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Dancing for Parkinson Disease : A Randomized Trial of Irish Set Dancing Compared With Usual Care

SHANAHAN J; MORRIS ME; BHRIAIN ON; VOLPE D; LYNCH T; CLIFFORD AM
ARCH PHYS MED REHABIL , 2017, vol. 98, n° 9, p. 1744-1751
Doc n°: 186044
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.apmr.2017.02.017
Descripteurs : AF5 - PARKINSON
Article consultable sur : http://www.archives-pmr.org

OBJECTIVE: To examine the feasibility of a randomized controlled study design and
to explore the benefits of a set dancing intervention compared with usual care.
DESIGN: Randomized controlled design, with participants randomized to Irish set
dance classes or a usual care group. SETTING: Community based. PARTICIPANTS:
Individuals with idiopathic Parkinson disease (PD) (N=90). INTERVENTIONS: The
dance group attended a 1.5-hour dancing class each week for 10 weeks and
undertook a home dance program for 20 minutes, 3 times per week. The usual care
group continued with their usual care and daily activities. MAIN OUTCOME
MEASURES: The primary outcome was feasibility, determined by recruitment rates,
success of randomization and allocation procedures, attrition, adherence, safety,
willingness of participants to be randomized, resource availability, and cost.
Secondary outcomes were motor function (motor section of the Unified Parkinson's
Disease Rating Scale), quality of life (Parkinson's Disease Questionnaire-39),
functional endurance (6-min walk test), and balance (mini-BESTest). RESULTS:
Ninety participants were randomized (45 per group). There were no adverse effects
or resource constraints. Although adherence to the dancing program was 93.5%,
there was >40% attrition in each group. Postintervention, the dance group had
greater nonsignificant gains in quality of life than the usual care group. There
was a meaningful deterioration in endurance in the usual care group. There were
no meaningful changes in other outcomes. The exit questionnaire showed
participants enjoyed the classes and would like to continue participation.
CONCLUSIONS: For people with mild to moderately severe PD, set dancing is
feasible and enjoyable and may improve quality of life.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS

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