Bennett Crystal G, Guttmann Rodney P, Hackney Madeleine E, Amin Raid, Weaver Savannah
Usha Kundu MD College of Health, School of Nursing, University of West Florida, Pensacola, FL, USA.
Current affiliation: College of Health Professions, Nursing, University of Montevallo, Montevallo, AL, USA.
J Alzheimers Dis. 2025 Jun;105(4):1148-1159. doi: 10.1177/13872877241298529. Epub 2024 Dec 23.
BackgroundMost individuals living with Alzheimer's disease and related dementias (ADRD) experience one or more neuropsychiatric symptoms, such as agitation which negatively impacts their quality of life. Adapted dance integrates recorded music and movement that is appropriate for people with cognitive limitations. Adapted dance may be an enjoyable activity for persons living with ADRD and may provide psychological and physical benefits.ObjectiveThe purpose of this pilot study was to assess the feasibility of an adapted dance intervention with persons with ADRD and the impacts of 12 weeks of adapted dancing on agitation, balance, gait, lower extremity strength, and caregiver burden.MethodsThis study used an experimental design with repeated measures. Participants with ADRD were randomly assigned to a usual care or adapted line dance group that met 60 min twice a week. At pre-test, 4-, 8-, and 12 weeks of intervention, measures were collected for agitation, balance, gait, lower extremity strength, and caregiver burden.ResultsThe sample consisted of 4 males and 12 females (n = 16) with ADRD whose age ranged from 69-97 years. Twelve weeks of adapted line dance was found acceptable by ADRD participants. Participants attended ≥90% of dance sessions and did not experience loss of balance or fall. ADRD participants danced an average of 70 min per week. Both groups had improvements in agitation from baseline to 12 weeks.ConclusionsTwelve weeks of adapted dance was shown to be feasible and enjoyable for persons living with ADRD. Clinicians should consider adapted dance as part of an exercise prescription.
背景
大多数患有阿尔茨海默病及相关痴呆症（ADRD）的人会经历一种或多种神经精神症状，例如激越，这会对他们的生活质量产生负面影响。适应性舞蹈融合了录制好的音乐以及适合认知能力受限者的动作。适应性舞蹈对于患有ADRD的人来说可能是一项令人愉悦的活动，并且可能带来心理和身体上的益处。
目的
这项初步研究的目的是评估对患有ADRD的人进行适应性舞蹈干预的可行性，以及12周适应性舞蹈对激越、平衡、步态、下肢力量和照料者负担的影响。
方法
本研究采用重复测量的实验设计。患有ADRD的参与者被随机分配到常规护理组或适应性排舞组，两组每周进行两次60分钟的活动。在干预前、干预4周、8周和12周时，收集激越、平衡、步态、下肢力量和照料者负担的测量数据。
结果
样本包括16名患有ADRD的参与者，其中4名男性和12名女性，年龄在69至97岁之间。ADRD参与者认为12周的适应性排舞是可以接受的。参与者参加了≥90%的舞蹈课程，且未出现平衡丧失或跌倒情况。ADRD参与者平均每周跳舞70分钟。两组从基线到12周激越情况均有所改善。
结论
对于患有ADRD的人来说，12周的适应性舞蹈被证明是可行且令人愉悦的。临床医生应考虑将适应性舞蹈作为运动处方的一部分。
