Rheumatology Department, CHU Clermont-Ferrand, 58 Rue Montalembert, 63000, Clermont-Ferrand, France.
Biostatistics Unit, CHU Clermont-Ferrand, Clermont-Ferrand, France.
Clin Rheumatol. 2024 Jul;43(7):2215-2221. doi: 10.1007/s10067-024-07009-z. Epub 2024 May 28.
The aim of this study was to evaluate the effect of an Argentine Tango (AT) program on total physical activity (PA) time in patients with rheumatoid arthritis (RA) and spondyloarthritis (SpA).
Prospective randomized controlled pilot study with two parallel groups. Participants were randomized 1:1 to attend a 24-week AT program from baseline to month 6 for the immediate tango group (ITG) and a 12-week AT program from month 3 to month 6 for the wait-list control group (WLCG). Total PA time was measured at baseline, month 3, and month 6 using the Global Physical Activity Questionnaire-ONAPS and an accelerometer.
Twenty-seven participants (15 RA and 12 SpA) were enrolled in the study. Thirteen participants in the WLCG and 14 in the ITG. At month 3, there was no significant difference in the total PA time between the two groups. Longitudinal analyses revealed no significant difference between the two groups regarding PA, sedentary, fatigue, anxiety, depression, balance, physical performance, pain, and stress. However, body appreciation improved significantly in the ITG compared with the WLCG. Both groups showed improved physical abilities at 6 month, including improvements in the 6-min walk test and timed up and go test. The ITG also reported reduced pain at months 3 and 6, while the WLCG exhibited improved balance at month 6.
Although the AT program did not significantly increase total PA time in patients with CIR, it positively impacted body appreciation and physical abilities suggesting its potential as a complementary therapy. Key Points • Body appreciation significantly improved after a 24-week AT program, emphasizing the positive impact of dance on self-perception. • Both groups exhibited improved physical abilities at month 6, indicating a positive influence on participants' overall mobility and functional capacity. • The 24-week AT group reported reduced pain at months 3 and 6, and the 12-week AT group exhibited improved balance at month 6.
本研究旨在评估阿根廷探戈(AT)项目对类风湿关节炎(RA)和脊柱关节炎(SpA)患者总体力活动(PA)时间的影响。
前瞻性随机对照初步研究,设两组平行。参与者按 1:1 随机分为基线至 6 个月时参加 24 周 AT 方案的即时探戈组(ITG)和 3 个月至 6 个月时参加 12 周 AT 方案的候补对照组(WLCG)。采用全球体力活动问卷-ONAPS 和加速度计在基线、3 个月和 6 个月测量总 PA 时间。
共有 27 名参与者(15 名 RA 和 12 名 SpA)入组。WLCG 组有 13 名参与者,ITG 组有 14 名参与者。3 个月时,两组间总 PA 时间无显著差异。纵向分析显示,两组在 PA、久坐、疲劳、焦虑、抑郁、平衡、身体表现、疼痛和压力方面无显著差异。然而,与 WLCG 组相比,ITG 组的身体欣赏显著改善。两组在 6 个月时均显示出身体能力的改善,包括 6 分钟步行试验和计时上下车测试的改善。ITG 组还报告说,3 个月和 6 个月时疼痛减轻,而 WLCG 组在 6 个月时平衡改善。
尽管 AT 方案并未显著增加 CIR 患者的总 PA 时间,但它对身体欣赏和身体能力产生了积极影响,提示其作为补充治疗的潜力。关键点:
24 周 AT 方案后,身体欣赏显著改善,强调舞蹈对自我认知的积极影响。
两组在 6 个月时身体能力均改善,表明对参与者整体移动性和功能能力有积极影响。
3 个月和 6 个月时,24 周 AT 组报告疼痛减轻,6 个月时 12 周 AT 组平衡改善。