Dance for Parkinson's Disease® (DfPD®) is a structured dance program that has never been evaluated in Greek PD population. This study assesses for the first time the efficacy, safety and feasibility of DfPD® program in Greek PD patients. A total of 16 early-to-mid-stage PD patients underwent a total of 16 60-min classes of adjusted to Greek music and dance culture DfPD®, twice weekly, over 8 weeks. Assessments were performed at baseline and at the end of the study period and included quality of life, depressive symptoms, fatigue, cognitive functions, balance and body mass index. Safety and feasibility were also assessed.
Parkinson's Disease (PD) is an idiopathic, neurodegenerative, and progressive movement disorder caused mainly by dysfunction of dopaminergic cells of the substantia nigra. Numerous studies demonstrate the benefits of regular physical exercise in PD, with aerobic exercise having a greater neuroprotective effect by stimulating brain neuroplasticity. People with PD are more easily motivated to attend dance classes systematically than other forms of exercise, they have a high compliance rate with low dropouts, and often continue to practice dance outside the dance intervention. DfPD® (Dance for Parkinson's Disease®, or Dance for PD®) was developed by the Brooklyn Parkinson Group (BPG) in collaboration with the Mark Morris Dance Group (MMDG) in 2001.This intervention has previously been shown to exert beneficial effect on QoL, motor functions, cognition, self-efficacy, anxiety and depression in people with PD. To the investigators' knowledge, there is no study investigating the effect of any structured dance program in Greek PD patients. Furthermore, no study to date has investigated the effect of DfPD® on PD patients' fatigue. The present pilot study aimed at evaluating for the first time the efficacy, safety and feasibility of a culturally adjusted DfPD® program in Greek patients with early-to-mid-stage PD. This is a prospective, non-randomized, uncontrolled, open-label, pilot study. A total of 16 early-to-mid-stage PD patients underwent a total of 16 60-min classes of adjusted to Greek music and dance culture DfPD®, twice weekly, over 8 weeks. Assessments were performed at baseline and at the end of the study period and included quality of life, depressive symptoms, fatigue, cognitive functions, balance and body mass index. Safety and feasibility were also assessed.
Study Type
INTERVENTIONAL
Allocation
NA
The intervention consisted of 16 60-min classes, performed twice weekly over a period of 8 weeks and instructed by a single researcher who had the approval to use it for research reasons.
Laboratory of Neuromuscular and Cardiovascular Study of Motion (LANECASM)
Athens, Attica, Greece
Change in total score of Parkinson's Disease Questionnaire-8
Minimum score 0, Maximum score 100. A higher score indicates worse quality of life.
Time frame: Baseline (week 1), end of intervention (week 10)
Occurence of Emergent Adverse Events
Occurrence of adverse events comprising falls, injuries, muscle soreness or excessive fatigue.
Time frame: During the intervention (week 2-9)
Financial Feasibility Assessment
No cost for the studio and the dance instructor.
Time frame: During the intervention (week 2-9)
Adherence and Attrition Assessment
Adherence and attrition rates; an adherence rate ≥70% is considered as high in elderly with functional limitations, and attrition rate ≤15% is considered acceptable by the PEDro scale.
Time frame: During the intervention (week 2-9)
Assessment of Willingness to Continue the Program after the Intervention
Verbal statement for continuing the program after the end of the intervention
Time frame: End of intervention (week 10)
Assessment of Recruitment Rates
Target, up to 2 months for 16 participants.
Time frame: Start of Recruitment (-3 months), Baseline (week 1)
Change in total score of Beck Depression Inventory-II
Minimum score 0, Maximum score 63. A higher score indicates worse depressive symptoms.
Time frame: Baseline (week 1), end of intervention (week 10)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Purpose
TREATMENT
Masking
NONE
Enrollment
16
Change in total score of Parkinson Fatigue Scale-16
Minimum score 1, Maximum score 5. A higher score indicates more fatigue.
Time frame: Baseline (week 1), end of intervention (week 10)
Change in total score of Montreal Cognitive Assessment
Minimum score is 0, Maximum score 30. Lower scores indicate cognitive impairment.
Time frame: Baseline (week 1), end of intervention (week 10)
Change in total score of Berg Balance Scale
Minimum score is 0, Maximum score is 56. Lower scores indicate worse balance.
Time frame: Baseline (week 1), end of intervention (week 10)
Change in Body Mass Index
Lower scores than 18,5 indicate underweight, scores of 18,5-24,9 indicate normal weight, scores of 25-29,9 indicate overweight and scores of over 30 indicate obesity.
Time frame: Baseline (week 1), end of intervention (week 10)