Alpert Patricia T, Miller Sally K, Wallmann Harvey, Havey Richard, Cross Chad, Chevalia Theresa, Gillis Carrie B, Kodandapari Keshavan
Department of Physiologic Nursing, School of Nursing, University of Nevada-Las Vegas, 4505 Maryland Parkway, Las Vegas, NV 89154-3018, USA.
J Am Acad Nurse Pract. 2009 Feb;21(2):108-15. doi: 10.1111/j.1745-7599.2008.00392.x.
The purpose of this pilot study was to evaluate the impact of jazz dance class instruction on balance, cognition, and mood (specifically depression) in 13 healthy, community-dwelling, English-speaking older women with a mean age of 68.
Data were collected using self-report questionnaires (Folstein Mini Mental Status Examination [MMSE] and Geriatric Depression Scale [GDS]), and the sensory organization test (SOT) for balance measurements (using the NeuroCom Smart Balance Master) was performed at three time periods in the study: time 1: between week 1 and week 2 of jazz class (baseline), time 2: between week 8 and week 9 of jazz class (midpoint), and time 3: after week 15 of jazz class (final measurement).
Differences in mean MMSE and GDS scores over time were not significant; however, SOT scores showed an increasing trend (p < .001). Data analysis using analysis of variance with repeated measures showed that balance measures improved throughout the duration of the study (F(2,10)= 19.68, p < .001). Post hoc analyses using paired t tests with a Bonferroni correction indicated that significant increases in balance occurred from time 1 to time 2 and from time 2 to time 3. These preliminary pilot study findings suggest that jazz dance does not impact cognition or mood but may improve balance in older women. This finding may have significant implications for fall prevention in the postmenopausal population.
Because falls are a leading cause of morbidity and mortality in older adults of both genders, research is needed to evaluate both the impact of jazz dance on balance in older men and jazz dance as a fall prevention strategy in aging adults. Additionally, longitudinal research with a larger sample size is needed to test the effectiveness of jazz dance as a strategy for improving balance, cognition, and mood.
本初步研究旨在评估爵士舞蹈课程指导对13名健康的、居住在社区的、说英语的老年女性(平均年龄68岁)的平衡能力、认知能力和情绪(特别是抑郁)的影响。
使用自我报告问卷(福尔斯坦简易精神状态检查表[MMSE]和老年抑郁量表[GDS])收集数据,并在研究的三个时间段进行用于平衡测量的感觉统合测试(SOT)(使用NeuroCom智能平衡大师):时间1:爵士课程第1周和第2周之间(基线),时间2:爵士课程第8周和第9周之间(中点),时间3:爵士课程第15周之后(最终测量)。
MMSE和GDS平均得分随时间的差异不显著;然而,SOT得分呈上升趋势(p <.001)。使用重复测量方差分析的数据分析表明,在整个研究期间平衡测量有所改善(F(2,10)= 19.68,p <.001)。使用配对t检验并进行Bonferroni校正的事后分析表明,从时间1到时间2以及从时间2到时间3平衡能力有显著提高。这些初步的初步研究结果表明,爵士舞蹈不会影响认知或情绪,但可能会改善老年女性的平衡能力。这一发现可能对绝经后人群的跌倒预防具有重要意义。
由于跌倒是老年男性和女性发病和死亡的主要原因,因此需要进行研究以评估爵士舞蹈对老年男性平衡能力的影响以及爵士舞蹈作为老年人跌倒预防策略的效果。此外,需要进行更大样本量的纵向研究,以测试爵士舞蹈作为改善平衡、认知和情绪策略的有效性。