Use the Back button in your browser to see the other results of your search or to select another record.
DARE to move: feasibility study of a novel dance-based rehabilitation method in severe traumatic brain injury |
Sarkamo T, Huttula L, Leppelmeier J, Molander K, Forsbom M-B, Saynevirta K, Kullberg-Turtiainen M, Turtiainen P, Sarajuuri J, Hokkanen L, Rantanen P, Koskinen S |
Brain Injury 2021;35(3):335-344 |
clinical trial |
7/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
OBJECTIVE: Dance is a versatile and multimodal rehabilitation method, which may be useful also in traumatic brain injury (TBI) rehabilitation. Here, we assessed the feasibility and preliminary effects of a novel dance-based intervention called Dual-Assisted Dance Rehabilitation (DARE). METHOD: This is a feasibility study with a cross-over design where 11 persons with severe/extremely severe TBI received a 12-week (2 times/week) DARE program. Motor and neuropsychological tests and questionnaires measuring mood, executive functions, and quality of life were performed at baseline, 3-month, and 6-month stage. Self-perceived benefits were assessed with a post-intervention questionnaire. RESULTS: Acceptability of and adherence to DARE were encouraging: 91% were fully consistent with protocol, and adherence to DARE sessions was 83 to 100%. Pre-post treatment effects sizes were medium-large for self-reported depression (BDI-II: d = 1.19 to 1.74) and executive deficits (BRIEF-A: d = 0.43 to 1.09) and for test-assessed trunk movement control (TIS: d = 0.47 to 0.76) and cognitive functioning (WAIS-IV subtests: d = 0.34 to 0.89). Other outcome measures did not show similar positive effect sizes. Self-perceived benefits were largest for mobility and cognition. CONCLUSION: Dance-based rehabilitation is a feasible and promising method in severe TBI and its efficacy should be assessed with a larger clinical trial.
|