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?

There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

Abstract

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 post-intervention 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.

Trial registration

This study is registered with the International Clinical Trial Registry under number NCT03370315. Registered December 28, 2017 - Retrospectively registered.

Related collections

Most cited references 28

Record: found
Abstract: found
Article: not found

Epidemiology of Parkinson's disease.

Ahmed A ElBaz, L Carcaillon, S Kab … (2016)

Parkinson's disease (PD) is the second most common neurodegenerative disease after Alzheimer's. PD is considered a multifactorial disorder that results, in most cases, from the combined effects of multiple risk and protective factors, including genetic and environmental ones. This review discusses some of the methodological challenges involved in assessing the descriptive, prognostic and etiological epidemiological studies of PD, and summarizes their main findings.

0 comments Cited 142 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Stride length regulation in Parkinson's disease. Normalization strategies and underlying mechanisms.

Jeffery J. Summers, Taylor Morris, R Iansek … (1996)

Results of our previous studies have shown that the slow, shuffling gait of Parkinson's disease patients is due to an inability to generate appropriate stride length and that cadence control is intact and is used as a compensatory mechanism. The reason for the reduced stride length is unclear, although deficient internal cue production or inadequate contribution to cortical motor set by the basal ganglia are two possible explanations. In this study we have examined the latter possibility by comparing the long-lasting effects of visual cues in improving stride length with that of attentional strategies. Computerized stride analysis was used to measure the spatial (distance) and temporal (timing) parameters of the walking pattern in a total of 54 subjects in three separate studies. In each study Parkinson's disease subjects were trained for 20 min by repeated 10 m walks set at control stride length (determined from control subjects matched for age, sex and height), using either visual floor markers or a mental picture of the appropriate stride size. Following training, the gait patterns were monitored (i) every 15 min for 2 h; (ii) whilst interspersing secondary tasks of increasing levels of complexity; (iii) covertly, when subjects were unaware that measurement was taking place. The results demonstrated that training with both visual cues and attentional strategies could maintain normal gait for the maximum recording time of 2 h. Secondary tasks reduced stride length towards baseline values as did covert monitoring. The findings confirm that the ability to generate a normal stepping pattern is not lost in Parkinson's disease and that gait hypokinesia reflects a difficulty in activating the motor control system. Normal stride length can be elicited in Parkinson's disease using attentional strategies and visual cues. Both strategies appear to share the same mechanism of focusing attention on the stride length. The effect of attention appears to require constant vigilance to prevent reverting to more automatic control mechanisms.

0 comments Cited 128 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Biomechanical and physiological aspects of legged locomotion in humans.

E Minetti, Alberto E Minetti, F Saibene (2003)

Walking and running, the two basic gaits used by man, are very complex movements. They can, however, be described using two simple models: an inverted pendulum and a spring. Muscles must contract at each step to move the body segments in the proper sequence but the work done is, in part, relieved by the interplay of mechanical energies, potential and kinetic in walking, and elastic in running. This explains why there is an optimal speed of walking (minimal metabolic cost of about 2 J.kg(-1).m(-1) at about 1.11 m.s(-1)) and why the cost of running is constant and independent of speed (about 4 J.kg(-1).m(-1)). Historically, the mechanical work of locomotion has been divided into external and internal work. The former is the work done to raise and accelerate the body centre of mass (m) within the environment, the latter is the work done to accelerate the body segments with respect to the centre of m. The total work has been calculated, somewhat arbitrarily, as the sum of the two. While the changes of potential and kinetic energies can be accurately measured, the contribution of the elastic energy cannot easily be assessed, nor can the true work performed by the muscles. Many factors can affect the work of locomotion--the gradient of the terrain, body size (height and body m), and gravity. The partitioning of positive and negative work and their different efficiencies explain why the most economical gradient is about -10% (1.1 J.kg(-1).m(-1) at 1.3 m.s(-1) for walking, and 3.1 J.kg(-1).m(-1) at between 3 and 4 m.s(-1) for running). The mechanics of walking of children, pigmies and dwarfs, in particular the recovery of energy at each step, is not different from that of taller (normal sized) individuals when the speed is expressed in dynamically equivalent terms (Froude number). An extra load, external or internal (obesity) affects internal and external work according to the distribution of the added m. Different gravitational environments determine the optimal speed of walking and the speed of transition from walking to running: at more than 1 g it is easier to walk than to run, and it is the opposite at less than 1 g. Passive aids, such as skis or skates, allow an increase in the speed of progression, but the mechanics of the locomotion cannot be simply described using the models for walking and running because step frequency, the proportion of step duration during which the foot is in contact with the ground, the position of the limbs, the force exerted on the ground and the time of its application are all different.

0 comments Cited 104 times – based on 0 reviews      Review now

Bookmark

All references

Author and article information

Contributors

Marcela dos Santos Delabary: marcela_delabary@yahoo.com.br

Journal

Journal ID (nlm-ta): BMC Neurol

Journal ID (iso-abbrev): BMC Neurol

Title: BMC Neurology

Publisher: BioMed Central (London )

ISSN (Electronic): 1471-2377

Publication date (Electronic): 18 August 2020

Publication date PMC-release: 18 August 2020

Publication date Collection: 2020

Volume: 20

Electronic Location Identifier: 305

Affiliations

[1 ]GRID grid.8532.c, ISNI 0000 0001 2200 7498, Federal University of Rio Grande do Sul, ; Street Felizardo, 750, Jardim Botânico, Porto Alegre, Rio Grande do Sul Brazil

[2 ]GRID grid.271300.7, ISNI 0000 0001 2171 5249, Federal University of Pará, ; Street Guamá, Belém, Pará Brazil

Article

Publisher ID: 1878

DOI: 10.1186/s12883-020-01878-y

PMC ID: 7433088

PubMed ID: 32811464

SO-VID: 0843354f-6103-4b67-92d5-d06f9cde9e92

License:

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

History

Date received : 12 February 2020

Date accepted : 5 August 2020

Custom metadata

ScienceOpen disciplines: Neurology

Keywords: parkinsonian disorders,dance therapy,rehabilitation,kinematics,locomotion,quality of life

Data availability:

ScienceOpen disciplines: Neurology

Keywords: parkinsonian disorders, dance therapy, rehabilitation, kinematics, locomotion, quality of life

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?

Read this article at

Abstract

Background

Methods

Results

Conclusions

Trial registration

Related collections

Karger: Neurology and Neuroscience

Most cited references 28

Epidemiology of Parkinson's disease.

Stride length regulation in Parkinson's disease. Normalization strategies and underlying mechanisms.

Biomechanical and physiological aspects of legged locomotion in humans.

Author and article information

Contributors

Journal

Affiliations

Article

History

Categories

Custom metadata

Comments

Comment on this article

Similar content 246

Cited by 8

Most referenced authors 413