Over half of the general population does not achieve recommended daily levels of physical activity, and activity levels in people with Parkinson disease (PD) are lower than in healthy older adults. Dance can serve as an adjunct to traditional treatments to improve gait, balance, and quality of life in people with PD. This study directly compares a tango dance intervention and a dance intervention based on the Dance for PD model, which integrates multiple dance styles. Eleven people with PD participated in a community-based mixed styles dance intervention called Dance for Parkinson’s (D4PD). Participants in the D4PD group were matched to participants in an ongoing community-based exercise study who participated in tango dance. The groups received 12?weeks of intervention, attending 1-h group classes twice a week. Participants were evaluated off anti-PD medication before and after intervention. Measures of balance, repeated sit-to-stand performance and endurance (mini-balance evaluation systems test, four square step test, five times sit to stand, 6-min walk time) improved from pre to post similarly in both groups. Motor sign severity (movement disorders society unified Parkinson disease rating scale motor subsection) and functional mobility (timed up and go) improved in the tango group and worsened in the D4PD group. Gait velocity was not affected by either intervention. Direct comparisons of different interventions are -critical for developing optimal exercise interventions designed to specifically target motor impairments in PD. Tango dance interventions may preferentially improve mobility and motor signs in people with PD, compared to D4PD.
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机译：超过一半的总人口未达到建议的每日体力活动水平，帕金森病（PD）患者的活动水平低于健康的老年人。舞蹈可以作为传统疗法的辅助手段，以改善PD患者的步态，平衡和生活质量。本研究直接比较了探戈舞蹈干预和基于“ Dance for PD”模型的舞蹈干预，该模型整合了多种舞蹈风格。有11位PD的人参加了基于社区的混合风格舞蹈干预，称为“帕金森舞蹈（D4PD）”。 D4PD组的参与者与正在进行的基于社区的运动研究中的探戈舞蹈参与者相匹配。这些小组接受了12周的干预，每周两次参加1小时的小组课。在干预之前和之后，对参与者进行抗PD药物的评估。两组的平衡度，重复坐姿-站立表现和耐力（迷你平衡评估系统测试，四平方步测试，五次坐姿，6分钟步行时间）从前到后均得到了改善。探戈组的运动体征严重度（运动障碍社会统一的帕金森氏病评分量表运动小节）和功能活动性（定时运动）改善，D4PD组则恶化。步态速度不受任何干预的影响。不同干预措施的直接比较对于开发旨在专门针对PD运动障碍的最佳运动干预措施至关重要。与D4PD相比，探戈舞蹈干预可以优先改善PD患者的活动能力和运动迹象。
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