A Study on the Effects of Argentine Tango as a Form of Partnered Dance for those with Parkinson Disease and the Healthy Elderly
A Study on the Effects of Argentine Tango as a Form of Partnered Dance for those with Parkinson Disease and the Healthy Elderly
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DOI：
10.1007/s10465-007-9039-2
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发表时间：
2007-12-01
影响因子：
0.8
通讯作者：
Earhart, Gammon M.
中科院分区：
文献类型：
--
作者：
Hackney, Madeleine E.;Kantorovich, Svetlana;Earhart, Gammon M.
跌倒是老年人受伤死亡的主要原因（Murphy 2000），它会导致对跌倒的恐惧、生活质量下降、退出活动和受伤。随着年龄的增长，关节活动范围、力量、感觉加工和感觉运动整合的变化都会导致平衡稳定性下降，这些变化在帕金森病（PD）患者中是平行的。干预措施，如专门为老年人和/或PD患者量身定制的传统锻炼，已经解决了平衡和步态困难，试图减少跌倒率，但结果不一，没有记录。阿根廷探戈舞最近成为一种很有前途的非传统方法，可以改善老年人的平衡和步态问题。这项研究的目的是确定老年人在跳探戈舞后所注意到的功能活动能力的好处是否也可能延伸到老年PD患者。我们比较了探戈和传统运动对PD患者和非PD患者功能活动能力的影响。我们预测，阿根廷探戈的功能流动性和生活质量的提高将大于传统的力量/柔韧性锻炼。38名受试者（19名对照组和19名PD患者）被分配到20小时的锻炼或探戈课程，这些课程在13周内完成。虽然所有组在某些方面都有所提高，但只有帕金森探戈组在平衡、跌倒和步态方面都有所改善。此外，在项目结束后，帕金森探戈组比帕金森运动组对平衡更有信心。在社会心理方面，两个群体都很享受他们的经历，因为这些课程促进了社区参与，并成为成员社会支持的来源。我们的研究结果表明，阿根廷探戈对健康的老年人和帕金森病患者来说是一项适当的、愉快的、有益的活动，探戈可能传达出传统运动项目所无法获得的好处。
Falls are the leading cause of injury deaths in older adults (Murphy 2000), and they can lead to fear of falling, reduced quality of life, withdrawal from activities, and injury. Changes in joint ranges of motion, strength, sensory processing, and sensorimotor integration all contribute to reduced balance stability with increasing age and these changes are paralleled in those with Parkinson Disease (PD). Interventions, such as traditional exercises tailored specifically for seniors and/or individuals with PD, have addressed balance and gait difficulties in an attempt to reduce fall rates with mixed, undocumented results. Argentine tango dancing has recently emerged as a promising non-traditional approach to ameliorating balance and gait problems among elderly individuals. The goal of this study was to determine whether the functional mobility benefits noted in elders following a tango dancing program might also extend to older individuals with PD. We compared the effects of tango to those of traditional exercise on functional mobility in individuals with and without PD. We predicted that the functional mobility and quality of life gains noted with Argentine tango would be greater than those noted with traditional strength/flexibility exercise. Thirty-eight subjects (19 control and 19 with PD) were assigned to 20 hour-long exercise or tango classes that were completed within 13 weeks. Although all groups showed gains in certain measures, only the Parkinson Tango group improved on all measures of balance, falls and gait. Moreover, upon terminating the program the Parkinson Tango group was more confident about balance than the Parkinson Exercise group. In psychosocial terms, both groups largely enjoyed their experiences because the classes fostered community involvement and became a source of social support for the members. Our results suggest that Argentine tango is an appropriate, enjoyable, and beneficial activity for the healthy elderly and those with PD and that tango may convey benefits not obtained with a more traditional exercise program.