Highlights
- •This was a pilot randomized controlled trial comparing Irish set dancing with usual care in people with Parkinson disease.
- •Primary outcome was feasibility of study design for implementation in future trials.
- •Results showed Irish set dancing is enjoyable and can improve quality of life.
- •Feasibility issues to be considered in future trials were identified.
- •Results will be used to inform larger international trials.
Abstract
Objective
To examine the feasibility of a randomized controlled study design and to explore
the benefits of a set dancing intervention compared with usual care.
Design
Randomized controlled design, with participants randomized to Irish set dance classes
or a usual care group.
Setting
Community based.
Participants
Individuals with idiopathic Parkinson disease (PD) (N=90).
Interventions
The dance group attended a 1.5-hour dancing class each week for 10 weeks and undertook
a home dance program for 20 minutes, 3 times per week. The usual care group continued
with their usual care and daily activities.
Main Outcome Measures
The primary outcome was feasibility, determined by recruitment rates, success of randomization
and allocation procedures, attrition, adherence, safety, willingness of participants
to be randomized, resource availability, and cost. Secondary outcomes were motor function
(motor section of the Unified Parkinson's Disease Rating Scale), quality of life (Parkinson's
Disease Questionnaire-39), functional endurance (6-min walk test), and balance (mini-BESTest).
Results
Ninety participants were randomized (45 per group). There were no adverse effects
or resource constraints. Although adherence to the dancing program was 93.5%, there
was >40% attrition in each group. Postintervention, the dance group had greater nonsignificant
gains in quality of life than the usual care group. There was a meaningful deterioration
in endurance in the usual care group. There were no meaningful changes in other outcomes.
The exit questionnaire showed participants enjoyed the classes and would like to continue
participation.
Conclusions
For people with mild to moderately severe PD, set dancing is feasible and enjoyable
and may improve quality of life.
Keywords
List of abbreviations:
PD (Parkinson disease), PDQ-39 (Parkinson's Disease Questionnaire-39), QOL (quality of life), RCT (randomized controlled trial)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: March 21, 2017
Footnotes
Supported by the John and Pauline Ryan Postgraduate Scholarship; and the Mid-Western Branch of the Irish Society of Chartered Physiotherapists Research Bursary (grant no. MWBResearch-2014-3).
Clinical Trial Registration No.: NCT01939717.
Disclosures: none.
Identification
Copyright
© 2016 by the American Congress of Rehabilitation Medicine
