Respiratory Medicine, West Park Healthcare Centre, Toronto, Ontario, Canada (Drs Goldstein, and Brooks, Mr Wshah, and Ms Butler); Rehabilitation Sciences Institute (Drs Patterson, Goldstein, and Brooks and Mr Wshah) and Departments of Physical Therapy (Ms Butler and Drs Patterson, Goldstein, and Brooks) and Medicine (Dr Goldstein), University of Toronto, Toronto, Ontario, Canada; School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada (Dr Brooks).
J Cardiopulm Rehabil Prev. 2019 Sep;39(5):E14-E19. doi: 10.1097/HCR.0000000000000428.
Exercise is an effective treatment for individuals with chronic obstructive pulmonary disease (COPD); however, lack of adherence to exercise programs is a common barrier. Innovative approaches to exercise are needed to increase patient engagement and adherence. Dance has been shown to benefit populations with neurological conditions. The aim of our study was to investigate the feasibility of a dance intervention in individuals with COPD.
Twenty individuals with COPD participated in a 1-hr dance class delivered twice a week for 8 wk. The primary outcome measure of the study was the feasibility determined by enrollment rate, attendance rate, adverse events, and participant satisfaction. Secondary outcomes included functional capacity, balance, anxiety and depression, steps count, and health-related quality of life.
Of the 47 individuals approached, 37 (79%) were interested in the program and 23 (49%) consented to participate and 20 completed the program with no adverse events and a mean attendance rate of 78%. The mean age ± SD of the participants was 73.4 ± 7.6 yr and 70% were females. Participant satisfaction with the program was high and significant improvements were achieved in the 6-min walk test (P = .03), Balance Evaluation Systems Test (BESTest) (P < .01), Chronic Respiratory Disease Questionnaire (P = .001), and the Activities-specific Balance Confidence scale (P = .007).
Dance is an enjoyable, safe, and feasible way to exercise for those with COPD. This pilot study will inform the design of a larger randomized controlled trial to determine effectiveness of dance on exercise capacity, balance, and quality of life for people with COPD.
运动是治疗慢性阻塞性肺疾病（COPD）患者的有效方法；然而，患者对运动方案的依从性差是一个常见的障碍。需要创新的运动方法来提高患者的参与度和依从性。舞蹈已被证明有益于患有神经疾病的人群。我们的研究旨在探讨将舞蹈干预应用于 COPD 患者的可行性。
20 名 COPD 患者参加了每周两次、每次 1 小时的舞蹈课程，共 8 周。研究的主要结局指标是通过入组率、出勤率、不良事件和参与者满意度来确定可行性。次要结局指标包括功能能力、平衡能力、焦虑和抑郁、步数计数和健康相关生活质量。
在接触的 47 人中，有 37 人（79%）对该项目感兴趣，有 23 人（49%）同意参与，其中 20 人完成了该项目，无不良事件，平均出勤率为 78%。参与者的平均年龄±SD 为 73.4±7.6 岁，其中 70%为女性。参与者对该项目的满意度很高，6 分钟步行测试（P=0.03）、平衡评估系统测试（BESTest）（P<.01）、慢性呼吸系统疾病问卷（P=0.001）和活动特异性平衡信心量表（P=0.007）均有显著改善。
对于 COPD 患者来说，舞蹈是一种有趣、安全且可行的运动方式。这项初步研究将为一项更大的随机对照试验提供信息，以确定舞蹈对 COPD 患者运动能力、平衡和生活质量的有效性。
