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一项针对有和没有帕金森病的老年人的安全且可行的在线舞蹈干预措施。

A Safe and Feasible Online Dance Intervention for Older Adults With and Without Parkinson's Disease.

机构信息

Health Sciences Graduate Program, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil.

Movement Analysis and Rehabilitation Laboratory, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil.

出版信息

J Dance Med Sci. 2023 Dec;27(4):253-267. doi: 10.1177/1089313X231186201. Epub 2023 Aug 3.

DOI:10.1177/1089313X231186201
PMID:37537758
Abstract

Dancing is one way of maintaining an active lifestyle, and online dance interventions in group settings can be a solution when in-person classes are impossible. This study investigated the feasibility and potential clinical effects of an online dance program for older adults with and without Parkinson disease (PD). Participants attended 2 weekly dance classes in the same videoconference room for 2 months. The dance activities were mainly performed while seated (around 75%). Researchers monitored feasibility (ie, adherence, attendance, and technological barriers) and safety. Pre- and post-intervention assessments investigated self-perceptions, effects on emotional domains, quality of life, activity-specific balance confidence, lower-limb functional mobility, and PD non-motor symptoms. Individuals also reported their self-perceptions regarding technology usability, enjoyment, and social interaction. Most of the participants with PD (n = 12) had moderate PD (Hoehn & Yahr score) and presented a greater risk of falls when compared to participants without PD (n = 14). Overall, we found a high rate of adherence (100%), attendance (87.5%-91.7%), and safety (100%) for both groups. No falls or near-falls occurred during the sessions. Only the PD group ameliorated emotional domains (anxiety and depression) and improved lower-limb functional mobility. All participants reported feeling safe and perceived benefits, although over a third of older adults with PD reported moderate difficulties in using technology and in socializing with the group. This online dance protocol is feasible, safe, and a potential strategy to improve clinical parameters in older adults and people with moderate PD.

摘要

跳舞是保持积极生活方式的一种方式,当无法进行面对面课程时,在线团体舞蹈干预可能是一种解决方案。本研究调查了针对患有和不患有帕金森病(PD)的老年人的在线舞蹈计划的可行性和潜在临床效果。参与者在 2 个月内每周参加 2 次在线舞蹈课程。舞蹈活动主要在坐(约 75%)时进行。研究人员监测了可行性(即依从性、出勤率和技术障碍)和安全性。在干预前后评估了自我认知、对情绪领域的影响、生活质量、特定活动的平衡信心、下肢功能移动性和 PD 非运动症状。参与者还报告了他们对技术可用性、享受度和社交互动的自我认知。大多数患有 PD 的参与者(n=12)患有中度 PD(Hoehn & Yahr 评分),与没有 PD 的参与者(n=14)相比,跌倒风险更高。总体而言,我们发现两组的依从率(100%)、出勤率(87.5%-91.7%)和安全性(100%)都很高。在课程期间没有发生跌倒或险些跌倒。只有 PD 组改善了情绪领域(焦虑和抑郁)并提高了下肢功能移动性。所有参与者都报告感到安全并受益,尽管超过三分之一的患有 PD 的老年人报告在使用技术和与小组社交方面存在中度困难。该在线舞蹈方案是可行的、安全的,并且可能是改善老年人和中度 PD 患者临床参数的一种策略。

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