舞蹈对严重帕金森病患者平衡和步态的影响：个案研究。
Effects of dance on balance and gait in severe Parkinson disease: a case study.
机构信息
Program in Physical Therapy, Washington University School of Medicine, Saint Louis, Missouri, USA.
出版信息
Disabil Rehabil. 2010;32(8):679-84. doi: 10.3109/09638280903247905.
PURPOSE
Dance may improve functional mobility in individuals with mild-to-moderate Parkinson disease (PD), yet dance effects in severe PD remain unexamined. This study's purpose was to evaluate the feasibility and effects of partnered tango classes on balance, endurance and quality of life in an individual with severe PD.
DESIGN
Over 10 weeks, the participant attended 20, 1-h tango classes for individuals with PD. Balance, walking, and quality of life were evaluated before and after the intervention and at a 1-month follow-up in this single case design. Caregiver burden was also assessed at all time points.
RESULTS
The participant improved on the Berg Balance Scale, 6-min walk test, and functional reach. He reported increased balance confidence and improved quality of life as measured by the Parkinson Disease Questionnaire-39 summary index. Gains were maintained at the 1-month follow-up. Caregiver burden increased from baseline immediately post-intervention and at follow-up.
CONCLUSION
Twenty partnered tango lessons improved balance, endurance, balance confidence, and quality of life in a participant with severe PD. This is the first report of the use of dance as rehabilitation for an individual with advanced disease who primarily used a wheelchair for transportation.
目的
舞蹈可能会改善轻度至中度帕金森病（PD）患者的功能性移动能力，但在严重 PD 患者中，舞蹈的效果仍未得到检验。本研究的目的是评估在严重 PD 患者中，结伴探戈课程对平衡、耐力和生活质量的可行性和影响。
设计
在 10 周内，参与者参加了 20 次针对 PD 患者的 1 小时探戈课程。在这项单一案例设计中，在干预前后以及 1 个月的随访中评估了平衡、行走和生活质量，同时还评估了照顾者的负担。
结果
参与者在 Berg 平衡量表、6 分钟步行测试和功能性伸展方面都有所改善。他报告说，平衡信心增强，生活质量也得到了改善，这是通过帕金森病问卷-39 综合指数来衡量的。在 1 个月的随访中，这些改善得以维持。照顾者的负担在干预后立即和随访时从基线增加。
结论
20 次结伴探戈课程改善了严重 PD 患者的平衡、耐力、平衡信心和生活质量。这是首次报告将舞蹈作为康复手段用于患有晚期疾病的患者，该患者主要使用轮椅进行交通。
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