Parkinson's disease;
ballroom and Latin dancing;
balance;
posture;
BALANCE;
D O I:
10.1177/0269215517694930
中图分类号:
R49 [康复医学];
学科分类号:
100215 ;
摘要:
Objective: To determine the feasibility of a Dance Centre delivering a programme of mixed dances to people with Parkinson's and identify suitable outcomes for a future definitive trial. Design: A two-group randomized controlled feasibility trial. Methods: People with Parkinson's were randomized to a control or experimental group (ratio 15: 35), alongside usual care. In addition, participants in the experimental group danced with a partner for one hour, twice-a-week for 10 weeks; professional dance teachers led the classes and field-notes were kept. Control-group participants were given dance class vouchers at the end of the study. Blinded assessments of balance, mobility and function were completed in the home. Qualitative interviews were conducted with a subsample to explore the acceptability of dance. Results: A total of 51 people with Parkinson's (25 male) with Hoehn and Yahr scores of 1-3 and mean age of 71 years (range 49-85 years), were recruited to the study. Dance partners were of similar age (mean 68, range 56-91 years). Feasibility findings focused on recruitment (target achieved); retention (five people dropped out of dancing); outcome measures (three measures were considered feasible, changes were recommended). Proposed sample size for a Phase III trial, based on the 6-minute walk test at six months was 220. Participants described dance as extremely enjoyable and the instructors were skilled in instilling confidence and motivation. The main organizational challenges for a future trial were transport and identifying suitable dance partners. Conclusion: We have demonstrated the feasibility of conducting the study through a Dance Centre and recommend a Phase III trial.
机构:
Northumbria Healthcare NHS Fdn Trust, North Tyneside Gen Hosp, Rake Lane, North Shields NE29 8NH, Tyne & Wear, EnglandNorthumbria Healthcare NHS Fdn Trust, North Tyneside Gen Hosp, Rake Lane, North Shields NE29 8NH, Tyne & Wear, England
Harvey, Marguerite
Weston, Kathryn L.
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Univ Teesside, Sch Hlth & Social Care, Middlesbrough, Cleveland, EnglandNorthumbria Healthcare NHS Fdn Trust, North Tyneside Gen Hosp, Rake Lane, North Shields NE29 8NH, Tyne & Wear, England
Weston, Kathryn L.
Gray, William K.
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Northumbria Healthcare NHS Fdn Trust, North Tyneside Gen Hosp, Rake Lane, North Shields NE29 8NH, Tyne & Wear, EnglandNorthumbria Healthcare NHS Fdn Trust, North Tyneside Gen Hosp, Rake Lane, North Shields NE29 8NH, Tyne & Wear, England
Gray, William K.
O'Callaghan, Ailish
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Northumbria Healthcare NHS Fdn Trust, North Tyneside Gen Hosp, Rake Lane, North Shields NE29 8NH, Tyne & Wear, England
North Cumbria Univ Hosp NHS Trust, Cumberland Infirm, Carlisle, EnglandNorthumbria Healthcare NHS Fdn Trust, North Tyneside Gen Hosp, Rake Lane, North Shields NE29 8NH, Tyne & Wear, England
O'Callaghan, Ailish
Oates, Lloyd L.
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Northumbria Healthcare NHS Fdn Trust, North Tyneside Gen Hosp, Rake Lane, North Shields NE29 8NH, Tyne & Wear, EnglandNorthumbria Healthcare NHS Fdn Trust, North Tyneside Gen Hosp, Rake Lane, North Shields NE29 8NH, Tyne & Wear, England
Oates, Lloyd L.
Davidson, Richard
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Northumbria Healthcare NHS Fdn Trust, North Tyneside Gen Hosp, Rake Lane, North Shields NE29 8NH, Tyne & Wear, EnglandNorthumbria Healthcare NHS Fdn Trust, North Tyneside Gen Hosp, Rake Lane, North Shields NE29 8NH, Tyne & Wear, England
Davidson, Richard
Walker, Richard W.
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Northumbria Healthcare NHS Fdn Trust, North Tyneside Gen Hosp, Rake Lane, North Shields NE29 8NH, Tyne & Wear, England
Newcastle Univ, Inst Hlth & Soc, Newcastle Upon Tyne, Tyne & Wear, EnglandNorthumbria Healthcare NHS Fdn Trust, North Tyneside Gen Hosp, Rake Lane, North Shields NE29 8NH, Tyne & Wear, England
机构:
Karolinska Inst, Div Physiotherapy, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden
Karolinska Univ Hosp, Allied Hlth Profess Funct, Med Unit Occupat Therapy & Physiotherapy, Stockholm, SwedenKarolinska Inst, Div Physiotherapy, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden
Johansson, Hanna
Freidle, Malin
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Karolinska Inst, Div Physiotherapy, Dept Neurobiol Care Sci & Soc, Stockholm, SwedenKarolinska Inst, Div Physiotherapy, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden
Freidle, Malin
Ekman, Urban
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机构:
Karolinska Inst, Div Clin Geriatr, Dept Neurobiol Care Sci & Soc, Stockholm, SwedenKarolinska Inst, Div Physiotherapy, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden
Ekman, Urban
Schalling, Ellika
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机构:
Karolinska Inst, Dept Clin Sci Intervent & Technol, Div Speech & Language Pathol, Stockholm, Sweden
Karolinska Univ Hosp, Med Unit, Speech Language Pathol, Stockholm, SwedenKarolinska Inst, Div Physiotherapy, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden
Schalling, Ellika
Leavy, Breiffni
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机构:
Karolinska Inst, Div Physiotherapy, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden
Karolinska Univ Hosp, Allied Hlth Profess Funct, Med Unit Occupat Therapy & Physiotherapy, Stockholm, Sweden
Stockholm Sjukhem Fdn, Stockholm, SwedenKarolinska Inst, Div Physiotherapy, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden
Leavy, Breiffni
Svenningsson, Per
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机构:
Karolinska Inst, Dept Clin Neurosci, Div Neurol, Stockholm, SwedenKarolinska Inst, Div Physiotherapy, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden
Svenningsson, Per
Hagstromer, Maria
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机构:
Karolinska Inst, Div Physiotherapy, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden
Karolinska Univ Hosp, Allied Hlth Profess Funct, Med Unit Occupat Therapy & Physiotherapy, Stockholm, Sweden
Sophiahemmet Univ, Dept Hlth Promoting Sci, Stockholm, SwedenKarolinska Inst, Div Physiotherapy, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden
Hagstromer, Maria
Franzen, Erika
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h-index: 0
机构:
Karolinska Inst, Div Physiotherapy, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden
Karolinska Univ Hosp, Allied Hlth Profess Funct, Med Unit Occupat Therapy & Physiotherapy, Stockholm, Sweden
Stockholm Sjukhem Fdn, Stockholm, SwedenKarolinska Inst, Div Physiotherapy, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden