Review Article (Meta-Analyses)| Volume 96, ISSUE 1, P141-153, January 2015

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Dance for People With Parkinson Disease: What Is the Evidence Telling Us?

Published:September 14, 2014DOI:



      (1) To appraise and synthesize the literature on dance interventions for individuals with Parkinson disease (PD); (2) to provide information regarding the frequency, intensity, duration, and type of dance used in these programs; and (3) to inform the development of future studies evaluating dance interventions in this population.

      Data Sources

      Eight databases (MEDLINE, Cumulative Index to Nursing and Allied Health Literature [CINAHL], the Allied and Complementary Medicine Database [AMED], SPORTDiscus, PubMed, PubMed Central, Sage, and ScienceDirect) were electronically searched in April 2014. The references lists from the included articles were also searched.

      Study Selection

      Studies retrieved during the literature search were reviewed by 2 reviewers independently. Suitable articles were identified by applying inclusion criteria.

      Data Extraction

      Data regarding participants and the frequency, intensity, duration, and type of dance form used were extracted. The effect that each dance program had on defined outcomes and the feasibility of each program were also reviewed.

      Data Synthesis

      Thirteen articles were identified. The quality of studies varied, and methodological limitations were evident in some. The evidence evaluated suggests that two 1-hour dance classes per week over 10 to 13 weeks may have beneficial effects on endurance, motor impairment, and balance.


      Dance may be helpful for some people with PD. This article provides preliminary information to aid clinicians when implementing dance programs for people with PD. Higher-quality multicenter studies are needed to determine the effect of other dance genres and the optimal therapy volume and intensity.


      List of abbreviations:

      FITT (frequency, intensity, time/duration and type), MDS- UPDRS-3 (Movement Disorder Society-Unified Parkinson's Disease Rating Scale-Subsection 3), PD (Parkinson disease), RCT (randomized controlled trial), UPDRS-3 (Unified Parkinson's Disease Rating Scale-Subsection 3)
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        • Goetz C.G.
        • Poewe W.
        • Rascol O.
        • et al.
        The Movement Disorder Society Task Force on Rating Scales for Parkinson’s disease. Movement Disorder Society task force report on the Hoeln and Yahr staging scale: status and recommendations.
        Mov Disord. 2004; 19: 1020-1028
        • Morris M.E.
        • Martin C.L.
        • Schenkman M.L.
        Striding out with Parkinson disease: evidence-based physical therapy for gait disorders.
        Phys Ther. 2010; 90: 280-288
        • Keus S.H.
        • Hendricks H.J.
        • Bloem B.R.
        • et al.
        Clinical practice guidelines for physical therapy in patients with Parkinson’s disease.
        Dutch J Physiother. 2004; 114: 5-13
        • Keus S.H.
        • Bloem B.R.
        • Hendricks E.J.
        • Bredero-Cohen A.B.
        • Munneke M.
        Evidence-based analysis of physical therapy in Parkinson’s disease with recommendations for practice and research.
        Mov Disord. 2006; 4: 451-460
        • Earhart G.M.
        Dance as therapy for individuals with Parkinson’s disease.
        Eur J Phys Rehabil Med. 2009; 45: 231-238
        • Duncan R.P.
        • Earhart G.M.
        Randomized controlled trial of community-based dancing to modify disease progression in Parkinson disease.
        Neurorehabil Neural Repair. 2012; 26: 132-143
        • Hackney M.E.
        • Earhart G.M.
        Health-related quality of life and alternative forms of exercise in Parkinson disease.
        Parkinsonism Relat Disord. 2009; 15: 644-648
        • Kiepe M.S.
        • Stockigt B.
        • Keil T.
        Effects of dance therapy and ballroom dances on physical and mental illness: a systematic review.
        Arts Psychother. 2012; 39: 404-411
        • Soh E.S.
        • Morris M.E.
        • McGinley J.L.
        Determinants of health-related quality of life in Parkinson’s disease: a systematic review.
        Parkinsonism Relat Disord. 2011; 17: 1-9
        • Hackney M.E.
        • Kantorovich S.
        • Levin R.
        • Earhart G.M.
        Effects of tango on functional mobility in Parkinson’s disease: a preliminary study.
        J Neurol Phys Ther. 2007; 31: 173-179
        • Coubard O.A.
        • Duretz S.
        • Lefebvre V.
        • Lapalus P.
        • Ferrufino L.
        Practice of contemporary dance improves cognitive flexibility in aging.
        Front Aging Neurosci. 2011; 3: 13
        • Foster E.R.
        • Golden L.
        • Duncan R.P.
        • Earhart G.M.
        Community-based Argentine tango dance program is associated with increased activity participation among individuals with Parkinson’s disease.
        Arch Phys Med Rehabil. 2013; 94: 240-249
        • Power V.
        • Clifford A.
        Characteristics of optimum falls prevention exercise programmes for community-dwelling older adults using the FITT principle.
        Eur Rev Aging Phys Act. 2013; 10: 95-106
        • Dibble L.E.
        • Cavanagh J.J.
        • Earhart G.M.
        • Ellis T.D.
        • Ford M.P.
        • Foreman K.B.
        Charting the progression of disability in Parkinson disease: study protocol for a prospective longitudinal cohort study.
        BMC Neurol. 2010; 10: 110
        • Qutubuddin A.A.
        • Pwgg P.O.
        • Cifu D.X.
        • Brown R.
        • McNames S.
        • Carne W.
        Validating the Berg Balance Scale for patients with Parkinson’s disease: a key to rehabilitation evaluation.
        Arch Phys Med Rehabil. 2005; 86: 789-792
        • Steffen T.
        • Seney M.
        Test-retest reliability and minimal detectable change on balance and ambulation tests, the 36-item short-form health survey, and the unified Parkinson disease rating scale in people with parkinsonism.
        Phys Ther. 2008; 88: 733-746
        • Metman L.V.
        • Myre B.
        • Verwey N.
        • et al.
        Test-retest reliability of UPDRS-3, dyskinesia scales and timed motor tests in patients with advanced Parkinson’s disease: an argument against multiple baseline assessments.
        Mov Disord. 2004; 19: 1079-1084
        • Falvo M.J.
        • Earhart G.M.
        Six-minute walk distance in persons with Parkinson disease: a hierarchical regression model.
        Arch Phys Med Rehabil. 2009; 90: 1004-1008
        • Enright P.L.
        The six minute walk test.
        Respiratory Care. 2003; 48: 783-785
        • Jenkinson C.
        • Fitzpatrick R.
        • Peto V.
        • Greenhall R.
        • Hyman N.
        The Parkinson’s Disease Questionnaire (PDQ-39): development and validation of a Parkinson’s disease summary index score.
        Age Aging. 1997; 26: 353-357
        • Peto V.
        • Jenkinson C.
        • Fitzpatrick R.
        Determining minimally important differences for the PDQ-39 Parkinson’s disease questionnaire.
        Age Ageing. 2001; 30: 299-302
        • Washburn R.A.
        • Ficker J.L.
        Physical Activity Scale for the Elderly (PASE): the relationship with activity measured by a portable accelerometer.
        J Sport Med Phys Fit. 1999; 39: 336-340
        • Coupar F.
        • Pollock A.
        • van Wijck F.
        • Morris J.
        • Langhorne P.
        Simultaneous bilateral training for improving arm function after stroke.
        Cochrane Database Syst Rev. 2010; : CD006432
        • Mehrholz J.
        • Werner C.
        • Kugler J.
        • Pohl M.
        Electromechanical-assisted training for walking after stroke.
        Cochrane Database Syst Rev. 2007; : CD006185
      1. Reeves BC, Deeks JJ, Higgins JP, Wells GA. Including non-randomized studies. In: Higgins JP, Green S, editors. Cochrane handbook for systematic reviews of interventions. Version 5.0.1 (updated September 2008). Oxford (UK): The Cochrane Collaboration; 2008. p 13.2-13.10.

        • Ritchlin C.T.
        • Kavanagh A.
        • Gladman D.D.
        • et al.
        Treatment recommendations for psoriatic arthritis.
        Ann Rheum Dis. 2009; : 1387-1394
        • Bliney B.
        • Morris M.E.
        • Perry A.
        Effectiveness of physiotherapy, occupational therapy and speech pathology for people with Huntington’s disease: a systematic review.
        Neurorehabil Neural Repair. 2003; 17: 12-24
        • Young J.M.
        • Solomon M.J.
        How to critically appraise an article.
        Nat Clin Pract Gastroenterol Hepatol. 2009; 6: 8-91
        • Macedo L.G.
        • Eltuns M.R.
        • Maher C.G.
        • Mosley A.M.
        • Herbert R.D.
        • Sherrington C.
        There was evidence of convergent and construct validity of Physiotherapy Evidence Database quality scale for physiotherapy trials.
        J Clin Epidemiol. 2010; 63: 920-925
        • Maher C.G.
        • Sherrington C.
        • Herbert R.D.
        • Moseley A.M.
        • Elkins M.
        Reliability of the PEDro for rating quality of randomized controlled trials.
        Phys Ther. 2003; 83: 713-721
        • Sherrington C.
        • Herbert R.D.
        • Maher C.G.
        • Moseley A.M.
        PEDro: a database of randomized trials and systematic reviews in physiotherapy.
        Man Ther. 2000; 5: 223-226
      2. Reeves BC, Deeks JJ, Higgins JP, Wells GA. Including non-randomized studies. In: Higgins JP, Green S, editors. Cochrane handbook for systematic reviews of interventions. Version 5.0.1 (updated September 2008). The Cochrane Collaboration; 2008. p 13.22.

        • Hackney M.E.
        • Kantorovich S.
        • Earhart G.M.
        A study of the effects of Argentine tango as a form of partnered dance for those with Parkinson disease and the healthy elderly.
        Am J Dance Ther. 2007; 29: 110-127
        • Hackney M.E.
        • Earhart G.M.
        Effects of dance on movement control in Parkinson’s disease: a comparison of Argentine tango and American ballroom.
        J Rehabil Med. 2009; 41: 475-481
        • Hackney M.E.
        • Earhart G.M.
        Effects of dance on gait and balance in Parkinson’s disease: a comparison of partnered and nonpartnered dance movement.
        Neurorehabil Neural Repair. 2010; 24: 384-392
        • Volpe D.
        • Signorini M.
        • Marchetto A.
        • Lynch T.
        • Morris M.E.
        A comparison of Irish set dancing and exercises for people with Parkinson’s disease: a phase II feasibility study.
        BMC Geriatr. 2013; 13: 54
        • McKee K.E.
        • Hackney M.E.
        The effects of adapted tango on spatial cognition and disease severity in Parkinson’s disease.
        J Mot Behav. 2013; 45: 519-529
        • Batson G.
        Feasibility of an intensive trial of modern dance for adults with Parkinson disease.
        Complement Health Pract Rev. 2010; 15: 65-83
        • Hackney M.E.
        • Earhart G.M.
        Short duration, intensive tango dancing for Parkinson disease: an uncontrolled pilot study.
        Complement Ther Med. 2009; 17: 203-207
        • Heiberger L.
        • Maurer C.
        • Amtage F.
        • et al.
        Impact of a weekly dance class on the functional mobility and on the quality of life of individuals with Parkinson’s disease.
        Front Aging Neurosci. 2011; 3: 14
        • Marchant D.
        • Sylvester J.L.
        • Earhart G.M.
        Effects of a short duration, high dose contact improvisation dance workshop on Parkinson disease: a pilot study.
        Complement Ther Med. 2010; 18: 184-190
        • Klein P.J.
        • Fiedler R.C.
        • Rose D.J.
        Rasch analysis of the Fullerton Advanced Balance (FAB) Scale.
        Physiother Can. 2011; 63: 115-125
        • Brusse K.J.
        • Zimdars S.
        • Zalewski K.R.
        • Steffen T.M.
        Testing functional performance in people with Parkinson disease.
        Phys Ther. 2005; 85: 134-141
        • Keus S.H.
        • Munneke M.
        • Graziona M.
        • et al.
        • on behalf of the Guideline Development Group
        European physiotherapy guideline for Parkinson’s disease.
        (Version 20131004) ParkinsonNet/KNGF, The Netherlands2014: 84-96
        • King L.A.
        • Priest K.C.
        • Salarian A.
        • Pierce D.
        • Horak F.B.
        Comparing the Mini-BESTest with the Berg Balance Scale to evaluate balance disorders in Parkinson’s disease.
        Parkinsons Dis. 2012; 2012: 7
        • Van Swearingen J.M.
        • Brach J.S.
        Making geriatric assessment work: selecting useful measures.
        Phys Ther. 2001; 81: 1233-1252
        • Katz N.
        • Karpin H.
        • Lak A.
        • Furman T.
        • Hartman-Maeir A.
        Participation in occupational performance: reliability and validity of the Activity Card Sort.
        OTJR Occup Particip Health. 2003; 23: 10-17
        • Burckhardt C.
        • Anderson K.
        The Quality of Life Scale (QOLS): reliability, validity, and utilization.
        Health Qual Life Outcomes. 2003; 1: 1-7
        • Chodzko-Zaiko W.J.
        • Proctor D.N.
        • Singh M.A.
        • et al.
        Exercise and physical activity for older adults.
        Med Sci Sports Exerc. 2009; (doi:10.1249/MSS.0b013e3181a0c95c): 1510-1523
        • Pickering R.M.
        • Fitton C.
        • Ballinger C.
        • Fazakarley L.
        • Ashburn A.
        Self reported adherence to a home-based exercise programme among people with Parkinson’s disease.
        Parkinsonism Relat Disord. 2013; 19: 66-71
        • Nocera J.
        • Hovat M.
        • Ray C.T.
        Effects of home-based exercise on postural control and sensory organization in individuals with Parkinson disease.
        Parkinsonism Relat Disord. 2009; 15: 742
        • Schulz K.F.
        • Grimes D.A.
        Allocation concealment in randomised trials: defending against deciphering.
        Lancet. 2002; 359: 614-618
        • Agabegi S.S.
        • Stern P.J.
        Bias in research.
        Am J Orthop. 2008; 37: 242-248
        • Norris S.L.
        • Atkins D.
        Challenges in using nonrandomized studies in systematic reviews of treatment interventions.
        Ann Intern Med. 2005; 142: 1112-1119

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        Archives of Physical Medicine and RehabilitationVol. 96Issue 10
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          In the article “Dance for People With Parkinson Disease: What Is the Evidence Telling Us?” (Shanahan et al, Arch Phys Med Rehabil 2015;96:141-53), there are a few corrections to the text and reference citations as follows:
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