Randomized controlled trial of community-based dancing to modify disease progression in Parkinson disease
Abstract
BACKGROUND: Tango dancing has been effective in improving measures of physical function in people with Parkinson disease (PD). However, all previous studies were institution-based, tested participants on medication, and employed short-term interventions. OBJECTIVE: To determine the effects of a 12-month community-based tango program for individuals with PD on disease severity and physical function. METHODS: Sixty-two participants were randomly assigned to a twice weekly, community-based Argentine Tango program or a Control group (no intervention). Participants were assessed off anti-Parkinson medication at baseline, 3, 6, and 12 months. The primary outcome measure was the Movement Disorders Society-Unified Parkinson Disease Rating Scale 3 (MDS-UPDRS-3). Secondary outcome measures were the MDS-UPDRS-1, MDS-UPDRS-2, MiniBESTest balance test; Freezing of Gait Questionnaire (FOG_Q); 6-Minute Walk Test (6MWT); gait velocity for comfortable forward, fast as possible forward, dual task, and backward walking; and Nine-Hole Peg Test (9HPT). RESULTS: Groups were not different at baseline. Overall, the Tango group improved whereas the Control group showed little change on most measures. For the MDS-UPDRS-3, there was no significant change in the Control group from baseline to 12 months, whereas the Tango group had a reduction of 28.7% (12.8 points). There were significant group by time interactions for MDS-UPDRS-3, MiniBESTest, FOG_Q, 6MWT, forward and dual task walking velocities, and 9HPT in favor of the dance group. CONCLUSIONS: Improvements in the Tango group were apparent off medication, suggesting that long-term participation in tango may modify progression of disability in PD.
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Tango dancing for 12 months improves balance, walking, and dual tasking capability in individuals with Parkinson's disease.
“Earhardt and colleagues showed that by the end of 12 months of Tango dancing individuals with PD had improved balance, walking, and dual tasking capability 34.”
From Exercise-enhanced neuroplasticity targeting motor and cognitive circuitry in Parkinson's disease (2013) · cites this paper as [34]
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Exercise-enhanced neuroplasticity targeting motor and cognitive circuitry in Parkinson's disease
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- Authors
- Duncan, R. P., & Earhart, G. M.
- Affiliations
- Washington University in St. Louis (US)
- Venue
- Neurorehabilitation and neural repair
- Publisher
- SAGE Publications
- Published
- 2011-09-29
- Volume
- 26
- Issue
- 2
- Pages
- 132-143
- ISSN
- 0888-4390 (ISSN-L)
- 1545-9683
- 1552-6844
- OpenAlex
- W2096734197
- Cited by
- 354
- References
- 53
- Citations by year
- 2026: 21 · 2025: 24 · 2024: 24 · 2023: 19 · 2022: 33 · 2021: 36 · 2020: 28 · 2019: 27 · 2018: 17 · 2017: 16 · 2016: 24 · 2015: 33 · 2014: 26 · 2013: 18 · 2012: 8
- FWCI
- 21.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neurorehabilitation and neural repair (publishedVersion)
- PubMed (publishedVersion)
- Digital Commons@Becker (Washington University School of Medicine) (submittedVersion)
- Funders
- St. Louis American Parkinson Disease Association
- Parkinson Vereniging
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Diversity and Impact of Dance
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
- Keywords
- Parkinson's disease, community-based exercise, disease progression, physical function, off-medication state, freezing of gait, balance, walking speed, dual-task walking, hand function, Unified Parkinson's Disease Rating Scale
- MeSH terms
- Activities of Daily Living, Dance Therapy, Postural Balance, Female, Follow-Up Studies, Gait, Humans, Male, Parkinson Disease, Psychomotor Performance, Surveys and Questionnaires, Residence Characteristics, Severity of Illness Index, Time Factors, Treatment Outcome, Disease Progression, Upper Extremity
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