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每周舞蹈课程对帕金森病患者的功能性移动能力和生活质量的影响。

Impact of a weekly dance class on the functional mobility and on the quality of life of individuals with Parkinson's disease.

机构信息

Cortical Motor Control Laboratory, Department of Neurology and Neurophysiology, University Hospital of Freiburg Freiburg im Breisgau, Germany.

出版信息

Front Aging Neurosci. 2011 Oct 10;3:14. doi: 10.3389/fnagi.2011.00014. eCollection 2011.

Abstract

Individuals with Parkinson's disease (PD) mainly suffer from motor impairments which increase the risk of falls and lead to a decline of quality of life. Several studies investigated the long-term effect of dance for people with PD. The aims of the present study were to investigate (i) the short-term effects of dance (i.e., the effect immediately after the dance class) on motor control in individuals with PD and (ii) the long-term effects of 8 months of participation in the weekly dance class on the quality of life of the PD patients and their caregivers. The dance lessons took place in a ballet studio and were led by a professional dancer. Eleven people with moderate to severe PD (58-85 years old) were subjected to a motor and quality of life assessments. With respect to the motor assessments the unified Parkinson disease rating scale III (UPDRS III), the timed up and go test (TUG), and the Semitandem test (SeTa) before and after the dance class were used. With respect to the quality of life and well-being we applied quality of life scale (QOLS) as well as the Westheimer questionnaire. Additionally, we asked the caregivers to fill out the Questionnaire for caregivers. We found a significant beneficial short-term effect for the total score of the UPDRS motor score. The strongest improvements were in rigidity scores followed by significant improvements in hand movements, finger taps, and facial expression. No significant changes were found for TUG and for SeTa. The results of the questionnaires showed positive effects of the dance class on social life, health, body-feeling and mobility, and on everyday life competences of the PD patients. Beneficial effect was also found for the caregivers. The findings demonstrate that dance has beneficial effect on the functional mobility of individuals with PD. Further, dance improves the quality of life of the patients and their caregivers. Dance may lead to better therapeutic strategies as it is engaging and enjoyable.

摘要

个体患有帕金森病(PD)主要受运动损伤影响,这增加了跌倒的风险,并导致生活质量下降。一些研究调查了舞蹈对 PD 患者的长期影响。本研究的目的是调查(i)舞蹈的短期效果(即在舞蹈课结束后立即产生的效果)对 PD 患者的运动控制的影响,以及(ii)参加每周舞蹈课 8 个月对 PD 患者及其照顾者的生活质量的长期影响。舞蹈课程在芭蕾舞工作室进行,由专业舞蹈演员授课。11 名患有中重度 PD(58-85 岁)的患者接受了运动和生活质量评估。在运动评估方面,使用了统一帕金森病评定量表第三部分(UPDRS III)、计时起立行走测试(TUG)和半串联测试(SeTa),在舞蹈课前和课后进行。在生活质量和幸福感方面,我们应用了生活质量量表(QOLS)和 Westheimer 问卷。此外,我们还要求照顾者填写照顾者问卷。我们发现舞蹈课对 UPDRS 运动评分的总分有显著的短期有益效果。最大的改善是在僵硬评分方面,其次是手部运动、手指敲击和面部表情的显著改善。TUG 和 SeTa 没有显著变化。问卷调查的结果显示,舞蹈课对 PD 患者的社交生活、健康、身体感觉和移动能力以及日常生活能力有积极影响。对照顾者也有有益的影响。研究结果表明,舞蹈对 PD 患者的功能性移动能力有有益的影响。此外,舞蹈还提高了患者及其照顾者的生活质量。舞蹈可能会带来更好的治疗策略,因为它具有吸引力且令人愉悦。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad85/3189543/109be3b4e33b/fnagi-03-00014-g001.jpg

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