Volpe Daniele, Baldassarre Maria Giulia, Bakdounes Leila, Campo Maria Concetta, Ferrazzoli Davide, Ortelli Paola
Department of Neurorehabilitation, Fresco Parkinson Excellence Center, "Casa di Cura Villa Margherita", S. Stefano Riabilitazione, 36057 Arcugnano, Vicenza, Italy.
Dance Well Project Bassano del Grappa, 36061 Bassano del Grappa, Vicenza, Italy.
Brain Sci. 2025 Mar 29;15(4):357. doi: 10.3390/brainsci15040357.
: Parkinson's disease (PD) is a complex neurodegenerative disorder responsible for both motor and non-motor disturbances impairing motor behavior. This complexity necessitates integrated, multidisciplinary, and comprehensive models of care. A new and interesting complementary approach is represented by "Dance Well", i.e., an artistic, multisensory dance intervention based on art and music. This pilot study aims to evaluate the efficacy, feasibility, and safety of a 4-week Dance Well (DW) program in PD patients in early-medium disease stages. : Twenty-four PD patients (H&Y ≤ 3; MoCA score ≥ 13.8) were enrolled and randomly allocated into two groups, both with a twice-per-week frequency and lasting 4 weeks: one group underwent the DW program, while the other underwent conventional physiotherapy (CPT). Demographic, biometric, and clinical data were collected. To study the treatment effect, motor (Unified PD Rating Scale-III, Timed Up and Go Test, Berg Balance Scale, 6-Minute Walk Test, and Falls Efficacy Scale), cognitive (Corsi Supra Span Test, Trail Making Test A and B-A), and emotional-motivational (Beck Depression Inventory, State-Trait Anxiety Inventory, Apathy Evaluation Scale) outcome measures were assessed, before and after the rehabilitation program. To study treatment compliance and safety, the number of dropouts and any adverse events (such as injuries and falls) were recorded. : All outcome measures improved in both groups. The percentage of improvement in outcome measures assessing attention and motivation was greater in the DW group. No dropouts, falls, or injuries occurred. : In the early-medium stages of PD, DW could be considered a feasible and safe complementary treatment, useful in improving motor, cognitive, and emotional-motivational symptoms.
帕金森病（PD）是一种复杂的神经退行性疾病，会导致运动和非运动障碍，损害运动行为。这种复杂性需要综合、多学科和全面的护理模式。一种新的且有趣的补充方法是“舞动健康”，即一种基于艺术和音乐的艺术性、多感官舞蹈干预。这项试点研究旨在评估为期4周的“舞动健康”（DW）项目对中早期帕金森病患者的疗效、可行性和安全性。24名帕金森病患者（H&Y≤3；蒙特利尔认知评估量表[MoCA]得分≥13.8）被纳入研究，并随机分为两组，两组均为每周两次，持续4周：一组接受DW项目，另一组接受传统物理治疗（CPT）。收集了人口统计学、生物特征和临床数据。为了研究治疗效果，在康复项目前后评估了运动（统一帕金森病评定量表III、计时起立行走测试、伯格平衡量表、6分钟步行测试和跌倒效能量表）、认知（科西超跨度测试、连线测验A和B-A）以及情绪动机（贝克抑郁量表、状态-特质焦虑量表、淡漠评估量表）等结果指标。为了研究治疗依从性和安全性，记录了退出人数和任何不良事件（如受伤和跌倒）。两组的所有结果指标均有所改善。DW组在评估注意力和动机的结果指标上的改善百分比更高。未发生退出、跌倒或受伤情况。在帕金森病的中早期阶段，DW可被视为一种可行且安全的补充治疗方法，有助于改善运动、认知和情绪动机症状。
