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. 2011 Oct 10:3:14.
doi: 10.3389/fnagi.2011.00014. eCollection 2011.

Impact of a weekly dance class on the functional mobility and on the quality of life of individuals with Parkinson's disease

Lisa Heiberger  1 , Christoph Maurer, Florian Amtage, Ignacio Mendez-Balbuena, Jürgen Schulte-Mönting, Marie-Claude Hepp-Reymond, Rumyana Kristeva
Affiliations

Impact of a weekly dance class on the functional mobility and on the quality of life of individuals with Parkinson's disease

Lisa Heiberger et al. Front Aging Neurosci. .

Abstract

Individuals with Parkinson's disease (PD) mainly suffer from motor impairments which increase the risk of falls and lead to a decline of quality of life. Several studies investigated the long-term effect of dance for people with PD. The aims of the present study were to investigate (i) the short-term effects of dance (i.e., the effect immediately after the dance class) on motor control in individuals with PD and (ii) the long-term effects of 8 months of participation in the weekly dance class on the quality of life of the PD patients and their caregivers. The dance lessons took place in a ballet studio and were led by a professional dancer. Eleven people with moderate to severe PD (58-85 years old) were subjected to a motor and quality of life assessments. With respect to the motor assessments the unified Parkinson disease rating scale III (UPDRS III), the timed up and go test (TUG), and the Semitandem test (SeTa) before and after the dance class were used. With respect to the quality of life and well-being we applied quality of life scale (QOLS) as well as the Westheimer questionnaire. Additionally, we asked the caregivers to fill out the Questionnaire for caregivers. We found a significant beneficial short-term effect for the total score of the UPDRS motor score. The strongest improvements were in rigidity scores followed by significant improvements in hand movements, finger taps, and facial expression. No significant changes were found for TUG and for SeTa. The results of the questionnaires showed positive effects of the dance class on social life, health, body-feeling and mobility, and on everyday life competences of the PD patients. Beneficial effect was also found for the caregivers. The findings demonstrate that dance has beneficial effect on the functional mobility of individuals with PD. Further, dance improves the quality of life of the patients and their caregivers. Dance may lead to better therapeutic strategies as it is engaging and enjoyable.

Keywords: Parkinson disease; dance; intervention; motor scores; quality of life; rigidity.

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Figures

Figure 1
Figure 1
Unified Parkinson disease rating scale III motor scores before (black) and after (red) the dance class for the 11 patients. Note the significant improvement in rigidity, hand movements, finger taps, and facial expression.
Figure 2
Figure 2
Unified Parkinson disease rating scale III item “rigidity”: axial vs. distal (arms and legs) rigidity. Before (black) and after (red) the dance class.
Figure 3
Figure 3
Absolute frequencies of the items of QOLS. Note that the items are represented in order from highest number of improvement responses to lowest.
Figure 4
Figure 4
Results of the modified questionnaire of Westheimer (2008). (A) Body feeling after the dance class. (B) State of mind after the dance class. (C) Dance class impact on the quality of life in everyday life. (D) Duration of the impact on the quality of life. (E) Mobility after dance class.
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