Rehabilitation Center 'Revalidatie Friesland', Beetsterzwaag, The Netherlands.
Department of Neurology, Centre of Expertise for Parkinson and Movement Disorders, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, The Netherlands.
J Neurol. 2022 Nov;269(11):5843-5847. doi: 10.1007/s00415-022-11206-8. Epub 2022 Jun 28.
Dance can reduce motor symptoms in persons with Parkinson's disease (PD). However, the effect on psychosocial wellbeing, including self-esteem and quality of life is less clear.
Forty-nine persons with PD (Hoehn and Yahr stage 1-4) participated in weekly dance classes for a consecutive period of 22 weeks, 36 participants completed the classes. Two baseline measurements (T1a and T1b) were performed during a 2-week control period prior to the dance classes. Post-measurements (T2) were performed immediately after 22 weeks of dance classes. Primary outcome was self-esteem as measured with the Rosenberg Self-Esteem Score.
Self-esteem scores were stable across the two baseline measurements and improved significantly after the dance classes (1.5 points improvement between T1b and T2, 95% CI 0.3, 2.7; p = 0.012). Additionally, quality of life as measured with the Parkinson's Disease Questionnaire 39 improved significantly (3.4 points reduction between T1b and T2, 95%CI - 5.7, - 1.2; p = 0.003) as did motor symptoms as measured with the Movement Disorders Society-Unified Parkinson's Disease Rating Scale-part III (6.2 points reduction between T1b and T2, 95%CI - 10.1, - 2.4; p = 0.002). Balance confidence as measured with the Activities-Specific Balance Confidence Scale did not change.
Dance classes seem to improve self-esteem, quality of life and motor symptoms in persons with PD. These effects should be investigated further in a randomized clinical trial.
Dance classes may be a valuable complementary treatment option in people with PD to improve not only motor symptoms, but also self-esteem and quality of life.
舞蹈可以减轻帕金森病（PD）患者的运动症状。然而，其对包括自尊和生活质量在内的社会心理健康的影响尚不清楚。
49 名 PD 患者（Hoehn 和 Yahr 分期 1-4 期）参加了每周一次的舞蹈课程，连续 22 周，36 名参与者完成了课程。在舞蹈课程前的 2 周对照期内进行了两次基线测量（T1a 和 T1b）。在 22 周的舞蹈课程后立即进行了后续测量（T2）。主要结局是使用罗森伯格自尊量表（Rosenberg Self-Esteem Scale）测量的自尊。
自尊评分在两次基线测量中均保持稳定，在舞蹈课程后显著提高（T1b 到 T2 时提高 1.5 分，95%CI 0.3，2.7；p=0.012）。此外，帕金森病问卷 39 测量的生活质量（T1b 到 T2 时降低 3.4 分，95%CI-5.7，-1.2；p=0.003）和运动障碍协会统一帕金森病评定量表第 III 部分（T1b 到 T2 时降低 6.2 分，95%CI-10.1，-2.4；p=0.002）测量的运动症状也显著改善。活动特异性平衡信心量表（Activities-Specific Balance Confidence Scale）测量的平衡信心没有改变。
舞蹈课程似乎可以改善 PD 患者的自尊、生活质量和运动症状。这些效果应在随机临床试验中进一步研究。
舞蹈课程可能是 PD 患者的一种有价值的补充治疗选择，不仅可以改善运动症状，还可以改善自尊和生活质量。
