Dance for Parkinson's-The effects on whole body co-ordination during turning around
Dance for Parkinson's-The effects on whole body co-ordination during turning around
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DOI：
10.1016/j.ctim.2017.03.012
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发表时间：
2017-06-01
影响因子：
3.6
通讯作者：
Verheyden, Geert
中科院分区：
文献类型：
--
作者：
Hulbert, Sophia;Ashburn, Ann;Verheyden, Geert
目的：调查国标舞和拉丁美洲舞蹈课程对帕金森氏症患者的影响。设计：本研究采用随机、对照实验设计。背景：舞蹈课程在英格兰南部的社区舞蹈中心进行，所有评估均在步态实验室进行。参与者：27 名轻度至中度帕金森氏症患者参与。干预：参与者被随机分配接受 10 周内 20 个 1 小时的舞蹈课程（n = 15），或“常规护理”对照组（n = 12）。主要结果测量：使用干预期前后的 3 维运动分析以及临床测量，对每位参与者进行 12 次、180 次现场转向预测/未预测和首选/非首选方向进行分析。 结果：运动帕金森病患者在转动过程中头部、骨盆和脚部的活动会受到身体各节段紧密结合的舞蹈的影响。随着时间和转身风格的变化，各组之间存在显着的四向交互作用，头部延迟时间较长（p = 0.008），骨盆旋转幅度较大（p = 0.036），对照组中第一脚（p = 0.063）和第二脚（p = 0.081）运动较慢，舞者变化最小。所有交互都受到转弯类型的影响。在质心位移、转身时间或临床测量方面没有发现显着差异。结论：跳舞的人能够更好地协调他们的轴向和垂直节段，并且令人惊讶的是他们的转身行为变得更加“整体”，这表明这可能是一种有益的适应，而不是像之前所说的那样，是帕金森病的适应不良结果。
Objective: To investigate the effects of ballroom and Latin American dancing classes on turning in people with Parkinson's.Design: This study employed a randomised, controlled, experimental design.Setting: Dance classes were performed in a community dance centre in Southern England and all assessments took place a gait laboratory.Participants: Twenty-seven people with mild-moderate Parkinson's participated. Intervention: Participants were randomly allocated to receive either 20, 1-h dancing classes over 10 weeks (n = 15), or a 'usual care' control group (n = 12).Main outcome measure: Twelve, 180 on-the-spot turns to the predicted/un-predicted and preferred/un-preferred direction were analysed for each participant, using 3-dimensional motion analysis before and after the intervention period, alongside clinical measures.Results: Movement of the head, pelvis, and feet during turning in people with Parkinson's are affected by dancing with tighter coupling of body segments. Significant 4-way interactions between the groups, over time and turn style, with longer latency of the head (p = 0.008) and greater rotation in the pelvis (p = 0.036), alongside a trend of slower movement of the first (p = 0.063) and second (p = 0.081) foot in controls were shown, with minimal change in dancers. All interactions were affected by the type of turn. No significant differences were found in the centre of mass displacement, turn time or clinical measures.Conclusion: Those who danced were better able to coordinate their axial and perpendicular segments and surprisingly became more 'en bloc' in their turning behaviour, suggesting this may be a beneficial adaptation, rather than a maladaptive result of Parkinson's, as previously suggested.