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"Dance therapy" as a psychotherapeutic movement intervention in Parkinson's disease [with consumer summary]
Michels K, Dubaz O, Hornthal E, Bega D
Complementary Therapies in Medicine 2018 Oct;40:248-252
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: No; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND: Previous studies in Parkinson's Disease (PD) have described benefits of dance for motor and non-motor outcomes, yet few studies specifically look at dance therapy (DT) as a specific psychotherapeutic model for PD. DT is the psychotherapeutic use of movement to improve physical, emotional, cognitive, and social integration and wellbeing. OBJECTIVE: (1) Explore the safety and feasibility of a 10-week DT program for PD. (2) Collect pilot data on efficacy of DT. DESIGN/METHODS: Prospective, randomized-controlled study in subjects with PD. 13 participants randomized 2:1 to DT (n = 9) or support group (n = 4). Assessments were completed 1 to 2 weeks prior to the first session and after the final session, and included attendance, Hoehn and Yahr Scale (H and Y), Unified Parkinson's Disease Rating Scale (MDS-UPDRS), Montreal Cognitive Assessment, Timed Up and Go, Berg Balance Scale, Beck Depression Inventory, Fatigue Severity Scale, Visual Analog Fatigue Scale, Parkinson's Disease Questionnaire-39, and an exit satisfaction survey. RESULTS: All participants completed the study. The control group was older and had a higher mean baseline MDS-UPDRS III score (27.56 dance versus 40.75 control) and H and Y score (2.11 dance versus 2.50 control). 7 of 9 in DT and all control subjects attended at least 70% of classes. All participants in DT enjoyed the classes and most felt they were beneficial. The greatest improvement in motor measures was in MDS-UPDRS III (-4.12 (dance) versus -1.75 (control)). Non-motor outcomes were explored as well. CONCLUSIONS: DT is introduced as an enjoyable mind-body intervention for PD. Further studies powered for efficacy and with groups matched for disease severity are warranted.

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