Effectiveness of a dance-physiotherapy combined intervention in Parkinson’s disease: a randomized controlled pilot trial

Frisaldi, Elisa; Bottino, Piero; Fabbri, Margherita; Trucco, Marco; Ceglia, Alessandra De; Esposito, Nadia; Barbiani, Diletta; Camerone, Eleonora Maria; Costa, Federico; Destefanis, Cristina; Milano, Edoardo; Massazza, Giuseppe; Zibetti, Maurizio; Lopiano, Leonardo

doi:10.1007/s10072-021-05171-9

Cited by 20 publications

(61 citation statements)

References 38 publications

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“…Sixteen systematic analyses (Mandelbaum and Lo, 2014 ; Sharp and Hewitt, 2014 ; Lötzke et al, 2015 ; Shanahan et al, 2015 ; Aguiar et al, 2016 ; Dos Santos Delabary et al, 2018 ; Kalyani et al, 2019 ; Tang et al, 2019 ; Zhang Q. et al, 2019 ; Barnish and Barran, 2020 ; Berti et al, 2020 ; Carapellotti et al, 2020 ; Hidalgo-Agudo et al, 2020 ; Emmanouilidis et al, 2021 ; Ismail et al, 2021 ; Hasan et al, 2022 ), 18 RCTs (Hackney et al, 2007 ; Hackney and Earhart, 2009 , 2010 ; Hashimoto et al, 2015 ; Rios Romenets et al, 2015 ; Hulbert et al, 2017 ; Shanahan et al, 2017 ; Lee et al, 2018 ; Michels et al, 2018 ; Poier et al, 2019 ; Solla et al, 2019 ; Frisaldi et al, 2021 ), and 62 clinical trials investigated the effects of dance on Parkinson's symptoms ( Tables 1 – 4 , Supplementary Tables 1, 2 ). Most studies (11/13 systematic analyses and all RCTs) examined the effects of dance exercise therapy in PD patients using exercise parameters as the primary outcome measure.…”

Section: Resultsmentioning

confidence: 99%

“…The DMT group obtained significantly better MDS-UPDRS-3 scores compared with the no treatment or other exercise groups (SMD = −10.73, 95%CI = −15.05 to −6.16, p = 0.004), and standard or other physical therapy (MD= −6.91, 95%CI = −9.97 to −3.84, p < 0.05) (Sharp and Hewitt, 2014 ; Ismail et al, 2021 ). More than half of trials with MDS-UPDRS-3 as the primary outcome measure demonstrated that dance intervention improved the overall motor performance in PD patients (Duncan and Earhart, 2012 , 2014 ; Volpe et al, 2013 ; Hashimoto et al, 2015 ; Lee et al, 2018 ; Solla et al, 2019 ; Frisaldi et al, 2021 ). In a 2-year RCT of dance intervention, a significant time-group interaction effect was found on MDS-UPDRS-3 in PD patients (F [2, 8] = 17.59; p < 0.001) (Duncan and Earhart, 2014 ).…”

Section: Resultsmentioning

confidence: 99%

“…Timed Up and Go test (TUG) (Hackney et al, 2007 ; Hackney and Earhart, 2009 , 2010 ; Volpe et al, 2013 ; Duncan and Earhart, 2014 ; Hashimoto et al, 2015 ; Rios Romenets et al, 2015 ; Michels et al, 2018 ; Solla et al, 2019 ; Tang et al, 2019 ; Frisaldi et al, 2021 ), the mini-BESTest (Lötzke et al, 2015 ), and BBS (Hackney et al, 2007 ; Hackney and Earhart, 2009 , 2010 ; Volpe et al, 2013 ; Hashimoto et al, 2015 ; Lee et al, 2015 , 2018 ; Michels et al, 2018 ; Solla et al, 2019 ; Tang et al, 2019 ) were used to assess the participant's balance. Six-minute walk test (6 MWT) (Hackney and Earhart, 2009 , 2010 ; Duncan and Earhart, 2012 ; Volpe et al, 2013 ; Shanahan et al, 2017 ; Solla et al, 2019 ; Frisaldi et al, 2021 ) and the Freezing of Gait Questionnaire (FOG-Q) (Hackney et al, 2007 ; Hackney and Earhart, 2009 ; Duncan and Earhart, 2012 , 2014 ; Volpe et al, 2013 ; Rios Romenets et al, 2015 ) were the commonly used gait evaluation methods. Eight meta-analyses showed that DMT had positive effects in the balance and gait of PD patients compared with the non-dance treatment group (Sharp and Hewitt, 2014 ; Lötzke et al, 2015 ; Dos Santos Delabary et al, 2018 ; Kalyani et al, 2019 ; Tang et al, 2019 ; Hidalgo-Agudo et al, 2020 ; Ismail et al, 2021 ; Hasan et al, 2022 ).…”

Section: Resultsmentioning

confidence: 99%

“…The total intervention duration ranged from 15 h in 5 weeks to 192 h in 96 weeks. Taking 12 weeks as the dividing line, 8 short-term (Hackney and Earhart, 2010 ; Lee et al, 2015 , 2018 ; Hulbert et al, 2017 ; Shanahan et al, 2017 ; Michels et al, 2018 ; Poier et al, 2019 ; Frisaldi et al, 2021 ) interventions (total intervention duration <12 weeks) and 11 long-term (Hackney et al, 2007 ; Hackney and Earhart, 2009 ; Duncan and Earhart, 2012 , 2014 ; Foster et al, 2013 ; Volpe et al, 2013 ; Hashimoto et al, 2015 ; Rios Romenets et al, 2015 ; Solla et al, 2019 ; Young et al, 2019 ; Moratelli et al, 2021 ) interventions (total intervention duration ≥12 weeks) were found. The attendance of participants in DMT group was not reported in 9 of the 18 RCTs assessing various DMT in the population with PD.…”

Section: Resultsmentioning

confidence: 99%

“…Cognitive dual-task evaluation by dual-task TUG showed that PD patients in the dance groups had better improvement (SMD = −0.85, 95% CI = −1.50 to −0.21, p < 0.05) (Kalyani et al, 2019 ). In four (Rios Romenets et al, 2015 ; Solla et al, 2019 ; Frisaldi et al, 2021 ; Moratelli et al, 2021 ) RCTs, DMT improved the overall cognitive function in PD patients compared with usual care, which were measured by MoCA. Two RCTs (Hashimoto et al, 2015 ; Solla et al, 2019 ) reported that 12-week dance program showed significant differences in PD patients in terms of task switching and mental flexibility (measured by the Frontal Assessment Battery at bedside ( p = 0.001), and the Mental Rotation Task (response time: p < 0.001).…”

Section: Resultsmentioning

confidence: 99%

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Dance movement therapy for neurodegenerative diseases: A systematic review

Xiong

Zheng

et al. 2022

Front. Aging Neurosci.

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BackgroundThe proportion of the world's elderly population continues to rise, and the treatment and improvement of neurodegenerative diseases have become issue of public health importance as people live longer and many countries have aging populations. This systematic review aims to discuss the effects of dance movement therapy (DMT) on motor function, cognitive deficit, mood, and quality of life in people with neurodegenerative diseases, such as Parkinson's disease (PD), mild cognitive impairment (MCI), Alzheimer's disease (AD).MethodsTwo reviewers independently conducted systematic search on the Cochrane library, PubMed database, Web of Science Core Collection database, and Physiotherapy Evidence database until February 1, 2022. Only systematic analyses and randomized controlled trials were included and further analyzed.ResultsThirty-three studies on PD, 16 studies on MCI, 4 studies on AD were obtained. This systematic review found that DMT substantially improved the global cognitive function, memory, and executive function on the population with MCI. Compared with the non-dance group, DMT remarkably improved general disease condition, balance, and gait for individuals with PD. The evidence of the efficacy of DMT on AD is insufficient, and further research is needed.ConclusionDMT can effectively improve the motor function and cognitive deficits in neurodegenerative diseases. Positive effects of DMT on the mood and quality of life in ND patients are controversial and require further evidence. Future research on the effects of DMT on AD requires scientific design, large sample size, long-term comprehensive intervention, and clear reporting standards.Systematic review registrationwww.osf.io/wktez, identifier: 10.17605/OSF.IO/UYBKT.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Dance movement therapy for neurodegenerative diseases: A systematic review

Xiong

Zheng

et al. 2022

Front. Aging Neurosci.

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Type, Timing, Frequency, and Durability of Outcome of Physical Therapy for Parkinson Disease

El Hayek,

Lobo Jofili Lopes,

LeLaurin

et al. 2023

JAMA Netw Open

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ImportanceParkinson disease (PD) is a neurodegenerative syndrome affecting approximately 1% of the population older than 60 years, and a major goal of treatment is preservation of physical function through physical therapy (PT). Although PT outcomes for PD are well documented, aggregate information on the parameters of PT are needed to guide implementation.ObjectiveTo evaluate current evidence on the types, timing, frequency, duration, and outcomes of PT regimens applied for PD.Data SourcesPubMed, Embase, Medline, and the Web of Science Core Collection were searched for articles published from January 1, 2000, to August 10, 2022. Search terms included terms related to Parkinson disease, PT interventions, and PT-related outcomes.Study SelectionIncluded studies were peer-reviewed randomized clinical trials available in English of any PT intervention for patients with PD that included PT-related outcomes. The Preferred Reporting Items for Systematic Reviews and Meta-analyses reporting guideline was followed.Data Extraction and SynthesisTwo reviewers extracted data and assessed quality using the Cochrane Risk of Bias Tool. Data were analyzed using a random-effects model.Main Outcomes and MeasuresA meta-analysis compared outcomes of nonstandard PT vs standard PT and standard PT vs no intervention for Unified Parkinson’s Disease Rating Scale (UPDRS) score and measures of gait and balance.ResultsA total of 46 trials with 3905 patients were included (range of mean ages, 61-77 years). Ten trials (22%) compared 2 types of nonstandard PT interventions; 26 (57%), nonstandard PT vs standard PT; and 10 (22%), PT vs no intervention. The most common nonconventional PT intervention was aquatic physiotherapy (5 trials [11%]). Durations of PT regimen ranged from 2 to 12 weeks in 39 trials (85%), and PT was most commonly performed with frequencies of either twice or 3 times weekly (27 [59%]). In most trials (39 [85%]), PT session length ranged from 30 to 60 minutes. Across trials, PT outcomes were reported for gait (14 trials [30%]), balance (10 [22%]), quality of life (3 [9%]), and cognition (1 [2%]). Approximately half of the trials (22 [48%]) documented durability of some level of benefit after completion of the prescribed regimen. Meta-analysis showed no significant difference for PT vs no intervention in UPDRS scores (standardized mean difference [SMD], −1.09; 95% CI, −2.50 to 0.33) or for nonstandard PT vs standard PT in measures of gait (SMD, 0.03; 95% CI, −0.53 to 0.59), balance (SMD, 0.54; 95% CI, −0.03 to 1.12), and UPDRS score (SMD, −0.49; 95% CI, −1.04 to 0.06). Meta-analytic regression of moderators revealed no significant differences in outcomes by frequency of PT per week (SMD, 0.17; 95% CI, –0.03 to 0.36).Conclusions and RelevanceThe findings suggest that although a wide range of types and regimens of PT for PD have been tested, comparative effectiveness of different models of care and implementation strategies as well as long-term durability of their outcomes remain undetermined.

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Exercise Made Accessible: the Merits of Community-Based Programs for Persons with Parkinson’s Disease

Langbroek-Amersfoort,

Schootemeijer,

Bouten

et al. 2023

Curr Neurol Neurosci Rep

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Purpose of Review Many studies have identified positive effects of physiotherapy and exercise for persons with Parkinson’s disease (PD). Most work has thus far focused on the therapeutic modality of exercise as used within physiotherapy programs. Stimulated by these positive findings, there is now a strong move to take exercise out of the clinical setting and to deliver the interventions in the community. Although the goals and effects of many such community-based exercise programs overlap with those of physiotherapy, it has also become more clear that both exercise modalities also differ in various ways. Here, we aim to comprehensively review the evidence for community-based exercise in PD. Recent Findings Many different types of community-based exercise for people with PD are emerging and they are increasingly being studied. There is a great heterogeneity considering the types of exercise, study designs, and outcome measures used in research on this subject. While this review is positive regarding the feasibility and potential effects of community-based exercise, it is also evident that the general quality of these studies needs improvement. Summary By focusing on community-based exercise, we hope to generate more knowledge on the effects of a wide range of different exercise modalities that can be beneficial for people with PD. This knowledge may help people with PD to select the type and setting of exercise activity that matches best with their personal abilities and preferences. As such, these insights will contribute to an improved self-management of PD.

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Effectiveness of a dance-physiotherapy combined intervention in Parkinson’s disease: a randomized controlled pilot trial

Cited by 20 publications

References 38 publications

Dance movement therapy for neurodegenerative diseases: A systematic review

Dance movement therapy for neurodegenerative diseases: A systematic review

Type, Timing, Frequency, and Durability of Outcome of Physical Therapy for Parkinson Disease

Exercise Made Accessible: the Merits of Community-Based Programs for Persons with Parkinson’s Disease

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