Movement Neuroscience Program, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia -
School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology, Brisbane, Australia -
Eur J Phys Rehabil Med. 2020 Oct;56(5):563-574. doi: 10.23736/S1973-9087.20.06069-4. Epub 2020 May 8.
Clinically, individuals diagnosed with Parkinson disease (PD) present several symptoms that impact on their functional independence and quality of life. While there is accumulating evidence supporting dance as an effective symptom management option, few studies have objectively assessed these benefits, particularly related to the Dance for Parkinson's Disease (DfPD) program.
The aim of this study was to explore the effects of DfPD-based dance classes on disease-related symptoms, fine-manual dexterity and functional mobility in people with PD.
A quasi-experimental controlled efficacy study, with pre and post testing of two parallel groups (dance versus control).
Community.
Thirty-three participants with PD allocated to one of two groups: dance group (DG; N.=17; age=65.8±11.7 years) or control group (CG: N.=16; age=67.0±7.7 years). They were cognitively intact (Addenbrooke's Score: DG=93.2±3.6, CG=92.6±4.3) and in early-stage of disease (Hoehn & Yahr: DG=1.6±0.7, CG=1.5±0.8).
The DG undertook a one-hour DfPD-based class, twice weekly for 12 weeks. The CG had treatment as usual. Both groups were assessed at baseline and after 12 weeks on disease-related symptom severity (MDS-Unified Parkinson Disease Rating Scale: MDS-UPDRS), fine-manual dexterity (Perdue Peg Board), measures of functional mobility (Timed Up & Go: single & dual task, Tinetti, Berg, Mini-BESTest) and self-rated balance and gait questionnaires (Activities Balance Confidence Scale: ABC-S; Gait and Falls: G&F-Q; Freezing of Gait: FOG).
Compared to the CG, there was significantly greater improvement in the DG pre-post change scores on measures of symptom severity MDS-UPDRS, dexterity, six measures of functional mobility, and the ABC-S, G&F-Q, FOG questionnaires.
DfPD-based dance classes improved disease-related symptom severity, fine-manual dexterity, and functional mobility. Feasibility of the approach for a large scale RCT was also confirmed.
DfPD could be an effective supportive therapy for the management of symptoms and functional abilities in PD.
临床上，被诊断患有帕金森病（PD）的个体表现出多种影响其功能独立性和生活质量的症状。虽然有越来越多的证据支持舞蹈作为一种有效的症状管理选择，但很少有研究客观评估这些益处，特别是与帕金森舞蹈治疗（DfPD）项目相关的益处。
本研究旨在探讨基于 DfPD 的舞蹈课程对 PD 患者的疾病相关症状、精细运动灵活性和功能移动性的影响。
一项准实验对照疗效研究，对两个平行组（舞蹈组和对照组）进行了前后测试。
社区。
33 名 PD 患者被分配到两组之一：舞蹈组（DG；N=17；年龄=65.8±11.7 岁）或对照组（CG：N=16；年龄=67.0±7.7 岁）。他们认知完整（阿登布鲁克评分：DG=93.2±3.6，CG=92.6±4.3），处于疾病早期（Hoehn & Yahr：DG=1.6±0.7，CG=1.5±0.8）。
DG 每周两次进行一次一小时的基于 DfPD 的课程，共 12 周。CG 接受常规治疗。两组均在基线时和 12 周后评估疾病相关症状严重程度（MDS-统一帕金森病评定量表：MDS-UPDRS）、精细运动灵活性（Perdue 钉板）、功能移动性测量（计时起立和行走：单任务和双任务、Tinetti、Berg、Mini-BESTest）以及自我评估的平衡和步态问卷（活动平衡信心量表：ABC-S；步态和跌倒：G&F-Q；步态冻结：FOG）。
与 CG 相比，DG 在症状严重程度 MDS-UPDRS、灵巧性、六项功能移动性测量以及 ABC-S、G&F-Q、FOG 问卷的前后变化评分上有显著更大的改善。
基于 DfPD 的舞蹈课程改善了与疾病相关的症状严重程度、精细运动灵活性和功能移动性。还证实了该方法进行大规模 RCT 的可行性。
DfPD 可能是 PD 患者症状和功能能力管理的一种有效的支持性治疗方法。
