Zafar Manal, Bozzorg Ariyana, Hackney Madeleine E
a College of Arts and Sciences, Emory University , Atlanta , GA , USA.
b Center for Visual & Neurocognitive Rehabilitation, Atlanta VA Medical Center , Atlanta , GA , USA.
Disabil Rehabil. 2017 Nov;39(22):2294-2301. doi: 10.1080/09638288.2016.1226405. Epub 2016 Oct 21.
Our aims were to determine (1) the impact of aging versus combined aging and disease on participation and (2) participation before and after a 12-week, Adapted Tango dance intervention (AT) in older adults with and without Parkinson's disease (PD).
Participant responses to open and closed-ended questions on the Impact on Participation and Autonomy questionnaire (IPA) were recorded before, one-week-after, and three-months after 20 lessons of AT. Twenty-five older individuals with PD and 63 older adults without PD were initially enrolled and assessed, and 44 older adults and 22 individuals with PD finished the program with post-testing.
Thematic analysis revealed major themes of difficulty with mobility, transportation and financial management, feelings of being forced to limit activities, and interest in work or volunteering for both groups at baseline and post-test. At post-test, additional emphasis on resilience in the face of challenges was noted. No differences were noted between groups on the IPA subscales at baseline. Quantitative analysis with a 2 (group) × 3 (time) MANOVA revealed a main effect of time (p < 0.001), with improved Social Life (p < 0.001), marginally improved Autonomy Indoors (p = 0.073), and Family Role (p = 0.057).
Adapted Tango improved aspects of participation for these cohorts of older adults with and without PD. Implications for Rehabilitation Both Parkinson's disease and neurotypical aging can negatively impact participation in life's activities in older adults. Adapted Tango is an alternative therapy that has improved quality of life and mobility in people with PD and older adults. Quantitative data show that Adapted Tango may improve some aspects of participation for older adults with and without PD. Open-ended responses reveal aging and combined aging and disease-related issues have a lasting impact upon participation.
我们的目标是确定（1）衰老与衰老合并疾病对参与度的影响，以及（2）在患有和未患有帕金森病（PD）的老年人中，进行为期12周的适应性探戈舞蹈干预（AT）前后的参与度情况。
在进行20节AT课程之前、之后一周和三个月后，记录参与者对《参与和自主性影响问卷》（IPA）中开放式和封闭式问题的回答。最初招募并评估了25名患有PD的老年人和63名未患有PD的老年人，44名老年人和22名患有PD的个体完成了该项目并进行了后期测试。
主题分析揭示了两组在基线和后期测试时的主要主题，包括行动不便、交通和财务管理困难、被迫限制活动的感觉以及对工作或志愿活动的兴趣。在后期测试中，还注意到在面对挑战时对恢复力的额外强调。两组在基线时的IPA子量表上没有差异。采用2（组）×3（时间）多变量方差分析的定量分析显示出时间的主效应（p<0.001），社交生活得到改善（p<0.001），室内自主性略有改善（p=0.073），家庭角色也有所改善（p=0.057）。
适应性探戈改善了这些患有和未患有PD的老年人群体的参与度方面。康复意义帕金森病和正常衰老都会对老年人参与生活活动产生负面影响。适应性探戈是一种替代疗法，已改善了PD患者和老年人的生活质量和行动能力。定量数据表明，适应性探戈可能会改善患有和未患有PD的老年人在参与度方面的某些方面。开放式回答显示，衰老以及衰老合并疾病相关问题对参与度有持久影响。
