Mehta Anish, Dugani Pooja, Mahale Rohan, Haskar Dhanyamraju Krishna, Pradeep R, Javali Mahendra, Acharya Purushottam, Srinivasa R
Department of Neurology, Ramaiah Medical College and Hospitals, Ramaiah University of Applied Sciences, Bengaluru, India.
Medanta, Medicity, Gurgoan, India.
Parkinsons Dis. 2024 Jun 20;2024:5580653. doi: 10.1155/2024/5580653. eCollection 2024.
Dance as therapy is gaining attention as an adjuvant option for Parkinson's disease (PD). Assessing culturally popular dance forms is crucial for promoting the acceptance of dance therapy in a culturally sensitive context.
The pilot study evaluated the efficacy of Garba dance for alleviating motor symptoms, nonmotor symptoms, cognitive functions, and mood. Furthermore, this pilot study also assessed the tolerability and safety of this dance form using fatigue severity scale and assessing falls, respectively.
Eligible participants with mild-to-moderate PD (H&Y stage 1 to 2.5) were sequentially randomized into the dance therapy, physical therapy, or control groups. Motor symptoms, nonmotor symptoms, cognitive functions, and mood were assessed using standard scales at baseline, week 6, and week 12. Tolerability was measured using the Fatigue Severity Scale, and safety was assessed by monitoring falls.
In the Garba dance group, significant improvements in UPDRS scores were observed at week 6 (=0.002) and week 12 ( < 0.001) compared to baseline. At week 12, UPDRS scores were better in the Garba dance group as compared to the control and physical therapy groups. Freezing of gait significantly improved at week 6 ( < 0.001) and week 12 ( < 0.001) in the Garba dance group. Garba dance also led to significant improvements in mood and sleep. Tolerability was favorable, with significantly better fatigue severity scores in the Garba dance group at week 12 compared to controls and physical therapy. About 6 patients in Garba dance group experienced near falls.
Underscoring a cautious optimism, results of the current study indicate that Garba dance may be an effective, safe, and well-tolerated intervention for Indian patients with mild-to-moderate PD (H&Y stage 1 to 2.5).
舞蹈作为一种治疗方法，正作为帕金森病（PD）的辅助治疗选择而受到关注。在文化敏感的背景下，评估具有文化特色的流行舞蹈形式对于促进舞蹈疗法的接受至关重要。
这项初步研究评估了伽巴舞对缓解运动症状、非运动症状、认知功能和情绪的疗效。此外，该初步研究还分别使用疲劳严重程度量表和评估跌倒情况来评估这种舞蹈形式的耐受性和安全性。
符合条件的轻度至中度帕金森病患者（H&Y分期1至2.5期）被依次随机分为舞蹈治疗组、物理治疗组或对照组。在基线、第6周和第12周使用标准量表评估运动症状、非运动症状、认知功能和情绪。使用疲劳严重程度量表测量耐受性，并通过监测跌倒情况评估安全性。
与基线相比，伽巴舞组在第6周（P = 0.002）和第12周（P < 0.001）时，统一帕金森病评定量表（UPDRS）评分有显著改善。在第12周时，伽巴舞组的UPDRS评分优于对照组和物理治疗组。伽巴舞组在第6周（P < 0.001）和第12周（P < 0.001）时，步态冻结情况显著改善。伽巴舞还使情绪和睡眠有显著改善。耐受性良好，与对照组和物理治疗组相比，伽巴舞组在第12周时的疲劳严重程度评分显著更好。伽巴舞组约有6名患者险些跌倒。
当前研究结果表明，伽巴舞对于印度轻度至中度帕金森病患者（H&Y分期1至2.5期）可能是一种有效、安全且耐受性良好的干预措施，这一结论体现了谨慎的乐观态度。
