Efeitos de um programa de dança e de caminhada na marcha e na qualidade de vida de indivíduos com doença de Parkinson

Introdução: A doença de Parkinson (DP), caracterizada por ser crônica, progressiva e neurodegenerativa, é uma das enfermidades neurológicas mais frequentes na atualidade. Pacientes com DP apresentam prejuízos motores, como rigidez muscular, tremor de repouso, lentidão de movimentos, instabilidade postural, e alterações na marcha e no equilíbrio; e distúrbios não-motores, como fatores cognitivos e neuropsiquiátricos, depressão, e uma consequente diminuição da qualidade de vida (QV). Apesar de a caminhada ser considerada tradicionalmente uma recomendação médica no tratamento não farmacológico da DP, a dança vem surgindo como uma importante ferramenta no tratamento complementar destes pacientes, quando somada a terapias medicamentosas tradicionais. Objetivo: Verificar e comparar os efeitos de um programa de dança e de caminhada na mobilidade funcional, nos parâmetros motores e na QV de pessoas com DP. Métodos: foi elaborado um protocolo de aulas de dança inspirado em ritmos musicais brasileiros: forró e samba. A amostra foi composta por 18 participantes com DP, divididos de forma não randomizada, em dois grupos: grupo dança (GD; n = 12) e grupo caminhada (GC; n = 6), expostos a 24 aulas de dança ou caminhada, com duração de uma hora e frequência de duas vezes por semana. Os instrumentos de coletas de dados utilizados foram uma ficha de dados pessoais dos pacientes, a Escala de Hoehn e Yahr (H&Y), o teste Timed Up and Go (TUG), a parte motora da Escala Unificada de Avaliação da DP (UPDRS III), o Índice de reabilitação (IR), a análise cinemática da caminhada e o Parkinson Disease Questionnaire (PDQ-39). A normalidade dos dados descritivos no momento inicial da pesquisa foi verificada através do Teste Shapiro-Wilk, foi utilizado o Teste Wilcoxon para dados não paramétricos e o Teste t pareado para dados paramétricos. Para os desfechos da pesquisa foram utilizados a análise de Equações de Estimativas Generalizadas (GEE), para a comparação entre os grupos GD e GC, os tempos PRÉ e PÓS intervenção, e interação tempo*grupo. Foi utilizado um posthoc de Bonferroni, para identificar as diferenças entre as médias em todas as variáveis. Para a análise dos dados foi utilizado o software Statistical Package for Social Sciences (SPSS) versão 20.0. O nível de significância adotado para ambos os testes foi de α<0,05. Resultados: Foi realizado um protocolo detalhado das intervenções. Os dois grupos apresentaram melhorias significativas após a intervenção em relação a mobilidade funcional na velocidade autosselecionada (VAS) (p = 0,02) e na velocidade rápida (VR) (p = 0,02), ao tempo de contato (TC) (perna esquerda VAS, p = 0,0028; perna direita VR, p = 0,009; perna esquerda, VR p = 0,025), ao tempo de balanço (TB) (perna esquerda VAS, p = 0,0028), a fase de duplo apoio (FDA) (perna direita VR, p < 0,001), a QV geral (p = 0,004), e aos domínios de bemestar emocional (p = 0,001), cognição (p = 0,020) e desconforto corporal (p = 0,008). O GD apresentou melhores resultados em comparação com o GC para os desfechos de Frequência de passos (FP) (p = 0,011) e o domínio de atividades de vida diária (AVDs) (p = 0,049). Conclusão: Ambos os grupos, GD e GC, apresentaram melhorias significativas após o período de intervenção, demonstrando que a dança é tão eficiente quanto a caminhada para a mobilidade funcional, parâmetros motores e a qualidade de vida de indivíduos com DP.Background: Parkinson's disease (PD), characterized as progressive and neurodegenerative, is one of the most frequent neurological diseases of the present time. Patients with PD present motor impairment, such as muscle stiffness, rest tremor, slow movements, postural instability, and gait and balance alterations; And non-motor factors, such as cognitive and neuropsychiatric disorders, depressive symptoms, and a consequent decrease in quality of life (QL). Although walking is traditionally considered a medical recommendation in the non-pharmacological treatment of PD, dance has emerged as an important tool in the complementary treatment of these patients when added to traditional drug therapies.Objective: Verify and compare the effects of a program of dance and walking in functional mobility, motor parameters and QL of people with PD. Methods: the sample was composed of 18 participants with PD, divided into two non-randomized groups: dance group (DG; n = 12) and walking group (WG; n = 6). The data collection instruments used were be a personal data sheet of the patients, the Hoehn and Yahr Scale (HY), the Timed Up and Go test (TUG), the motor part of the Unified PD Rating Scale (UPDRS III), locomotor rehabilitation index (LRI), the kinematic walk analysis and the Parkinson's Disease Questionnaire (PDQ- 39). The normality of the descriptive data at the initial time of the research was verified through the Shapiro-Wilk Test, using the Wilcoxon Test for non-parametric data and the paired t-test for parametric data. For the research outcomes, the Generalized Estimating Equations (GEE) analysis was used to compare the GD and GC groups, the pre and post intervention moments, and the time group interaction. A Bonferroni post-hoc was used to identify the differences between means in all variables. Statistical Package for Social Sciences (SPSS) software version 20.0 was used to analyze the data. The significance level adopted for both tests was α <0.05. Results: A detailed protocol of interventions was performed. The two groups showed significant improvements after the intervention in relation to functional mobility in comfortable velocity (CV) (p = 0.02) and in fast velocity (FV) (p = 0.02), at stance time (StT) (Left leg CV, p = 0.0028); right leg FV, p = 0.009; left leg, FV p = 0.025), and swing time (SwT) (left leg CV, p = 0,0028), at double support phase (DSF) (rigth leg FV, p < 0,001), a general QL (p = 0,004), and to emotional well-being (p = 0.001), cognition (p = 0.020) and body discomfort (p = 0.008). The DG presented better results in comparison to the WG for the outcomes of Frequency of steps (FS) (p = 0.011) and the domain of activities of daily living (ADLs) (p = 0.049). The two interventions showed significant improvements regarding functional mobility, time of contact (TC), time of balance (TB), the perception of general QL, and domains of emotional well-being, cognition and body discomfort. The DG presented better results compared to the WG for the step frequency, double support phase and the domain of daily living activities. Conclusion: Both groups, DG and WG, showed significant improvements after the intervention period, demonstrating that dance is as efficient than walking for functional mobility, motor parameters and the QL for individuals with PD

The effects of whole body vibration training on vertical jump height in dancers: A systematic review with meta-analysis

This is an accepted manuscript of an article published by National Dance Society in national Dance Society Journal on 16/09/2020. The accepted version of the publication may differ from the final published version.Dancers must be strong and flexible for a balanced body and great performances. However, dance training and fitness methods are quite divergent between dance styles, dance coaches and teachers. It was verified in the scientific literature that whole-body vibration (WBV) training can improve the vertical jump height (VJH) for dancers from different styles when compared to other interventions or no intervention. The purpose of this study was to verify the effects of WBV training on VJH in dancers, compared to other interventions or no intervention, in randomized controlled trials (RCTs), through a systematic review with meta-analysis. The search used the databases MEDLINE, LILACS, Cochrane, PEDro, Psycinfo and Google Scholar (between 1985 and September, 2019). RCTs that analyzed the effects of WBV training on vertical jump height in dancers, compared to other models of training or no intervention, were included. Four studies met the eligibility criteria; 56 were excluded. The data from the selected studies were extracted by two independent and blind reviewers. Four RCTs that assessed 84 participants in total were included. WBV training promoted significant improvements in VJH, compared to other interventions such as intense stretching, or extra dance classes. WBV training proved to be beneficial even with a short time intervention

Can Samba and Forró Brazilian rhythmic dance be more effective than walking in improving functional mobility and spatiotemporal gait parameters in patients with Parkinson’s disease?

Background: Parkinson’s disease (PD) causes motor and nonmotor disorders in patients. Unlike aerobic training, potential adaptations from the practice of dance are less understood in PD, particularly compared with better known exercise modes. This study aimed to verify and compare the effects of a Brazilian dance program, inspired by Samba and Forrró rhythms, and a walking program on functional mobility and spatiotemporal gait parameters in patients with PD. Methods: Eighteen participants with PD were divided into a dance group (DG) and a walking group (WG) and were assessed before and after an intervention period of 24 1-h sessions, performed twice per week for 12 weeks. The timed-up-and-go test (TUG) and walking kinematics at self-selected speed (SSS) and fast speed (FS) were determined. The generalized estimating equation method was used to compare the DG and WG pre- and postintervention and to evaluate the group*time interaction (α < 0.05). Results: Both groups demonstrated a significant improvement in TUG test at SSS (p = 0.02; effect size [ES] = 0.42) and FS (p = 0.02; ES = 0.24). In general, spatiotemporal parameters remained unchanged, except at SSS, in which the DG increased the stride frequency (p = 0.011; ES = 0.72). At FS, the swing time demonstrated a significant group*time interaction (p < 0.001; ES = 1.10), in which the two groups exhibited different behaviors: DG decreased (p = 0.015) and WG increased (p = 0.012). Conclusions: Functional mobility improved similarly in both groups. The results suggest that a 12-week program of Brazilian dance was sufficient to produce improvements in functional mobility and gait in individuals with PD

Dance and Parkinson’s Disease: what are the effects on quality of life?

OBJETIVO: Verificar os efeitos de aulas de dança sobre a qualidade de vida de pessoas com doença de Parkinson. MÉTODOS: Nove participantes com doença de Parkinson, de ambos os sexos, foram divididos em dois grupos: experimental (GE; n=5; 70,60±8,01 anos) que receberam 15 aulas de dança, durante oito semanas; e, grupo controle (GC; n=4; 71,00±13,34 anos), o qual não recebeu intervenção e foi orientado a seguir sua rotina habitual. A qualidade de vida foi avaliada através da aplicação do Parkinson Disease Questionnaire (PDQ-39), antes e após o período de intervenção. Foi realizada a comparação das variáveis entre os grupos e entre os momentos através do método de equações de estimativas generalizadas (GEE) com post-hoc de Bonferroni, adotando-se nível de significância de 0,05. Para a análise dos dados foi utilizado o software SPSS versão 22.0. RESULTADOS: Ambos os grupos apresentaram diminuição significativa na pontuação total do questionário após o período de intervenções (p=0,047). Foram encontradas diferenças significativas entre os grupos, com melhores escores no GE em comparação ao GC, nos domínios suporte social e mobilidade. CONCLUSÕES: Os resultados demonstraram melhora significativa na percepção da qualidade de vida geral após oito semanas de intervenção.OBJECTIVE: To verify the effects of dance on quality of life in people with Parkinson’s Disease (PD). METHODS: Nine participants with PD, both sexes, were divided into two groups: experimental (EG; n = 5; 70.60 ± 8.01 years) which received 15 dance classes, for 8 weeks; and control (CG; n = 4; 71.00 ± 13.34 years), which received no intervention. The Parkinson Disease Questionnaire (PDQ-39) was performed to evaluate quality of life pre and post intervention. Generalized Estimating Equations (GEE) analysis was used to compare the groups, pre and post, level of significance = 0.05. SPSS version 22.0 was performed to analyse the data. RESULTS: Both groups showed a significant decrease in the quality of life total score after the intervention period (p = 0.047). Significant differences were found between groups in the social support and mobility domains, showing better scores in the EG when compared to CG. CONCLUSIONS: The results showed significant improvements in the overall quality of life score after 8 weeks of intervention

Atividade física de indivíduos com doença de Parkinson em isolamento social antes e durante a pandemia de COVID-19

The world has been hit by a pandemic caused by the new coronavirus (COVID-19), which has resulted in government recommendations and measures including social isolation to reduce the spread of the disease. In view of these recommendations, there were drastic changes in lifestyle, impacting the physical and mental health of men and women. Thus, this study aimed to investigate the practice of physical activity, according to sex, in individuals with Parkinson’s disease in social isolation before and during the COVID-19 pandemic. Cross-sectional observational study, based on an online questionnaire validated for individuals with Parkinson’s disease PAFPA/COVID19, in which 156 individuals of both sexes and degrees of the disease (I to V) were allocated, with a mean age of 63.70 ± 11.00 years and from different Brazilian regions. Chi-square, Fisher’s exact and binary logistic regression tests were used. It is observed that 92% of the participants were in social isolation, which caused negative effects on the level of physical activity of the participants, even though most of them doing physical activity online. In addition, it was found that those who participated in specific exercise programs for Parkinson’s disease, are less likely to be insufficiently active, as well as individuals who receive online guidance. Although social isolation is a necessary measure to combat COVID-19, the results show a negative effect of this social isolation on the parameters of physical activity in this population in different regions of Brazil. This suggests that better strategies for health promotion in order to increase levels of physical activity at home are necessary to reduce the physical inactivity lifestyle during the pandemic, in order to prevent diseases associated with social isolation and physical inactivity.O mundo foi atingido por uma pandemia causada pelo novo coronavírus (COVID-19), que resultou em recomendações e medidas governamentais, incluindo isolamento social para reduzir a disseminação da doença. Diante dessas recomendações, ocorreram mudanças drásticas no estilo de vida, impactando na saúde física e mental de homens e mulheres. Assim, este estudo teve como objetivo investigar a prática de atividade física, segundo o sexo, em indivíduos com doença de Parkinson em isolamento social antes e durante a pandemia de COVID-19. Estudo observacional transversal, baseado em questionário online validado para indivíduos com doença de Parkinson PAFPA/COVID19, no qual foram avaliados 156 indivíduos de ambos os sexos e graus da doença (I ao V), com média de idade de 63,70 ± 11,00 anos e de diferentes regiões brasileiras. Foram utilizados os testes Qui-quadrado, exato de Fisher e a regressão logística binária. Observa-se que 92% dos participantes encontravam-se em isolamento social, o que causou repercussões negativas no nível de atividade física dos participantes, embora a maioria realizasse atividade física online. Além disso, verificou-se que aqueles que participaram de programas de exercícios específicos para a doença de Parkinson, tiveram menor probabilidade de serem insuficientemente ativos, assim como os indivíduos que recebem orientação online. Embora o isolamento social seja uma medida necessária para combater a COVID-19, os resultados mostram um efeito negativo desse isolamento social sobre os parâmetros de atividade física dessa população em diferentes regiões do Brasil. Isso sugere que melhores estratégias de promoção da saúde para aumentar os níveis de atividade física no domicílio são necessárias para reduzir o inatividade física durante a pandemia, a fim de prevenir doenças associadas ao isolamento social e inatividade física

Can dance improve turning in people with Parkinson’s Disease?

This is an accepted manuscript of an article published by SAGE in Journal of Dance Medicine & Science on 08/04/2024, available online: https://doi.org/10.1177/1089313X241242632 The accepted version of the publication may differ from the final published version. Supplementary Material Available at: https://data.mendeley.com/datasets/fx7frkjm3w/draft?a=69ca6faf-3ea3-415b-8dba-b56fa5bd63Objective: To investigate the effects of a dance intervention on selected functional parameters during the 180° turning phase of the Timed Up & Go (TUG) test in people with Parkinson’s Disease (PwPD). Methods: Fifteen adults clinically diagnosed with idiopathic PD were allocated into dance intervention (DIG; n = 7 ; age 73 ± 2 years) and control (CG; n = 8; age 64 ± 5 years) groups. The dance intervention lasted for 3 months (1 hour, twice a week). At baseline, all participants completed the Unified PD Rating Scale–part III, the International Physical Activity Questionnaire-short form, and the Hoehn & Yahr scale. Pre- and post-intervention, the primary outcomes were measured (number of steps and time to complete the 180° turning phase of the TUG test) at 2 speeds (comfortable walking and as quickly and safely speed) while using the Xsens® 3D motion suit. The secondary outcome (girdle dissociation) was assessed by calculating the difference between pelvis and affected shoulder orientation in the transverse plane (dissociation angles) at each data point during the TUG test’s 180° turning phase. Results: At participant’s comfortable walking speed, the functionality during the 180° turning remained unaffected following the dance intervention. However, at participant’s fast speed, the dance intervention group significantly reduced the number of steps with a large effect size, and the total time taken to complete the 180° turning with a medium effect size. Post-intervention, most participants in the dance intervention group reduced the affected shoulder and pelvic girdle dissociation and turned more “en bloc.” Conclusion: Dance can improve selected functional parameters during the 180° turning at fast speed in PwPD. The current results should be considered in rehabilitation programs.This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior – Brasil (CAPES) – Finance Code 001

Brazilian dance self-perceived impacts on quality of life of people with Parkinson’s

BackgroundParkinson’s disease (PD) causes several motor and non-motor symptoms, resulting in negative impacts on physical, mental, emotional, and social aspects of people with PD quality of life. Dance has been considered as a potential non-pharmacological intervention to improve people with PD motor and non-motor symptoms, thereby enhancing quality of life.PurposeTo analyze the self-perceive impacts of Brazilian Dance on the quality of life (physical, mental, emotional, and social) of PwPD, both before and during the COVID-19 pandemic.MethodsFourteen participants from the “Dança &amp; Parkinson” project were included in this qualitative study. Data collection instruments consisted of a profile and personal data sheet; assessment of accessibility to the online dance classes; Telephone Montreal Cognitive Assessment by phone call; and semi-structured interview conducted through ZOOM video call. The participants characterization data were calculated using mean, standard deviation, and percentages with the Excel Program version 2013. Qualitative data was analyzed using the Thematic Analysis technique in the Nvivo, version 8.0, qualitative analysis of text, sound, and video program.ResultsThe participants reported facing various challenges in dealing with PD, which negatively impact their quality of life. However, their resilience, acceptance, and dedication to treatment play an important role in coping with the issues related to the disease. Brazilian dance, both in-person before the COVID-19 pandemic and online during the pandemic, led the participants to perceive improvements in physical, mental, emotional, and social aspects of quality of life.ConclusionThe Brazilian dance appears to have a positive impact on the physical, mental, emotional, and social aspects of the participants’ quality of life, both before and during the COVID-19 pandemic

Dança & Parkinson: Relato de um Projeto De Extensão

A Doença de Parkinson (DP), caracterizada por ser progressiva e neurodegenerativa, é uma das enfermidades neurológicas mais frequentes na atualidade. A dança pode ser uma importante ferramenta no tratamento complementar destes pacientes, quando somada a terapias medicamentosas e fisioterápicas tradicionais