe the present state of research on this subject. Thus, the objective of this review is to promote awareness of tango therapy’s therapeutic benefits for Parkinson’s disease.
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Affiliation(s)
- Any Docu Axelerad
- Department of Neurology, Faculty of General Medicine, Ovidius University, 900470 Constanta, Romania; (A.D.A.); (L.F.M.)
- Department of Neurology, County Clinical Emergency Hospital of Constanta, 900591 Constanta, Romania
| | - Alina Zorina Stroe
- Department of Neurology, Faculty of General Medicine, Ovidius University, 900470 Constanta, Romania; (A.D.A.); (L.F.M.)
- Department of Neurology, County Clinical Emergency Hospital of Constanta, 900591 Constanta, Romania
- Correspondence: ; Tel.: +40-72-798-7950
| | - Lavinia Florenta Muja
- Department of Neurology, Faculty of General Medicine, Ovidius University, 900470 Constanta, Romania; (A.D.A.); (L.F.M.)
- Department of Neurology, County Clinical Emergency Hospital of Constanta, 900591 Constanta, Romania
| | - Silviu Docu Axelerad
- Faculty of General Medicine and Pharmacy, “Vasile Goldis” Western University of Arad, 317046 Arad, Romania;
| | - Dana Simona Chita
- Department of Neurology, Faculty of General Medicine and Pharmacy, “Vasile Goldis” Western University of Arad, 310045 Arad, Romania;
| | - Corina Elena Frecus
- Department of Pediatrics, Faculty of General Medicine, Ovidius University, 900470 Constanta, Romania; (C.E.F.); (C.M.M.)
- Department of Pediatrics, County Clinical Emergency Hospital of Constanta, 900591 Constanta, Romania
| | - Cristina Maria Mihai
- Department of Pediatrics, Faculty of General Medicine, Ovidius University, 900470 Constanta, Romania; (C.E.F.); (C.M.M.)
- Department of Pediatrics, County Clinical Emergency Hospital of Constanta, 900591 Constanta, Romania
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12
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Bouquiaux O, Thibaut A, Beaudart C, Dorban G, Bertrand S, Yildiz E, Kaux JF. Dance training and performance in patients with Parkinson disease: Effects on motor functions and patients’ well-being. Sci Sports 2021. [DOI: 10.1016/j.scispo.2021.03.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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13
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Rabinovich DB, Garretto NS, Arakaki T, DeSouza JFX. A high dose tango intervention for people with Parkinson's disease (PwPD). ADVANCES IN INTEGRATIVE MEDICINE 2021. [DOI: 10.1016/j.aimed.2021.07.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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14
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Pang MY. Physiotherapy management of Parkinson's disease. J Physiother 2021; 67:163-176. [PMID: 34154949 DOI: 10.1016/j.jphys.2021.06.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/04/2020] [Revised: 05/03/2021] [Accepted: 06/07/2021] [Indexed: 02/07/2023] Open
Affiliation(s)
- Marco Yc Pang
- Department of Rehabilitation Sciences, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hong Kong.
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15
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Fiorilli G, Quinzi F, Buonsenso A, Casazza G, Manni L, Parisi A, Di Costanzo A, Calcagno G, Soligo M, di Cagno A. A Single Session of Whole-Body Electromyostimulation Increases Muscle Strength, Endurance and proNGF in Early Parkinson Patients. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:5499. [PMID: 34065571 PMCID: PMC8161270 DOI: 10.3390/ijerph18105499] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/16/2021] [Revised: 05/18/2021] [Accepted: 05/18/2021] [Indexed: 12/19/2022]
Abstract
Parkinson's disease (PD) patients lead a sedentary lifestyle, being unable or unwilling to exercise conventionally, due to physical and mental limitations. The aim of this study was to assess the acute effects of a single session of whole-body electromyostimulation (WB-EMS) on the physical performances and serum levels of the neurotrophic factors in PD patients. Ten subjects (aged 72.60 ± 6.82) underwent 20 min of physical activity with superimposed WB-EMS and, after four weeks, the same protocol with no WB-EMS. WB-EMS was conducted with intermittent stimulation, with 4 s WB-EMS/4 s rest, at 85 Hz, 350 μs. A physical fitness assessment and blood samples collection, to evaluate neurotrophic factors' levels (BDNF, FGF21, proNGF, mNGF), were collected before and after the intervention. The RM-ANOVA showed significant improvements in sit-to-stand (p < 0.01), arm curl (p < 0.01), handgrip (p < 0.01) and soda pop test (p < 0.01) after the WB-EMS intervention. Higher proNFG serum levels were observed in the WB-EMS condition compared to the no WB-EMS after 60 min post-intervention (p = 0.0163). The effect of WB-EMS confirmed the electrostimulation ability to modulate the proNGF quantity. The positive impact of the WB-EMS protocol on physical functioning, and eye-hand coordination, makes this intervention a promising strategy to improve motor and non-motor symptoms in PD patients.
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Affiliation(s)
- Giovanni Fiorilli
- Department of Medicine and Health Sciences, University of Molise, 86100 Campobasso, Italy; (G.F.); (A.B.); (G.C.); (A.D.C.)
| | - Federico Quinzi
- Department of Motor, Human and Health Sciences, University of Rome “Foro Italico”, 00197 Rome, Italy; (F.Q.); (A.P.); (A.d.C.)
| | - Andrea Buonsenso
- Department of Medicine and Health Sciences, University of Molise, 86100 Campobasso, Italy; (G.F.); (A.B.); (G.C.); (A.D.C.)
| | - Giusy Casazza
- Department of Medicine and Health Sciences, University of Molise, 86100 Campobasso, Italy; (G.F.); (A.B.); (G.C.); (A.D.C.)
| | - Luigi Manni
- Institute of Translational Pharmacology, National Research Council, 00133 Rome, Italy; (L.M.); (M.S.)
| | - Attilio Parisi
- Department of Motor, Human and Health Sciences, University of Rome “Foro Italico”, 00197 Rome, Italy; (F.Q.); (A.P.); (A.d.C.)
| | - Alfonso Di Costanzo
- Department of Medicine and Health Sciences, University of Molise, 86100 Campobasso, Italy; (G.F.); (A.B.); (G.C.); (A.D.C.)
| | - Giuseppe Calcagno
- Department of Medicine and Health Sciences, University of Molise, 86100 Campobasso, Italy; (G.F.); (A.B.); (G.C.); (A.D.C.)
| | - Marzia Soligo
- Institute of Translational Pharmacology, National Research Council, 00133 Rome, Italy; (L.M.); (M.S.)
| | - Alessandra di Cagno
- Department of Motor, Human and Health Sciences, University of Rome “Foro Italico”, 00197 Rome, Italy; (F.Q.); (A.P.); (A.d.C.)
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Understanding the impact of an intergenerational arts and health project: a study into the psychological well-being of participants, carers and artists. Public Health 2021; 194:121-126. [PMID: 33882405 DOI: 10.1016/j.puhe.2021.02.029] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2020] [Revised: 12/22/2020] [Accepted: 02/22/2021] [Indexed: 11/22/2022]
Abstract
OBJECTIVES There is growing interest in arts practices in relation to public health, including their potential to support psychological well-being. This study sought to understand the impact of Hear and Now, an intergenerational arts and health project, upon indicators of psychological well-being among all groups involved: young people, older people with a diagnosis of dementia and their carers and partners and the project's artistic team. STUDY DESIGN This was a descriptive exploratory qualitative study, using focus groups and observation as data collection methods. METHODS Study participants were 65 people representing the four groups participating in the 2019 Hear and Now project: older adults living with a diagnosis of dementia, their carers and partners, young people and a team of professional artists and facilitators. Of these, 27 participated in one or more of seven focus groups. Participants were asked about their previous engagement with music and dance, thoughts about the intergenerational element of the project and other aspects of their experiences that related to indicators of well-being. In order to investigate the project's impact on participants' well-being, Seligman's PERMA model was adopted, which sets out five indicators of well-being: positive emotions, engagement, positive relationships, meaning and achievement/accomplishment. RESULTS Experiences relating to all five areas of the PERMA model were evidenced by all groups in relation to their involvement in the project. Additional health benefits were also cited by some, as well as enhanced perceptions of other members of the project cohort. CONCLUSIONS The findings support existing literature that intergenerational and arts activities can be beneficial for individuals' psychological health. Experiences relating to all five dimensions of the PERMA model of well-being (positive emotion, engagement, positive relationships, meaning, achievement/accomplishment) were cited by the four participant groups, which suggests examining the impact of such projects on all project collaborators is worthy of further study. Understanding the impact these projects can have on the various groups involved will enable artistic and healthcare communities to better collaborate and value each other's practices.
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Fontanesi C, DeSouza JFX. Beauty That Moves: Dance for Parkinson's Effects on Affect, Self-Efficacy, Gait Symmetry, and Dual Task Performance. Front Psychol 2021; 11:600440. [PMID: 33613357 PMCID: PMC7892443 DOI: 10.3389/fpsyg.2020.600440] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2020] [Accepted: 12/15/2020] [Indexed: 12/29/2022] Open
Abstract
Background: Previous studies have investigated the effects of dance interventions on Parkinson’s motor and non-motor symptoms in an effort to develop an integrated view of dance as a therapeutic intervention. This within-subject study questions whether dance can be simply considered a form of exercise by comparing a Dance for Parkinson’s class with a matched-intensity exercise session lacking dance elements like music, metaphorical language, and social reality of art-partaking. Methods: In this repeated-measure design, 7 adults with Parkinson’s were tested four times; (i) before and (ii) after a Dance for Parkinson’s class, as well as (iii) before and (iv) after a matched-intensity exercise session. Physiological measures included heart rate and electrodermal activity. Self-reported affect and body self-efficacy were collected. Gait symmetry and dual task cost were analyzed using the 6 min walking test (6MWT) and Timed-Up-and-Go test (TUG), respectively. Results: Average heart rate was the same for both conditions, while electrodermal activity was higher during Dance for Parkinson’s. Significant differences were found in body self-efficacy, beauty subscale, symmetry of gait, and dual task performance. Conclusion: Dance, compared to an exercise intervention of matched intensity, yields different outcomes through the means of intrinsic artistic elements, which may influence affective responses, the experience of beauty, self-efficacy, and gait performance.
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Affiliation(s)
- Cecilia Fontanesi
- Neuroscience Subprogram, Biology Department, CUNY The Graduate Center, The City College of New York, New York, NY, United States
| | - Joseph F X DeSouza
- Neuroscience Graduate Diploma Program, Departments of Psychology and Biology, Interdisciplinary Graduate Studies, Centre for Vision Research, Vision: Science to Applications (VISTA), York University, Canadian Action and Perception Network (CAPnet), Toronto, ON, Canada
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18
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Hunter H, Lovegrove C, Haas B, Freeman J, Gunn H. Experiences of people with Parkinson's disease and their views on physical activity interventions: a qualitative systematic review. ACTA ACUST UNITED AC 2020; 17:548-613. [PMID: 30973527 DOI: 10.11124/jbisrir-2017-003901] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
OBJECTIVE The objective of the review was to synthesize the best available qualitative evidence on the experiences and preferences of people with Parkinson's disease for physical activity, their perceived motivators and barriers to engagement, as well as their views on support mechanisms and behavior change interventions designed to sustain participation. INTRODUCTION National and international guidelines recommend regular physical activity to improve health and wellbeing and to prevent disease. Research on Parkinson's disease indicates that physical activity programs can be beneficial in addressing both physical symptoms and overall wellbeing. However, despite recommendations, sustained engagement in regular physical activity among people with Parkinson's disease is limited. To promote physical activity it is important to understand their perspectives on this topic. INCLUSION CRITERIA This review considered studies that included a qualitative evaluation of the experiences and views of people with Parkinson's disease regarding physical activity and interventions designed to sustain participation. METHODS The databases MEDLINE, Embase, CINAHL, AMED, Scopus and Web of Science, and unpublished studies in sources of grey literature (Google, OpenGrey, MedNar, Conference Paper Index, PQDT) were searched. Language limiters were restricted to English and dates ranged from the inception of the database to June 30, 2017. Two reviewers assessed studies that met the inclusion criteria independently, using the criteria of the Joanna Briggs Institute (JBI) Critical Appraisal Checklist for Qualitative Research. One reviewer completed data extraction using the standardized qualitative data extraction tool. This was checked for accuracy by a second reviewer. The qualitative research findings were pooled using JBI methodology. The JBI process of meta-aggregation was used to identify categories and synthesized findings. RESULTS Nineteen studies were included in this review following assessment of the methodological quality of each study. Two studies were excluded after the methodological review as the findings were not supported by illustrations of the participant voice. Subsequently, 105 findings were extracted and aggregated into 20 categories and eight synthesized findings. Methodological quality was variable and overall confidence in the findings was determined to be low. CONCLUSION This review revealed that people with Parkinson's disease viewed physical activity as an enjoyable and positive experience, which aided with control of their symptoms and enhanced their wellbeing and quality of life. Aligned with evidence from older adults and those with long-term conditions, this review identified disease presentation, intrapersonal characteristics, program design, external support and the social and physical environment as contributory factors which influenced the ability of people with Parkinson's disease to sustain engagement in physical activity. The unique contribution and weighting of these factors will affect an individual's participation in physical activity. This review provides important insights into the challenges of undertaking physical activity while living with a progressive and fluctuating disease. These qualitative findings give healthcare providers an insight into the views and experiences of people with Parkinson's disease and are useful, alongside quantitative evidence of effectiveness, for the design of physical activity programs that are meaningful for this population. However, a limitation of this review is that it does not address the views and experiences of people with Parkinson's disease who are inactive.
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Affiliation(s)
- Heather Hunter
- School of Health Professions, Plymouth University, Plymouth, United Kingdom.,The University of Plymouth Centre for Innovations in Health and Social Care: a Joanna Briggs Institute Centre of Excellence
| | | | - Bernhard Haas
- School of Health Professions, Plymouth University, Plymouth, United Kingdom
| | - Jennifer Freeman
- School of Health Professions, Plymouth University, Plymouth, United Kingdom.,The University of Plymouth Centre for Innovations in Health and Social Care: a Joanna Briggs Institute Centre of Excellence
| | - Hilary Gunn
- School of Health Professions, Plymouth University, Plymouth, United Kingdom
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19
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Douse L, Farrer R, Aujla I. The Impact of an Intergenerational Dance Project on Older Adults' Social and Emotional Well-Being. Front Psychol 2020; 11:561126. [PMID: 33041924 PMCID: PMC7525047 DOI: 10.3389/fpsyg.2020.561126] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2020] [Accepted: 08/18/2020] [Indexed: 12/04/2022] Open
Abstract
There has been strong interest in intergenerational arts practice in the United Kingdom since the 1980s; however, there is a generally weak evidence base for the effectiveness of intergenerational practice regardless of the domain. The aim of this study was to investigate the outcomes of an intergenerational arts project on participants’ social and psychological well-being using a mixed-methods, short-term longitudinal design. Generations Dancing brought together community artists with students (n = 25) and older adults (n = 11) living in Bedford. Over an 11-week period, participants worked together to produce a new dance performance and photography exhibition. Focus groups were conducted with the participants to explore their feelings about the collaboration across generations and communities. Participants also completed a battery of questionnaires preproject and postproject, to assess any change in their levels of well-being. Results indicate that the older adults showed increased confidence and willingness to connect with others; they got immense enjoyment from talking about their experience with others. Furthermore, the project helped to address negative stereotypes that the older adults had of working with the young people. The older adults enjoyed the students’ company and felt encouraged and supported by the young people. While a small number of challenges were identified, including difficulties in traveling to the workshops for vulnerable participants, most challenges were overcome through the older adults’ engagement in the project. For example, initial anxieties regarding the performance seemed insufficient to affect the participants’ overall enjoyment of the project. The findings were supported by the increased scores in relatedness, affect, and social well-being over time, but were not statistically significant. The results of this study indicate that intergenerational dance and arts projects can have wide-reaching positive impacts on both social and psychological well-being. However, there were a number of methodological challenges, including difficulty in recruiting sufficient numbers of both experimental and control groups for a robust quantitative evaluation of the data. These challenges highlight that “real life” settings and scenarios can influence the amount, nature, validity, and reliability of data collected. Going forward we encourage researchers to continue to consider innovative ways to address such methodological challenges.
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Affiliation(s)
- Louise Douse
- School of Media and Performance, Research Institute for Media and Performance, University of Bedfordshire, Bedford, United Kingdom
| | - Rachel Farrer
- School of Media and Performance, Research Institute for Media and Performance, University of Bedfordshire, Bedford, United Kingdom
| | - Imogen Aujla
- School of Media and Performance, Research Institute for Media and Performance, University of Bedfordshire, Bedford, United Kingdom
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20
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Harrison EC, Earhart GM, Leventhal D, Quinn L, Pietro Mazzoni. A walking dance to improve gait speed for people with Parkinson disease: a pilot study. Neurodegener Dis Manag 2020; 10:301-308. [PMID: 32878538 DOI: 10.2217/nmt-2020-0028] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Abstract
Aim: To determine the effectiveness of a targeted dance intervention to improve walking speed for people with Parkinson disease (PD) by increasing motor motivation. Materials & methods: 11 participants with PD participated in a 6-week pilot study in which they learned a contemporary dance composed of walking steps and designed to mimic everyday walking. 1 h classes occurred twice-weekly. Results: Pre- and post-intervention assessments revealed a significant increase in gait speed (t9 = 3.30; p = 0.009), cadence (t9 = 2.345; p = 0.044), and stride length (t9 = 3.757; p = 0.005), and a significant decrease (improvement) in single support time variability (t9 = -2.744; p = 0.022). There were no significant changes in other measures of gait variability nor in motor symptoms, mood and anxiety, extent of life-space mobility, or quality of life. No adverse events were reported. Conclusion: Joywalk provides preliminary evidence that a targeted physical intervention for people with PD may specifically counter bradykinesia.
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Affiliation(s)
- Elinor C Harrison
- Department of Neurology, Washington University School of Medicine, St Louis, MO 63110, USA
| | - Gammon M Earhart
- Department of Neurology, Washington University School of Medicine, St Louis, MO 63110, USA.,Program in Physical Therapy, Washington University School of Medicine, St Louis, MO 63110, USA.,Department of Neuroscience, Washington University School of Medicine, St Louis, MO 63110, USA
| | - David Leventhal
- Dance For PD®, Mark Morris Dance Group, Brooklyn, NY 11217, USA
| | - Lori Quinn
- Department of Movement Science & Kinesiology, Teachers College, Columbia University, New York City, NY 10027, USA
| | - Pietro Mazzoni
- Department of Neurology, Washington University School of Medicine, St Louis, MO 63110, USA
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21
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Gibson R, Robichaud S. Evaluating Dancing With Parkinson's: Reflections from the perspective of a community organization. EVALUATION AND PROGRAM PLANNING 2020; 80:101449. [PMID: 28578854 DOI: 10.1016/j.evalprogplan.2017.05.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/22/2017] [Accepted: 05/08/2017] [Indexed: 06/07/2023]
Abstract
In 2015, Dancing With Parkinson's (DWP), a Toronto-based community organization, participated in the Ontario Brain Institute's (OBI) newly launched Evaluation Support Program. This paper reflects on that experience. In particular, we identify the key lessons derived from the OBI initiative, discuss how these lessons have informed DWP practice going forward, and highlight what we consider to be the most valuable aspects of the Evaluation Support Program. While we now recognize the need to establish an evaluation culture within DWP, we find that there are significant challenges associated with both building and sustaining evaluation capacity in the context of a small community-based organization. Whereas DWP has built considerable strengths in terms of informal evaluation capacity, on its own, such capacity is insufficient to, for example, demonstrate DWP's impact to outside audiences or successfully scale up the program.
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Affiliation(s)
- Rachael Gibson
- The Evaluation Centre for Complex Health Interventions (TECCHI), Dancing With Parkinson's (DWP), Canada.
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22
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Prado L, Hadley R, Rose D. Taking Time: A Mixed Methods Study of Parkinson's Disease Caregiver Participation in Activities in Relation to Their Wellbeing. PARKINSON'S DISEASE 2020; 2020:7370810. [PMID: 32351682 PMCID: PMC7171685 DOI: 10.1155/2020/7370810] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/07/2019] [Accepted: 02/18/2020] [Indexed: 01/05/2023]
Abstract
OBJECTIVES Although many studies have shown that psychosocial interventions, such as dance classes, can improve quality of life for people with Parkinson's disease (PD): few have addressed the role of, and potential benefits to, the caregivers in such activities. This mixed methods study explored the reasons for caregiver participation in a variety of activities and considered whether participation in, or abstention from these, affected the wellbeing of the caregivers. METHOD Transcriptions of a focus group (two people with PD, two caregivers) and eight semistructured interviews (caregivers) were analysed using Grounded Theory (GT). To test the hypotheses derived from the GT, caregivers (n = 75) completed an online survey about activities they and the person they care for participated in, alongside the PDQ-Carer questionnaire, to establish the caregiver's levels of wellbeing. RESULTS Qualitative findings suggested that caregivers tried to find a balance between caring for the person with PD and participating in activities to attend to their own needs. Reasons for participating in activities for people with PD included being able to socialise in an empathetic safe space, alongside engaging in physical activity that provided some respite distraction, such as dancing with others to music. Reasons for not participating included generating time for oneself and increasing the independence of the person with PD. Quantitative results suggested that most of the participants' wellbeing was not compromised, although this was gendered: female caregivers reported lower wellbeing scores than male caregivers. Overall, 62% of caregivers participated in joint activities. Linear regression revealed a significant relationship between nonparticipation in daily activities and stress levels for female caregivers only, whereby the more independent the person with PD was, the lower the stress of the caregiver. CONCLUSION This study suggests that caregivers of people with PD can find a healthy balance in terms of their own wellbeing by jointly participating in two-thirds of activities while ensuring the remaining third is time reserved for themselves.
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Affiliation(s)
- Lia Prado
- Department of Psychology and Sport Sciences, University of Hertfordshire, College Lane, Hatfield, Hertfordshire AB10 9AB, UK
| | - Rebecca Hadley
- Department of Psychology and Sport Sciences, University of Hertfordshire, College Lane, Hatfield, Hertfordshire AB10 9AB, UK
| | - Dawn Rose
- School of Music, Lucerne University of Applied Sciences and Arts, Zentralstrasse 18, Lucerne 6003, Switzerland
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Haeger A, Costa AS, Schulz JB, Reetz K. Cerebral changes improved by physical activity during cognitive decline: A systematic review on MRI studies. Neuroimage Clin 2019; 23:101933. [PMID: 31491837 PMCID: PMC6699421 DOI: 10.1016/j.nicl.2019.101933] [Citation(s) in RCA: 44] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2019] [Revised: 06/30/2019] [Accepted: 07/13/2019] [Indexed: 12/14/2022]
Abstract
Current treatment in late-life cognitive impairment and dementia is still limited, and there is no cure for brain tissue degeneration or reversal of cognitive decline. Physical activity represents a promising non-pharmacological interventional approach in many diseases causing cognitive impairment, but its effect on brain integrity is still largely unknown. Especially research of cerebral alterations in disease state that goes beyond observations of clinical improvement is crucial to understand disease processes and possible effective treatments. In this systematic review, we address the question how physical activity and fitness in mild cognitive impairment (MCI) and Alzheimer's disease (AD) influences brain architecture compared to cognitively healthy elderly. We review both interventional studies comprising aerobic, coordinative and resistance exercises and observational studies on fitness and physical activity combined with Magnetic Resonance imaging (MRI). Different MRI approaches were included such as volumetric and structural analyses, Diffusion Tensor Imaging (DTI), functional MRI and Cerebral Blood Flow (CBF). We evaluate MRI results for different exercise modalities and performed a methodological evaluation of interventional studies in cognitive decline compared to normal aging. According to our results, among 12 interventions in AD/MCI, aerobic exercise is most frequently applied (9 studies). Interventions in AD/MCI altogether reveal a higher methodological quality compared to interventions in healthy elderly (8.33 ± 2.19 vs. 6.25 ± 2.36 out of 13 points), with most frequent missing aspects related to descriptions of complications, lack of intention-to-treat and statistical power analyses. Effects of aerobic exercise and fitness seem to mainly impact brain structures sensitive to neurodegeneration, which especially comprise frontal, temporal and parietal regions, such as the hippocampal/parahippocampal region, precuneus, anterior cingulate and prefrontal cortex, which are reported by several studies. General fitness measured via an objective fitness assessment and questionnaires seems to have a more global cerebral effect, probably due to its long-term application, whereas distinct intervention effects of durations between 3 and 6 months seem to concentrate on more local brain regions as the hippocampus, which can also be influenced by region of interest analyses. There is still a lack of evidence on other or combined types of intervention modalities, such as resistance, coordinative as well as multicomponent exercise during cognitive decline, and complex interventions as dancing. Future research should examine their beneficial effect on brain integrity, since several non-MRI studies already point to their advantageous impact. As a further future prospect, combination and application of newly developed imaging methods such as metabolic imaging should be envisaged to understand physical activity and its cerebral influence under its many-sided facets.
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Affiliation(s)
- Alexa Haeger
- RWTH Aachen University, Department of Neurology, Aachen, Germany; JARA-BRAIN Institute Molecular Neuroscience and Neuroimaging, Forschungszentrum Jülich GmbH and RWTH Aachen University, Aachen, Germany
| | - Ana S Costa
- RWTH Aachen University, Department of Neurology, Aachen, Germany; JARA-BRAIN Institute Molecular Neuroscience and Neuroimaging, Forschungszentrum Jülich GmbH and RWTH Aachen University, Aachen, Germany
| | - Jörg B Schulz
- RWTH Aachen University, Department of Neurology, Aachen, Germany; JARA-BRAIN Institute Molecular Neuroscience and Neuroimaging, Forschungszentrum Jülich GmbH and RWTH Aachen University, Aachen, Germany
| | - Kathrin Reetz
- RWTH Aachen University, Department of Neurology, Aachen, Germany; JARA-BRAIN Institute Molecular Neuroscience and Neuroimaging, Forschungszentrum Jülich GmbH and RWTH Aachen University, Aachen, Germany.
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Hulbert S, Rochester L, Nieuwboer A, Goodwin V, Fitton C, Chivers-Seymour K, Ashburn A. "Staying safe" - a narrative review of falls prevention in people with Parkinson's - "PDSAFE". Disabil Rehabil 2018; 41:2596-2605. [PMID: 29774765 DOI: 10.1080/09638288.2018.1471167] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
Background: Parkinson's disease demonstrates a spectrum of motor and non-motor symptoms. Falling is common and disabling. Current medical management shows minimal impact to reduce falls or fall-related risk factors, such as deficits in gait, strength, and postural instability. Despite evidence supporting rehabilitation in reducing fall risk factors, the most appropriate intervention to reduce overall fall rate remains inconclusive. This article aims to 1) synthesise current evidence and conceptual models of falls rehabilitation in Parkinson's in a narrative review; and based on this evidence, 2) introduce the treatment protocol used in the falls prevention and multi-centre clinical trial "PDSAFE". Method: Search of four bibliographic databases using the terms "Parkinson*" and "Fall*" combined with each of the following; "Rehab*, Balanc*, Strength*, Strateg*and Exercis*" and a framework for narrative review was followed. A total of 3557 papers were identified, 416 were selected for review. The majority report the impact of rehabilitation on isolated fall risk factors. Twelve directly measure the impact on overall fall rate. Discussion: Results were used to construct a narrative review with conceptual discussion based on the "International Classification of Functioning", leading to presentation of the "PDSAFE" intervention protocol. Conclusions: Evidence suggests training single, fall risk factors may not affect overall fall rate. Combining with behavioural and strategy training in a functional, personalised multi-dimensional model, addressing all components of the "International Classification of Functioning" is likely to provide a greater influence on falls reduction. "PDSAFE" is a multi-dimensional, physiotherapist delivered, individually tailored, progressive, home-based programme. It is designed with a strong evidence-based approach and illustrates a model for the clinical delivery of the conceptual theory discussed. Implications for Rehabilitation Parkinson's disease demonstrates a spectrum of motor and non-motor symptoms, where falling is common and disabling. Current medical and surgical management have minimal impact on falls, rehabilitation of falls risk factors has strong evidence but the most appropriate intervention to reduce overall fall rate remains inconclusive. Addressing all components of the International Classification of Function in a multifactorial model when designing falls rehabilitation interventions may be more effective at reducing fall rates in people with Parkinson's than treating isolated risk factors. The clinical model for falls rehabilitation in people with Parkinson's should be multi-dimensional.
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Affiliation(s)
- Sophia Hulbert
- Faculty of Health Sciences, University Hospital Southampton, University of Southampton , Southampton , UK
| | - Lynn Rochester
- Campus for Ageing and Vitality, Clinical Ageing Research Unit, Newcastle University , Newcastle upon Tyne , UK
| | | | - Vicki Goodwin
- NIHR CLAHRC South West Peninsula, University of Exeter , Exeter , UK
| | - Carolyn Fitton
- Faculty of Health Sciences, University Hospital Southampton, University of Southampton , Southampton , UK
| | - Kim Chivers-Seymour
- Faculty of Health Sciences, University Hospital Southampton, University of Southampton , Southampton , UK
| | - Ann Ashburn
- Faculty of Health Sciences, University Hospital Southampton, University of Southampton , Southampton , UK
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McGill A, Houston S, Lee RYW. Effects of a ballet-based dance intervention on gait variability and balance confidence of people with Parkinson's. Arts Health 2018; 11:1-14. [PMID: 31038440 DOI: 10.1080/17533015.2018.1443947] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2017] [Accepted: 01/29/2018] [Indexed: 10/17/2022]
Abstract
BACKGROUND Dance has shown to be beneficial for people with Parkinson's. However, there is a lack of research on ballet for this population. The present study aimed to determine the effect of weekly ballet classes on gait variability and balance confidence for people with Parkinson's. METHODS The study follows a non-randomised, controlled project evaluation design. A group of 19 people with Parkinson's who were already involved in weekly ballet classes volunteered for this research. A control group of 13 people with Parkinson's were asked to not participate in dance classes across the duration of the study. RESULTS The study did not demonstrate significant effects of weekly ballet classes on gait variability or balance confidence. CONCLUSIONS These findings differ from recent studies that suggest dancing can improve balance and gait for this population. There is a need to examine the optimal ballet class frequency required to elicit any potential positive change.
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Affiliation(s)
- Ashley McGill
- a Department of Dance , University of Roehampton , London , UK
| | - Sara Houston
- a Department of Dance , University of Roehampton , London , UK
| | - Raymond Y W Lee
- b Faculty of Technology , University of Portsmouth , Portsmouth , UK
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Biomechanical Analysis of Dance for Parkinson’s Disease: A Paradoxical Case Study of Balance and Gait Effects? Explore (NY) 2017; 13:409-413. [DOI: 10.1016/j.explore.2017.03.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2017] [Accepted: 03/13/2017] [Indexed: 11/24/2022]
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Rocha PA, Slade SC, McClelland J, Morris ME. Dance is more than therapy: Qualitative analysis on therapeutic dancing classes for Parkinson's. Complement Ther Med 2017; 34:1-9. [PMID: 28917359 DOI: 10.1016/j.ctim.2017.07.006] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2017] [Revised: 07/17/2017] [Accepted: 07/18/2017] [Indexed: 01/08/2023] Open
Abstract
OBJECTIVES To understand the benefits and limitations of therapeutic dancing classes for people with Parkinson's disease (PD) and how best to design and implement classes. DESIGN A stakeholder forum explored the opinions of 18 allied health clinicians, dance instructors, people with PD and caregivers. Data were thematically analysed and interpreted within a grounded theory framework. RESULTS Four main themes were identified: (1) the need to consider the stage of disease progression when designing classes; (2) recognition that dance is more than just therapy; (3) the benefits of carefully selecting music to move by; (4) ways to design classes that are both feasible and engaging. These themes give rise to the theory that dancing classes can provide more than just therapeutic benefits. Dance affords creative expression and enables people to immerse themselves in the art-form, rather than focussing on the disease. The results highlight the benefits of enabling individuals with PD to be able to express themselves in a supportive environment that does not see them solely through the lens of Parkinson's. The feasibility of dance programs can be increased by educating dancing teachers about PD and the unique needs of people living with this condition. CONCLUSION Well-structured dance classes can promote social-connectedness and joy, in addition to facilitating movement to music and physical activity. Consumers advised that careful planning of the classes and tailoring them to participant needs optimizes outcomes.
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Affiliation(s)
- Priscila A Rocha
- La Trobe Centre for Sport and Exercise Medicine Research, School Allied Health, College Science, Health & Engineering, La Trobe University, 3086, Australia; CAPES Foundation, Ministry of Education of Brazil, Brasília, DF 70040-020, Brazil.
| | - Susan C Slade
- La Trobe Centre for Sport and Exercise Medicine Research, School Allied Health, College Science, Health & Engineering, La Trobe University, 3086, Australia
| | - Jodie McClelland
- La Trobe Centre for Sport and Exercise Medicine Research, School Allied Health, College Science, Health & Engineering, La Trobe University, 3086, Australia
| | - Meg E Morris
- La Trobe Centre for Sport and Exercise Medicine Research, School Allied Health, College Science, Health & Engineering, La Trobe University, 3086, Australia; Healthscope, Northpark Private Hospital, Plenty Road Bundoora, 3083, Australia
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Gibson G. What can the treatment of Parkinson's disease learn from dementia care; applying a bio-psycho-social approach to Parkinson's disease. Int J Older People Nurs 2017; 12. [PMID: 28685944 DOI: 10.1111/opn.12159] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2017] [Accepted: 05/22/2017] [Indexed: 01/11/2023]
Abstract
BACKGROUND Within contemporary medical practice, Parkinson's disease (PD) is treated using a biomedical, neurological approach, which although bringing numerous benefits can struggle to engage with how people with PD experience the disease. A bio-psycho-social approach has not yet been established in PD; however, bio-psycho-social approaches adopted within dementia care practice could bring significant benefit to PD care. METHODS This paper summarises existing bio-psycho-social models of dementia care and explores how these models could also usefully be applied to care for PD. Specifically, this paper adapts the bio-psycho-social model for dementia developed by Spector and Orrell (), to suggest a bio-psycho-social model, which could be used to inform routine care in PD. RESULTS Drawing on the biopsychosocial model of Dementia put forward by Spector and Orrell (), this paper explores the application of a bio-psycho-social model of PD. This model conceptualises PD as a trajectory, in which several interrelated fixed and tractable factors influence both PD's symptomology and the various biological and psychosocial challenges individuals will face as their disease progresses. Using an individual case study, this paper then illustrates how such a model can assist clinicians in identifying suitable interventions for people living with PD. CONCLUSION This model concludes by discussing how a bio-psycho-social model could be used as a tool in PD's routine care. The model also encourages the development of a theoretical and practical framework for the future development of the role of the PD specialist nurse within routine practice. IMPLICATIONS FOR PRACTICE A biopsychosocial approach to Parkinson's Disease provides an opportunity to move towards a holistic model of care practice which addresses a wider range of factors affecting people living with PD. The paper puts forward a framework through which PD care practice can move towards a biopsychosocial perspective. PD specialist nurses are particularly well placed to adopt such a model within routine clinical practice, and should therefore be encouraged within PD services.
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Affiliation(s)
- Grant Gibson
- Faculty of Social Sciences, R G Bomont Building, University of Stirling, Stirling, UK
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Tillmann AC, Andrade A, Swarowsky A, Guimarães ACDA. Brazilian Samba Protocol for Individuals With Parkinson's Disease: A Clinical Non-Randomized Study. JMIR Res Protoc 2017; 6:e129. [PMID: 28676466 PMCID: PMC5516099 DOI: 10.2196/resprot.6489] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2016] [Revised: 10/24/2016] [Accepted: 03/28/2017] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND In the 10 most populated countries in the world, Parkinson's disease (PD) affects more than 5 million individuals. Despite optimal treatment options already developed for the disease, concomitant involvement of other areas of health care plays an important role in complementing the treatment. From this perspective, dancing can be viewed as a non-drug alternative that can reduce falls by improving some motor skills, such as mobility, balance, gait, and posture, and can also improve the overall quality of life. Brazilian samba promotes improvement in motor and non-motor symptoms in individuals with PD, providing a new treatment option for this population. OBJECTIVE The main objective of this quasi-experimental study is to provide a 12-week samba protocol (2x/week) for individuals with PD and to compare its effects with the group without intervention. The hypothesis is that the Brazilian samba protocol will promote improvement in primary (motor) and secondary (non-motor) outcomes in individuals with PD. METHODS The sample will be selected at random from individuals diagnosed with PD in the city of Florianopolis (SC, Brazil). Sample size calculation was performed with the G*Power 3.1.9.2 software, with 0.447 effect size, at 5% significance level, power of 0.9, and test and sample loss of 20%. This yielded 60 individuals divided between the intervention and control groups. The questionnaires will be filled out before and after the dance intervention. The data collection for the control group will be held simultaneously to the intervention group. The classes will last for 1 hour, twice a week in the evening for 12 weeks, and all classes will be divided into warm-up, main part, and relaxation. Two-way analysis of variance with repeated measures and Sidak post-hoc comparison test will be used for a comparative analysis of the final results of the control group with the experimental group and of the within-group changes between pre- and postintervention period. RESULTS We expect to complete follow-up in September 2017. CONCLUSIONS The major inspiration for this study was to encourage the creation of new rehabilitation programs that do not emphasize doctor involvement. This is a unique protocol for PD and we believe it can be an important tool to alleviate the motor and non-motor symptoms of individuals with PD. Dance is a simple activity depending on little equipment and few financial resources, facilitating its implementation and improving the cost-benefit relationship. In addition, activities that have a cultural aspect for the population in question, and which are pleasant, enable the participants to commit long term. This can enhance patient's compliance with the therapy, which is often a problem for many rehabilitation programs.
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Affiliation(s)
- Ana Cristina Tillmann
- Health Sciences Centre (CEFID), Research Laboratory in Leisure and Physical Activity (LAPLAF), University of Santa Catarina State, Florianópolis, Brazil
| | - Alexandro Andrade
- Health Sciences Centre (CEFID), University of Santa Catarina State, Florianopolis, Brazil
| | - Alessandra Swarowsky
- Health Sciences Centre (CEFID), University of Santa Catarina State, Florianopolis, Brazil
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Benefits of Exercise on the Executive Functions in People with Parkinson Disease: A Controlled Clinical Trial. Am J Phys Med Rehabil 2017; 96:301-306. [PMID: 27584142 DOI: 10.1097/phm.0000000000000612] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
OBJECTIVE We have made a 3-arm trial (group vs. individual exercise vs. no treatment) to test the effects of a 6-month exercise program upon the executive functions in participants with Parkinson disease. METHODS Twenty-four subjects were randomly allocated in 3 groups and undertook individualized exercises (G1, n = 8), group exercises (G2, n = 8), or monitoring (G3, n = 8). Executive functions were evaluated by means of the Wisconsin card sorting test and the Raven colored matrices, both assessed at the beginning of the program and after 6 months. The statistical analyses consisted of the application of repeated measurement tests, with a significant level of 5%. RESULTS The findings showed similar behavior of groups in terms of the Wisconsin card sorting test (P = 0.792), reporting no benefit of the program on such instrument. Differently, Raven colored matrices evidenced a significant benefit provided by the intervention (P = 0.032). Compared with the control group, individuals from G1 had a substantial improvement on executive functions (P = 0.031) and from G2 had a trend of significance (P = 0.072). CONCLUSION Findings of this study show that 6 months of exercise improved some aspects of executive functions when compared with control peers. Individual therapy seems to have a more prominent improvement than group therapy.
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Porat S, Goukasian N, Hwang KS, Zanto T, Do T, Pierce J, Joshi S, Woo E, Apostolova LG. Dance Experience and Associations with Cortical Gray Matter Thickness in the Aging Population. Dement Geriatr Cogn Dis Extra 2016; 6:508-517. [PMID: 27920794 PMCID: PMC5123027 DOI: 10.1159/000449130] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
INTRODUCTION We investigated the effect dance experience may have on cortical gray matter thickness and cognitive performance in elderly participants with and without mild cognitive impairment (MCI). METHODS 39 cognitively normal and 48 MCI elderly participants completed a questionnaire regarding their lifetime experience with music, dance, and song. Participants identified themselves as either dancers or nondancers. All participants received structural 1.5-tesla MRI scans and detailed clinical and neuropsychological evaluations. An advanced 3D cortical mapping technique was then applied to calculate cortical thickness. RESULTS Despite having a trend-level significantly thinner cortex, dancers performed better in cognitive tasks involving learning and memory, such as the California Verbal Learning Test-II (CVLT-II) short delay free recall (p = 0.004), the CVLT-II long delay free recall (p = 0.003), and the CVLT-II learning over trials 1-5 (p = 0.001). DISCUSSION Together, these results suggest that dance may result in an enhancement of cognitive reserve in aging, which may help avert or delay MCI.
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Affiliation(s)
- Shai Porat
- Department of Neurology, David Geffen School of Medicine at UCLA, Los Angeles, Calif, USA
- Mary S. Easton Center for Alzheimer's Disease Research, Los Angeles, Calif, USA
| | - Naira Goukasian
- Department of Neurology, David Geffen School of Medicine at UCLA, Los Angeles, Calif, USA
- Mary S. Easton Center for Alzheimer's Disease Research, Los Angeles, Calif, USA
| | - Kristy S. Hwang
- Department of Neurology, David Geffen School of Medicine at UCLA, Los Angeles, Calif, USA
- Mary S. Easton Center for Alzheimer's Disease Research, Los Angeles, Calif, USA
- Oakland University William Beaumont School of Medicine, Rochester, Mich., USA
| | - Theodore Zanto
- Department of Neurology, UCSF, San Francisco, Calif, USA
| | - Triet Do
- Department of Neurology, David Geffen School of Medicine at UCLA, Los Angeles, Calif, USA
- Mary S. Easton Center for Alzheimer's Disease Research, Los Angeles, Calif, USA
| | - Jonathan Pierce
- Department of Neurology, David Geffen School of Medicine at UCLA, Los Angeles, Calif, USA
- Mary S. Easton Center for Alzheimer's Disease Research, Los Angeles, Calif, USA
| | - Shantanu Joshi
- Department of Neurology, David Geffen School of Medicine at UCLA, Los Angeles, Calif, USA
| | - Ellen Woo
- Department of Neurology, David Geffen School of Medicine at UCLA, Los Angeles, Calif, USA
- Mary S. Easton Center for Alzheimer's Disease Research, Los Angeles, Calif, USA
| | - Liana G. Apostolova
- Department of Neurology, David Geffen School of Medicine at UCLA, Los Angeles, Calif, USA
- Mary S. Easton Center for Alzheimer's Disease Research, Los Angeles, Calif, USA
- Department of Neurology, Indiana University, Indianapolis, Ind, USA
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Cugusi L, Solla P, Serpe R, Carzedda T, Piras L, Oggianu M, Gabba S, Di Blasio A, Bergamin M, Cannas A, Marrosu F, Mercuro G. Effects of a Nordic Walking program on motor and non-motor symptoms, functional performance and body composition in patients with Parkinson's disease. NeuroRehabilitation 2016; 37:245-54. [PMID: 26484516 DOI: 10.3233/nre-151257] [Citation(s) in RCA: 90] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Several studies have clearly shown that physical exercise can reduce the progression of motor symptoms in Parkinson's Disease (PD). However, little is known about the effects of a Nordic Walking (NW) program in PD patients. OBJECTIVE To determine the effects of a NW program on motor and non-motor symptoms, functional performances and body composition in PD patients. METHODS Twenty PD patients (16M, 4F, 67.3±7.8 years) were enrolled and randomly assigned to NW group (NWg, n = 10) and Control group (Cg, n = 10). The training consisted in 2 sessions per week for 12 weeks. Training effects were assessed by functional and instrumental tests and motor and non-motor symptoms were assessed by UPDRS-III, Hoehn and Yahr scale, PD Fatigue Scale, Beck Depression Inventory-II, Starkstein Apathy Scale, and Non-Motor Symptoms Scale. RESULTS Significant changes in resting HR, in walked distance (p < 0.05), and in lower limbs muscles strength (p < 0.005) were observed in NWg. Both balance abilities and safety with mobility were increased (p < 0.005). Significant variations in some circumferences and body composition were registered. Finally, a significant improvement in motor and non-motor symptoms was detected: UPDRS-III, HY scale, PFS-16, BDI-II, SAS, NMSS. CONCLUSIONS A tailored exercise program including NW proved to be an effective way to improve daily activities and both motor and non-motor symptoms in PD patients.
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Affiliation(s)
- Lucia Cugusi
- Department of Medical Sciences 'M. Aresu', University of Cagliari, Cagliari, Italy.,Adapted Physical Activity Master Degree Course, University of Cagliari, Cagliari, Italy
| | - Paolo Solla
- Adapted Physical Activity Master Degree Course, University of Cagliari, Cagliari, Italy.,Movement Disorders Center, Institute of Neurology, University of Cagliari, Cagliari, Italy
| | - Roberto Serpe
- Department of Medical Sciences 'M. Aresu', University of Cagliari, Cagliari, Italy
| | - Tatiana Carzedda
- Adapted Physical Activity Master Degree Course, University of Cagliari, Cagliari, Italy
| | - Luisa Piras
- Adapted Physical Activity Master Degree Course, University of Cagliari, Cagliari, Italy
| | - Marcello Oggianu
- Adapted Physical Activity Master Degree Course, University of Cagliari, Cagliari, Italy
| | - Silvia Gabba
- Department of Medical Sciences 'M. Aresu', University of Cagliari, Cagliari, Italy
| | - Andrea Di Blasio
- Department of Medicine and Aging Sciences 'G. d'Annunzio', University of Chieti-Pescara, Italy
| | - Marco Bergamin
- Sport and Exercise Medicine Division, Department of Medicine, University of Padova, Italy
| | - Antonino Cannas
- Movement Disorders Center, Institute of Neurology, University of Cagliari, Cagliari, Italy
| | - Francesco Marrosu
- Department of Medical Sciences 'M. Aresu', University of Cagliari, Cagliari, Italy.,Movement Disorders Center, Institute of Neurology, University of Cagliari, Cagliari, Italy
| | - Giuseppe Mercuro
- Department of Medical Sciences 'M. Aresu', University of Cagliari, Cagliari, Italy.,Adapted Physical Activity Master Degree Course, University of Cagliari, Cagliari, Italy
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Lötzke D, Ostermann T, Büssing A. Argentine tango in Parkinson disease--a systematic review and meta-analysis. BMC Neurol 2015; 15:226. [PMID: 26542475 PMCID: PMC4636067 DOI: 10.1186/s12883-015-0484-0] [Citation(s) in RCA: 74] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2015] [Accepted: 10/28/2015] [Indexed: 12/22/2022] Open
Abstract
BACKGROUND Parkinson's Disease (PD) is a neurodegenerative disease with increasing motor and non-motor symptoms in advanced stages. In addition to conventional exercise therapy and drug treatment, Argentine Tango (AT) is discussed as an appropriate intervention for patients to improve physical functioning and health-related quality of life. This review aimed to summarize the current research results on the effectiveness of AT for individuals with PD. METHODS The global literature search with the search terms "(Parkinson OR Parkinson's disease) AND tango" was conducted in PubMED, AMED, CAMbase, and Google Scholar for publications in English and German. There were no limitations on the study design, year of publication, stage of disease, considered outcome or the age of participants. RESULTS Thirteen studies met the inclusion criteria. These included 9 randomized-controlled trials, one non-randomized trial, two case studies and one uncontrolled pre-post study. Our meta-analysis revealed significant overall effects in favor of tango for motor severity measured with the Unified Parkinson's Disease Rating Scale 3 (ES = -0.62, 95 % CI [-.1.04, -0.21]), balance as measured with the Mini-BESTest (ES = 0.96 [0.60, 1.31]) or Berg Balance Scale (ES = 0.45 [0.01, 0.90]), and gait with the Timed Up and Go Test (ES = -.46 [-0.72, -0.20]). However, gait as measured with a 6-Minute Walk Test did not demonstrate statistical significance (ES = 0.36 [-0.06, 0.77]). For freezing of gait, no significant effects were observed in favor of AT (ES = 0.16 [-.62, 0.31]). Further, our systematic review revealed a tendency for positive effects on fatigue, activity participation and Parkinson-associated quality of life. A limitation of the studies is the small number of participants in each study (maximum 75). Moreover, most studies are from the same research groups, and only a few are from other researchers. CONCLUSIONS Future studies should enroll more individuals and should also focus on long-term effects. In addition, future research should address more closely the effects of AT on personal relationships, the individual social network as well as on aspects of quality of life.
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Affiliation(s)
- Désirée Lötzke
- Quality of Life, Spirituality and Coping, Institute of Integrative Medicine, Faculty of Health, University Witten/Herdecke, Herdecke, Germany. .,Institute of Integrative Medicine, Faculty of Health, University Witten/Herdecke, Herdecke, Germany.
| | - Thomas Ostermann
- Institute of Integrative Medicine, Faculty of Health, University Witten/Herdecke, Herdecke, Germany. .,Chair of Research Methodology and Statistics, Faculty of Health, University Witten/Herdecke, Herdecke, Germany.
| | - Arndt Büssing
- Quality of Life, Spirituality and Coping, Institute of Integrative Medicine, Faculty of Health, University Witten/Herdecke, Herdecke, Germany. .,Institute of Integrative Medicine, Faculty of Health, University Witten/Herdecke, Herdecke, Germany.
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