The goal of this study is to determine whether it is possible for people with lower limb amputation (LLA) to perform adapted tap dance, whether an adapted tap dance program would be enjoyable, and whether it may improve balance and balance confidence. There is a lack of research investigating therapeutic interventions for people with lower limb amputation (LLA). Tap dance encourages balance and novel movements of the limbs, while providing auditory feedback from the feet that provide information about the foot's contact with the ground, which may help prosthesis users gain a better ability to understand where their prosthetic foot is in space. As with most forms of dance, tap is usually taught and practiced in a group setting, which encourages community involvement. It has been shown to be safer than many forms of dance due to low impact forces. It also, as a genre, can incorporate canes, chairs and partner work, providing the ability to modify steps/moves when required so that they remain practical, achievable and safe for people with mobility limitations, while still enabling participation. It therefore may be an accessible dance medium to help improve balance, balance confidence, and build community for people with LLA. Participants will be asked to: * come to 1 hour dance classes, once per week, for 8 weeks. * do mobility tests before and after the program * complete questionnaires before, during and after the program. The total time for participation is approximately 8-10 weeks.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
3
Participants will take part in a weekly adapted tap dance class, for one hour per week, for eight weeks.
University of Nevada Las Vegas
Las Vegas, Nevada, United States
Session Adherence
Number of planned dance tap sessions attended
Time frame: through study completion, over 8 weeks
Physical Activities Enjoyment Scale (PACES)
Total score on 18-item self response scale measuring enjoyment of an activity, out of a maximum 126.
Time frame: Intervention week 8
Change in Timed Up-and-Go test score
Timed walking test in which the participant rises from a chair, walks to a marker 10 feet away, turns, and returns to sit in the chair. Time to complete, in seconds, is recorded.
Time frame: 8 weeks
Change in Four Square Step Test score
Time taken in seconds to complete a stepping sequence between two canes placed in a cross shape.
Time frame: 8 weeks
Change in Berg Balance Scale score
Score out of 23, for performance of 14 mobility-related tasks.
Time frame: 8 weeks
Change in Activities-Specific Balance Confidence Scale score
16 item self response scale measuring balance confidence. Scored out of 100%
Time frame: 8 weeks
Physical Activities Enjoyment Scale (PACES) score - Mid program
Total score on 18-item self response scale measuring enjoyment of an activity, out of a maximum 126.
Time frame: Intervention week 4
Change in Trinity Amputation and Prosthesis Experience Scale (TAPES) functional activity restriction subscale score
Total score on functional activity restriction subscale of the TAPES - self reported outcome measure, out of maximum 12
Time frame: 8 weeks
Change in Trinity Amputation and Prosthesis Experience Scale (TAPES) social activity restriction subscale score
Total score on social activity restriction subscale of the TAPES - self reported outcome measure, out of maximum 12
Time frame: 8 weeks
Change in Trinity Amputation and Prosthesis Experience Scale (TAPES) athletic activity restriction score
Total score on athletic activity restriction subscale of the TAPES - self reported outcome measure, out of maximum 12
Time frame: 8 weeks
Use of assistive devices per session
Percentage of sessions for which assistive devices are used
Time frame: through study completion, over 8 weeks
Session completion per session
Percentage of planned dance tap sessions completed
Time frame: through study completion, over 8 weeks
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