Effects of dance on movement control in Parkinson's disease: a comparison of Argentine tango and American ballroom.

OBJECTIVE The basal ganglia may be selectively activated during rhythmic, metered movement such as tango dancing, which may improve motor control in individuals with Parkinson's disease. Other partner dances may be more suitable and preferable for those with Parkinson's disease. The purpose of this study was to compare the effects of tango, waltz/foxtrot and no intervention on functional motor control in individuals with Parkinson's disease. DESIGN This study employed a randomized, between- notsubject, prospective, repeated measures design. SUBJECTS/PATIENTS Fifty-eight people with mild-moderate Parkinson's disease participated. METHODS Participants were randomly assigned to tango, waltz/foxtrot or no intervention (control) groups. Those in the dance groups attended 1-h classes twice a week, completing 20 lessons in 13 weeks. Balance, functional mobility, forward and backward walking were evaluated before and after the intervention. RESULTS Both dance groups improved more than the control group, which did not improve. The tango and waltz/foxtrot groups improved significantly on the Berg Balance Scale, 6-minute walk distance, and backward stride length. The tango group improved as much or more than those in the waltz/foxtrot group on several measures. CONCLUSION Tango may target deficits associated with Parkinson's disease more than waltz/foxtrot, but both dances may benefit balance and locomotion.

[1]  A. Nieuwboer,et al.  The immediate effect of attentional, auditory, and a combined cue strategy on gait during single and dual tasks in Parkinson's disease. , 2007, Archives of physical medicine and rehabilitation.

[2]  Heather Gage,et al.  Rehabilitation for Parkinson's disease: a systematic review of available evidence , 2004, Clinical rehabilitation.

[3]  Sibel Eyigor,et al.  A randomized controlled trial of Turkish folklore dance on the physical performance, balance, depression and quality of life in older women. , 2009, Archives of gerontology and geriatrics.

[4]  J. Jeka,et al.  Light touch contact as a balance aid. , 1997, Physical therapy.

[5]  M. Rocchi,et al.  Does dance-based training improve balance in adult and young old subjects? A pilot randomized controlled trial , 2005, Aging clinical and experimental research.

[6]  Joyce Fung,et al.  Effect of a community-based Argentine tango dance program on functional balance and confidence in older adults. , 2008, Journal of aging and physical activity.

[7]  M. Morris,et al.  The biomechanics and motor control of gait in Parkinson disease. , 2001, Clinical biomechanics.

[8]  Michael J. Martinez,et al.  Cerebral Cortex doi:10.1093/cercor/bhj057 Cerebral Cortex Advance Access published October 12, 2005 The Neural Basis of Human Dance , 2022 .

[9]  E. Poehlman,et al.  Free-living Daily Energy Expenditure in Patients with Parkinson's Disease , 1997, Neurology.

[10]  A. Crizzle,et al.  Is Physical Exercise Beneficial for Persons with Parkinson's Disease? , 2006, Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine.

[11]  W. D. De Weerdt,et al.  Is using a cue the clue to the treatment of freezing in Parkinson's disease? , 1997, Physiotherapy research international : the journal for researchers and clinicians in physical therapy.

[12]  S. Wood-Dauphinée,et al.  The Balance Scale: reliability assessment with elderly residents and patients with an acute stroke. , 1995, Scandinavian journal of rehabilitation medicine.

[13]  Anette Schrag,et al.  Minimal clinically important change on the unified Parkinson's disease rating scale , 2006, Movement disorders : official journal of the Movement Disorder Society.

[14]  Kathleen E Norman,et al.  Effects of visual and auditory cues on gait initiation in people with Parkinson's disease , 2006, Clinical rehabilitation.

[15]  R. Freedland,et al.  The effects of pulsed auditory stimulation on various gait measurements in persons with Parkinson's Disease. , 2002, NeuroRehabilitation.

[16]  K. Courneya,et al.  Cancer survivors' adherence to lifestyle behavior recommendations and associations with health-related quality of life: results from the American Cancer Society's SCS-II. , 2008, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[17]  D. Maraganore,et al.  Fracture risk after the diagnosis of Parkinson's disease: Influence of concomitant dementia , 2006, Movement disorders : official journal of the Movement Disorder Society.

[18]  C. Maitland,et al.  The effects of balance training and high-intensity resistance training on persons with idiopathic Parkinson's disease. , 2003, Archives of physical medicine and rehabilitation.

[19]  E. Seifritz,et al.  Skill learning in patients with moderate Alzheimer's disease: a prospective pilot‐study of waltz‐lessons , 2002, International journal of geriatric psychiatry.

[20]  M. Rundle,et al.  Evaluation of a screening questionnaire for genetic studies of Parkinson's disease. , 1999, American journal of medical genetics.

[21]  Barbara E Ainsworth,et al.  Prevalence of Physical Activity in the United States: Behavioral Risk Factor Surveillance System, 2001 , 2005, Preventing chronic disease.

[22]  B. MacWilliams,et al.  Sensory cueing effects on maximal speed gait initiation in persons with Parkinson's disease and healthy elders. , 2004, Gait & posture.

[23]  E. Pelosin,et al.  Evaluation of physical therapy in parkinsonian patients with freezing of gait: a pilot study , 2006, Clinical rehabilitation.

[24]  Michael E. Miller,et al.  Activity adherence and physical function in older adults with functional limitations. , 2007, Medicine and science in sports and exercise.

[25]  S. Studenski,et al.  Meaningful Change and Responsiveness in Common Physical Performance Measures in Older Adults , 2006, Journal of the American Geriatrics Society.

[26]  K. Ikoma,et al.  Motor learning of hands with auditory cue in patients with Parkinson’s disease , 2006, Journal of Neural Transmission.

[27]  K. Ishikawa-Takata,et al.  Postural stability and physical performance in social dancers. , 2008, Gait & posture.

[28]  G. Guyatt,et al.  The 6-minute walk: a new measure of exercise capacity in patients with chronic heart failure. , 1985, Canadian Medical Association journal.

[29]  M. Woollacott,et al.  Multisensory training of standing balance in older adults: I. Postural stability and one-leg stance balance. , 1994, Journal of gerontology.

[30]  The Unified Parkinson's Disease Rating Scale (UPDRS): Status and recommendations , 2003, Movement disorders : official journal of the Movement Disorder Society.

[31]  Robert Iansek,et al.  The sequence effect and gait festination in Parkinson disease: Contributors to freezing of gait? , 2006, Movement disorders : official journal of the Movement Disorder Society.

[32]  RomualdoBelardinelli,et al.  Waltz Dancing in Patients With Chronic Heart Failure , 2008 .

[33]  Joe Verghese,et al.  Cognitive and Mobility Profile of Older Social Dancers , 2006, Journal of the American Geriatrics Society.

[34]  R. Belardinelli,et al.  Waltz Dancing in Patients With Chronic Heart Failure: New Form of Exercise Training , 2008, Circulation. Heart failure.

[35]  Madeleine. E. Hackney,et al.  Effects of Tango on Functional Mobility in Parkinson's Disease: A Preliminary Study , 2007, Journal of neurologic physical therapy : JNPT.

[36]  T. Steffen,et al.  Test-Retest Reliability and Minimal Detectable Change on Balance and Ambulation Tests, the 36-Item Short-Form Health Survey, and the Unified Parkinson Disease Rating Scale in People With Parkinsonism , 2008, Physical Therapy.

[37]  Lynn Rochester,et al.  The effect of external rhythmic cues (auditory and visual) on walking during a functional task in homes of people with Parkinson's disease. , 2005, Archives of physical medicine and rehabilitation.

[38]  Jeffrey M. Hausdorff,et al.  Falls and freezing of gait in Parkinson's disease: A review of two interconnected, episodic phenomena , 2004, Movement disorders : official journal of the Movement Disorder Society.

[39]  F. Horak,et al.  Direction-specific postural instability in subjects with Parkinson's disease , 2005, Experimental Neurology.

[40]  Nir Giladi,et al.  Construction of freezing of gait questionnaire for patients with Parkinsonism. , 2000, Parkinsonism & related disorders.

[41]  J. Poole,et al.  A review of balance instruments for older adults. , 1998, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.