Hulbert Sophia, Ashburn Ann, Roberts Lisa, Verheyden Geert
University of Southampton, Health Sciences, University Hospital Southampton, Mail point 886, Tremona Road, Southampton SO16 6YD, United Kingdom.
University of Southampton, Health Sciences, University Hospital Southampton, Mail point 886, Tremona Road, Southampton SO16 6YD, United Kingdom.
Complement Ther Med. 2017 Jun;32:91-97. doi: 10.1016/j.ctim.2017.03.012. Epub 2017 Apr 2.
To investigate the effects of ballroom and Latin American dancing classes on turning in people with Parkinson's.
This study employed a randomised, controlled, experimental design.
Dance classes were performed in a community dance centre in Southern England and all assessments took place a gait laboratory.
Twenty-seven people with mild-moderate Parkinson's participated.
Participants were randomly allocated to receive either 20, 1-h dancing classes over 10 weeks (n=15), or a 'usual care' control group (n=12).
Twelve, 180° on-the-spot turns to the predicted/un-predicted and preferred/un-preferred direction were analysed for each participant, using 3-dimensional motion analysis before and after the intervention period, alongside clinical measures.
Movement of the head, pelvis, and feet during turning in people with Parkinson's are affected by dancing with tighter coupling of body segments. Significant 4-way interactions between the groups, over time and turn style, with longer latency of the head (p=0.008) and greater rotation in the pelvis (p=0.036), alongside a trend of slower movement of the first (p=0.063) and second (p=0.081) foot in controls were shown, with minimal change in dancers. All interactions were affected by the type of turn. No significant differences were found in the centre of mass displacement, turn time or clinical measures.
Those who danced were better able to coordinate their axial and perpendicular segments and surprisingly became more 'en bloc' in their turning behaviour, suggesting this may be a beneficial adaptation, rather than a maladaptive result of Parkinson's, as previously suggested.
研究交谊舞和拉丁舞课程对帕金森病患者转身动作的影响。
本研究采用随机对照实验设计。
舞蹈课程在英格兰南部的一个社区舞蹈中心进行，所有评估均在步态实验室进行。
27名轻中度帕金森病患者参与。
参与者被随机分配，一组在10周内接受20节1小时的舞蹈课程（n = 15），另一组为“常规护理”对照组（n = 12）。
在干预期前后，使用三维运动分析对每位参与者向预测/未预测和偏好/非偏好方向进行的12次180°原地转身进行分析，并结合临床指标。
帕金森病患者转身时头部、骨盆和足部的运动受到舞蹈的影响，身体各部分的耦合更紧密。结果显示，在组间、时间和转身方式之间存在显著的四向交互作用，对照组中头部延迟更长（p = 0.008），骨盆旋转更大（p = 0.036），同时第一只脚（p = 0.063）和第二只脚（p = 0.081）的运动有变慢趋势，而舞者的变化最小。所有交互作用均受转身类型的影响。在质心位移、转身时间或临床指标方面未发现显著差异。
跳舞的人能够更好地协调其轴向和垂直部分，令人惊讶的是，他们在转身行为上变得更加“整体连贯”，这表明这可能是一种有益的适应，而不是如先前认为的帕金森病的适应不良结果。
