Hackney Madeleine E, Kantorovich Svetlana, Levin Rebecca, Earhart Gammon M
Program in Physical Therapy, Washington University School of Medicine, St. Louis, Missouri, USA.
J Neurol Phys Ther. 2007 Dec;31(4):173-9. doi: 10.1097/NPT.0b013e31815ce78b.
Recent research has shown that dance, specifically tango, may be an appropriate and effective strategy for ameliorating functional mobility deficits in people who are frail and elderly. Individuals with Parkinson's disease (PD) experience declines in functional mobility that may be even more pronounced than those experienced by frail elderly individuals without PD. The purpose of this study was to compare the effects of two movement programs: tango classes or exercise classes. Nineteen subjects with PD were randomly assigned to a tango group or a group exercise class representative of the current classes offered in our geographical area for individuals with PD. Subjects completed a total of 20 tango or exercise classes and were evaluated the week before and the week following the intervention. Both groups showed significant improvements in overall Unified Parkinson's Disease Rating Scale (UPDRS) score and nonsignificant improvements in self-reported Freezing of Gait. In addition, the tango group showed significant improvements on the Berg Balance Scale. The exercise group did not improve on this measure. Finally, the tango group showed a trend toward improvement on the Timed Up and Go test that was not observed in the exercise group. Future studies with a larger sample are needed to confirm and extend our observation that tango may be an effective intervention to target functional mobility deficits in individuals with PD.
近期研究表明,舞蹈,尤其是探戈,可能是改善体弱老年人功能活动能力缺陷的一种合适且有效的策略。帕金森病(PD)患者的功能活动能力下降可能比无PD的体弱老年人更为明显。本研究的目的是比较两种运动项目的效果:探戈课程或健身课程。19名PD患者被随机分配到探戈组或参加我们所在地区为PD患者提供的当前健身课程代表的团体健身课程。受试者总共完成了20节探戈或健身课程,并在干预前一周和干预后一周进行了评估。两组在帕金森病统一评分量表(UPDRS)总分上均有显著改善,在自我报告的步态冻结方面有不显著的改善。此外,探戈组在伯格平衡量表上有显著改善。健身组在该指标上没有改善。最后,探戈组在计时起立行走测试中有改善趋势,而健身组未观察到这种趋势。需要进行更大样本的未来研究来证实并扩展我们的观察结果,即探戈可能是针对PD患者功能活动能力缺陷的有效干预措施。