The Impact of Brazilian Samba on Parkinson’s Disease: Analysis by the Disease Subtypes

Abstract

Introduction: People with Parkinson's disease constantly have low levels of physical activity. Dancing has become increasingly important for treating the disease and can help improve non-motor symptoms. Objective: To analyze the influence of Brazilian samba on the non-motor symptoms of PD according to TD and PGID subtypes. Methods: A 12-week, non-randomized clinical trial, through comparison with a control group. The 23 individuals who agreed to participate in the activities formed the experimental group (EG) and the 24 individuals who opted not to participate in the Brazilian samba classes comprised the control group (CG). A questionnaire was applied, composed of validated instruments. Mini Mental State Examination – MMSE; HY – Disability Scale; Unified Parkinson's Disease Rating Scale – UPDRS 1 and total values; Parkinson's Disease Questionnaire – PDQ-39, Parkinson's Disease Sleep Scale – PDSS; Beck Depression Inventory – BDI; Fatigue Severity Scale – FSS and Magnitude of Perceived Changes. Results: After the twelve weeks of intervention, it was observed that the EG showed improvement in the scores of all the tests. The comparison between groups, however, indicated a significant difference in the post-UPDRS1 period in which the EG presented improvement in cognitive impairment, while the CG presented a deficit in these values. The results of the division between disease subtypes show a greater change in the values between individuals of the TD group, when comparing the EG with the CG. For the EG, the greatest difference between pre- and post- intervention was fatigue. Conclusion: There was a positive trend in all the variables studied after the application of the protocol. This demonstrates that interventions such as dance may have greater effects on non-motor symptoms, depending on the expected progression of the disease. The scarcity of studies that use this approach in their analyses may explain the lack of evidence in this symptomatology related to dance. Level of evidence II; Therapeutic studies – Investigating the results of treatment.

Dance Is an Accessible Physical Activity for People with Parkinson’s Disease

“…One of these was a sequential RCT [66], one was a quasi-RCT [67], and one was an RCT with a crossover design [63] (Table 2). Of the trials, 21 had nonrandomised designs [28,[68][69][70][71][72][73][74][75][76][77][78][79][80][81][82][83][84][85][86][87], and one of these was a quasiexperimental study [81]. One used mixed methods design [82] for which quantitative data were extracted and analysed.…”

“…Only 3 studies included either telehealth [84] or technology-based interventions that included virtual reality dancing [57] or dance Google glass modules [73]. Dance interventions included tango [27, 28, 54, 55, 58, 59, 60-62, 64, 66, 68, 70, 72, 80, 82, 86], Sardinian folk dancing [56], Irish set dancing [26,65], waltz/foxtrot [55,61], ballet [85], Brazilian Samba [83], Zumba [71], Qigong dance [63], improvisation dance [79], or mixed dance genres [27,55,62,66,67,77,78], with three studies including home-based dance programs [27,68,76].…”

“…ere were improvements in balance (BBS) [28,72,77,80], disability (UPDRS) [68,72,78,80,86], mobility (TUG) [28,72,73,75,80] and Tinetti Mobility Scale [75], depression [70,83], and quality of life [26, 68-70, 86, 87]. Key studies on digital delivery modes for dancing with PD (e.g., [57,73,84]) showed that virtual technologies can be an accessible and beneficial method of physical activity for some people living with this chronic and progressive disease.…”

Acute Physiological and Metabolic responses for 40-minutes of Samba Dance

“…The samba dance and the results of this study incorporate the idea of combining medicine with exercise as a method to gain credibility with practitioners. The first step of this study was to verify the extent to which the samba dance performed acutely could predict a chronic effect [Astrand, 1967;Tillmann et al 2020;Delabary et al 2020]. This response is very likely due to the results of the samba dancers.…”

“Bicycle” Model for Interdisciplinary approach in Parkinson’s Disease

“…The main reasons that demanded multiprofessional care, predominated the elderly with osteomuscular diseases (back pain, osteoatrosis -30.7%), neurological diseases (parkinsonism, dementia -25.1%) and endocrine/nutritional diseases (diabetes I and II, overweight and obesity -17.9%) (28,29). Certainly, the "saddle" represented by the longitudinal state of health in Parkinson's disease, brings relevant discussions, since further investigations on the interdisciplinary team in clinical management are still needed, with special attention to the costs and effectiveness of the team with intervention group control, as well as the description of therapeutic processes (30)(31)(32)(33)(34)(35)(36)(37)(38)(39).…”