Abstract Details

Title Adapted Tango Dancing for Parkinson's Disease (PD) Can Be Safely Delivered in Community-Based Settings

Topic Movement Disorders

Presentation(s) P02 - (-)

Poster/Presentation
Number 079

Objective

Background BACKGROUND: Adapted tango has improved mobility, balance and QOL in individuals with PD, when examined in controlled laboratory settings (Hackney et al, 2007, Hackney & Earhart 2009, 2010a, b). Community based programs are needed, but whether the adapted tango program can be delivered safely and effectively in such settings is unclear.

Design/Methods DESIGN/METHODS: Four dance teachers without clinical qualifications trained in 15h of adapted tango methods. Thirty individuals with mild-moderate PD were assigned to 20, 1.5h lessons of tango (n=21, 10 female; age: 68(7.6)y; range: 55-81y, Hoehn &Yahr: 2.1(0.5)) or health education (n=9, 1 female; age: 74(6.5)y; range: 61-82y, Hoehn &Yahr: 2.2(0.6)) over 12 weeks. Feasibility outcomes included fall incidence during classes, and participant retention/satisfaction. Everyday fall incidence, balance, spatial ability, QOL, and disease severity were evaluated before and after intervention. Independent t tests and odds ratios compared groups and paired t tests compared within group differences pre-post, using SPSS (version-19). Twenty-one Tango and 8 ��ɫ�� participants completed the program.

Results RESULTS: Both groups strongly agreed they enjoyed the program. Tango strongly agreed they would continue and noted mood, coordination and endurance improvements. Three non-injurious falls (involving daily fallers) occurred in tango (out of 48 classes total). Everyday fall incidence during the interventional period versus the 6 months before enrollment did not decrease in Tango versus ��ɫ�� (OR=1.07, CI: 0.79-1.5, [Phi]=0.01). Tango's disease severity (p<0.006), balance (p=0.008), and spatial ability (p=0.04) improved. ��ɫ��'s mental QOL improved (p=0.027), and disease severity worsened (p=0.03). Tango was more likely to improve 3+ points on a balance scale than ��ɫ�� (OR=2.63, CI: 0.14-48.1, [Phi]=0.20).

Conclusions CONCLUSIONS: Community-based adapted tango for PD can be safely delivered with high participant satisfaction/retention, and potential for improving balance.

Authors/Disclosures
Kathleen McKee, MD (Intermountain Healthcare) PRESENTER	Dr. McKee has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Ceraxis.
Feride H. Frech, PhD (Eisai Inc)	Dr. Frech has received personal compensation for serving as an employee of Eisai Inc.
	No disclosure on file

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