ContentList volumes - List articles in this issue
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-¬subject, 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.
Madeleine E. Hackney, Gammon M. Earhart
- Bloem BR, Hausdorff JM, Visser JE, Giladi N. Falls and freezing of gait in Parkinson’s disease: a review of two interconnected, episodic phenomena. Mov Disord 2004; 19: 871–884.
- Melton LJ III, Leibson CL, Achenbach SJ, Bower JH, Maraganore DM, Ober AL, et al. Fracture risk after the diagnosis of Parkinson’s disease: influence of concomitant dementia. Mov Disord 2006; 21: 1361–1367.
- Gage H, Storey L. Rehabilitation for Parkinson’s disease: a systematic review of available evidence. Clin Rehabil 2004; 18: 463–482.
- Hu MH, Woollacott MH. Multisensory training of standing balance in older adults: I. Postural stability and one leg stance balance. J Gerontol 1994; 49: M52–M61.
- Hirsch MA, Toole T, Maitland CG, Rider RA. The effects of balance training and high-intensity resistance training on person with idiopathic Parkinson’s disease. Arch Phys Med Rehabil 2003; 84: 1109–1117.
- McKinley P, Jacobson A, Leroux A, Badnarczyk V, Rossignot M, Fung J. Effect of a community-based Argentina tango dance program on functional balance and confidence in older adults. J Aging Phys Act 2008; 16: 435–453.
- Belardinelli R, Lacalaprice F, Ventrella C, Volpe L, Faccenda E. Waltz Dancing in patients with chronic heart failure: a new form of exercise training. Circulation: Heart Failure 2008; 1: 107–114. Available from: http://circheartfailure.ahajournals.org/cgi/content/short/1/2/107
- Federici A, Bellagamba S, Rocchi MB. Does dance based training improve balance in adult and young old subjects? A pilot randomized controlled trial. Aging Clin Exp Res 2005; 17: 385–389.
- Eyigor S, Karapolat H, Durmaz B, Ibisoglu U, Cakir S. A randomized controlled trial of Turkish folklore dance on the physical performance, balance, depression and quality of life in older women. Arch Gerontol Geriatr 2009; 48: 84–88.
- Verghese J. Cognitive and mobility profile of older social dancers. J Am Geriatr Soc 2006; 54: 1241–1244.
- Zhang JG, Ishikawa-Takata K, Yamazaki H, Morita T, Ohta T. Postural stability and physical performance in social dancers. Gait Posture 2008; 27: 697–701.
- Hackney M, Kantorovich S, Levin R, Earhart GM. Effects of tango on functional mobility in Parkinson’s disease: a preliminary study. J Neurol Phys Ther 2007; 31: 173–179.
- Brown SB, Martinez MJ, Parsons LM. The neural basis of human dance. Cerebral Cortex 2006; 16: 1157–1167.
- Racette BA, Rundle M, Parsian A, Parsian A, Perlmutter JS. Evaluation of a screening questionnaire for genetic studies of Parkinson’s disease. Am J Med Genet 1999; 88: 539–543.
- Giladi N, Shabtai H, Simon ES, Biran S, Tal J, Korczyn AD. Construction of freezing of gait questionnaire for patients with Parkinsonism. Parkinsonism Relat Disord 2000; 6: 165–170.
- Movement Disorder Society Task Force on Rating Scales for Parkinson’s Disease. The Unified Parkinson’s Disease Rating Scale (UPDRS): status and recommendations. Mov Disord 2003; 18: 738–750.
- Berg K, Wood-Dauphinee S, Williams JI. The Balance Scale: reliability assessment with elderly residents and patients with acute stroke. Scand J Rehabil Med 1995; 27: 27–36.
- Morris ME, Huxham F, McGinley J, Dodd K, Iansek R. The biomechanics and motor control of gait in Parkinson’s disease. Clin Biomech 2001; 16: 459–470.
- Whitney SL, Poole JL, Cass SP. A review of balance instruments for older adults. Am J Occup Ther 1998; 52: 666–671.
- Guyatt GH, Sullivan MJ, Thompson PJ, Fallen EL, Pugsley SO, Taylor DW, et al. The 6-minute walk: a new measure of exercise capacity in patients with chronic heart failure. Can Med Assoc J 1985; 132: 919–923.
- Schrag A, Sampaio C, Counsell N, Poewe W. Minimal clinically important change on the unified Parkinson’s disease rating scale. Mov Disord 2006; 21: 1200–1207.
- Steffen T, Seney M. Test-retest reliability and minimal detectable change on Balance and Ambulation Tests, the 36-Item Short From health Survey, and the unified Parkinson’s disease rating scale in people with Parkinsonism. Phys Ther 2008; 88: 1–14.
- Perera S, Mody SH, Woodman RC, Studenski SA. Meaningful change and responsiveness in common physical performance measures in older adults. J Am Geriatr Soc 2006; 54: 743–749.
- Baker K, Rochester L, Nieuwboer A. The immediate effect of attentional, auditory, and a combined cue strategy on gait during single and dual tasks in Parkinson’s disease. Arch Phys Med Rehabil 2007; 88: 1593–1600.
- Freedland RL, Festa C, Sealy M, McBean A, Elghazaly P, Capan A, et al. The effects of pulsed auditory stimulation on various gait measurements in persons with Parkinson’s Disease. NeuroRehabilitation 2002; 17: 81–87.
- Nieuwboer A, Feys P, De Weerdt W, Dom R. Is using a cue the clue to the treatment of freezing in Parkinson’s disease? Physiother Res Int 1997; 2: 125–134.
- Chuma T, Faruque Reza M, Ikoma K, Mano Y. Motor learning of hands with auditory cue in patients with Parkinson’s disease. J Neural Transm 2006; 113: 175–185.
- Dibble LE, Nicholson DE, Shultz B, MacWilliams VA, Marcus RL, Moncur C. Sensory cueing effects on maximal speed gait initiation in persons with Parkinson’s disease and healthy elders. Gait Posture 2004; 19: 215–225.
- Rochester L, Hetherington V, Jones D, Nieuwboer A, Willems AM, Kwakkel G, 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. Arch Phys Med Rehabil 2005; 86: 999–1006.
- Jeka JJ. Light touch contact as a balance aid. Phys Ther 1997; 77: 476–487.
- Iansek R, Huxham F, McGinley J. The sequence effect and gait festination in Parkinson’s disease: contributors to freezing of gait? Mov Disord 2006; 21: 1419–1424.
- Crizzle AM, Newhouse IJ. Is physical exercise beneficial for persons with Parkinson’s disease? Clin J Sport Med 2006; 16: 422–425.
- Rösler A, Seifritz E, Kräuchi K, Spoerl D, Brokuslaus I, Proserpi SM, et al. Skill learning in patients with moderate Alzheimer’s disease: a prospective pilot-study of waltz-lessons. Int J Geriatr Psychiatry 2002; 17: 1155–1156.
- Farley B. Developing Parkinson’s-specific exercise programs. J Active Aging 2004; Sept-Oct: 22–28.
- Jiang Y, Norman KE. Effects of visual and auditory cues on gait initiation in people with Parkinson’s disease. Clin Rehabil 2006; 20: 36–45.
- Brichetto G, Pelosin E, Marchese R, Abbruzzese G. Evaluation of physical therapy in parkinsonian patients with freezing of gait: a pilot study. Clin Rehabil 2006; 20: 31–35.
- Horak FB, Dimitrova D, Nutt JG. Direction-specific postural instability in subjects with Parkinson’s disease. Exp Neurol 2005; 193: 504–521.
- Blanchard CM, Courneya KS, Stein K, American Cancer Society’s SCS-II. Cancer survivors’ adherence to lifestyle behavior recommendations and associations with health-related quality of life: results from the American Cancer Society’s SCS-II. J Clin Oncol 2008; 26: 2198–2204.
- Fielding RA, Katula J, Miller ME, Abbott-Pillola K, Jordan A, Glynn NW, et al. Life Study Investigators. Activity adherence and physical function in older adults with functional limitations. Med Sci Sports Exerc 2007; 39: 1997–2004.
- Macera CA, Ham SA, Yore MM, Jones DA, Ainsworth BE, Kimsey CD, et al. Prevalance of physical activity in the United States: behavioral risk factor surveillance system, 2001. Prev Chronic Dis 2005; 2: A17.
- Toth MJ, Fishman PS, Pehlman ET. Free-living daily energy expenditure in patients with Parkinson’s disease. Neurology 1997; 48: 88–91.
View at PubMed