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帕金森病舞蹈疗法:对帕金森病患者运动功能和生活质量影响的初步调查

Dance for PD: a preliminary investigation of effects on motor function and quality of life among persons with Parkinson's disease (PD).

作者信息

Westheimer Olie, McRae Cynthia, Henchcliffe Claire, Fesharaki Arman, Glazman Sofya, Ene Heather, Bodis-Wollner Ivan

机构信息

Brooklyn Parkinson Group, Brooklyn, NY, USA,

出版信息

J Neural Transm (Vienna). 2015 Sep;122(9):1263-70. doi: 10.1007/s00702-015-1380-x. Epub 2015 Apr 3.

Abstract

In 2001, Dance for Parkinson's disease (DfPD(®)) classes for persons with Parkinson's disease and care partners were developed by Brooklyn Parkinson Group and Mark Morris Dance Group. A previous assessment suggested that individuals experience positive benefits from DfPD(®). The current preliminary uncontrolled study investigated the effects of a dance intervention on several motor and quality of life aspects of PD following 16 sessions (8 weeks; 20 h) taught by professional dancers/teachers. A mixed methods design was used to determine the effects of the class. Assessment instruments administered at baseline and post-intervention included the Hoehn and Yahr, UPDRS (part III), Berg Balance Scale, Beck Depression Inventory, and PDQ-39 and individual interviews after the last class. Hoehn and Yahr scores ranged from 1 to 4. UPDRS III total scores and sub scores of gait and tremor improved following the intervention (P < 0.05). During interviews participants reported physical, emotional, and social benefits. Despite the diversity of baseline measures post-class interview results were consistently positive across the sample. Twelve of 14 subjects (mean age 66.2) with idiopathic PD completed the sessions. After 4 years, four participants regularly attended DfPD(®) classes. The low attrition rate and continued attendance suggest notable adherence to the DfPD(®) class. The importance of the results is both clinical and conceptual, highlighting the value of using both quantitative and qualitative data to evaluate the benefits of dance with PD.

摘要

2001年,布鲁克林帕金森病研究小组和马克·莫里斯舞蹈团为帕金森病患者及其护理伙伴开设了帕金森病舞蹈(DfPD(®))课程。此前的一项评估表明,参与者从DfPD(®)课程中获得了积极的益处。当前这项初步的非对照研究调查了由专业舞者/教师授课16节(8周;20小时)后,舞蹈干预对帕金森病患者多个运动和生活质量方面的影响。采用混合方法设计来确定该课程的效果。在基线和干预后使用的评估工具包括霍恩和雅尔分级、统一帕金森病评定量表(第三部分)、伯格平衡量表、贝克抑郁量表、帕金森病问卷-39,以及最后一节课后的个人访谈。霍恩和雅尔评分范围为1至4级。干预后,统一帕金森病评定量表第三部分的总分以及步态和震颤的分项得分有所改善(P < 0.05)。在访谈中,参与者报告了身体、情感和社交方面的益处。尽管基线测量存在差异,但课后访谈结果在整个样本中始终呈阳性。14名特发性帕金森病患者(平均年龄66.2岁)中有12名完成了课程。4年后,有4名参与者定期参加DfPD(®)课程。低流失率和持续参与表明对DfPD(®)课程有显著的依从性。研究结果在临床和概念方面都具有重要意义,凸显了使用定量和定性数据来评估舞蹈对帕金森病患者益处的价值。

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