Community-based Argentine tango dance program is associated with increased activity participation among individuals with Parkinson's disease

Abstract

Objective: To determine the effects of a 12-month community-based tango dance program on activity participation among individuals with Parkinson's disease (PD).

Design: Randomized controlled trial with assessment at baseline, 3, 6, and 12 months.

Setting: Intervention was administered in the community; assessments were completed in a university laboratory.

Participants: Volunteers with PD (n=62) enrolled in the study and were randomized to a treatment group; 10 participants did not receive the allocated intervention, and therefore the final analyzed sample included 52 participants.

Interventions: Participants were randomly assigned to the tango group, which involved 12 months of twice-weekly Argentine tango dance classes, or to the no intervention control group (n=26 per group).

Main outcome measure: Current, new, and retained participation in instrumental, leisure, and social activities, as measured by the Activity Card Sort (with the dance activity removed).

Results: Total current participation in the tango group was higher at 3, 6, and 12 months compared with baseline (Ps≤.008), while the control group did not change (Ps≥.11). Total activity retention (since onset of PD) in the tango group increased from 77% to 90% (P=.006) over the course of the study, whereas the control group remained around 80% (P=.60). These patterns were similar in the separate activity domains. The tango group gained a significant number of new social activities (P=.003), but the control group did not (P=.71).

Conclusions: Individuals with PD who participated in a community-based Argentine tango class reported increased participation in complex daily activities, recovery of activities lost since the onset of PD, and engagement in new activities. Incorporating dance into the clinical management of PD may benefit participation and subsequently quality of life for this population.

Figure 1

CONSORT flow diagram illustrating participant recruitment, randomization, and attrition. All participants retained through 3 months were included in the final analyzed sample; last observations from those who dropped out after 3 months were carried forward for intent-to-treat analysis.

Figure 2

Total Current Participation scores on the Activity Card Sort (ACS) at baseline, 3-, 6-, and 12-month evaluations for the Tango and Control groups. Values are means ± SEs. Horizontal lines indicate a significant difference within the Tango group between the time points spanned by the line.

Figure 3

Current Participation scores on the Activity Card Sort (ACS) for each activity domain at baseline, 3-, 6-, and 12-month evaluations for the Tango and Control groups. Values are means ± SEs. Horizontal lines indicate a significant difference within the Tango group between the time points spanned by the line.

Figure 4

Total Activity Retention scores on the Activity Card Sort (ACS) at baseline, 3-, 6-, and 12-month evaluations for the Tango and Control groups. Activity Retention scores represent the proportion of pre-PD activities currently engaged in, calculated as Current Participation/Previous Participation. Values are means ± SEs. Horizontal lines indicate a significant difference within the Tango group between the time points spanned by the line.

Figure 5

Activity Retention scores on the Activity Card Sort (ACS) for each activity domain at baseline, 3-, 6-, and 12-month evaluations for the Tango and Control groups. Values are means ± SEs. Horizontal lines indicate a significant difference within the Tango group between the time points spanned by the line.

Figure 6

Total New Activity scores on the Activity Card Sort (ACS) at baseline, 3-, 6-, and 12-month evaluations for the Tango and Control groups. Values are means ± SEs. Both groups reported more new activities at 3-, 6-, and 12-months compared to baseline.

Figure 7

New Activity scores on the Activity Card Sort (ACS) for each activity domain at baseline, 3-, 6-, and 12-month evaluations for the Tango and Control groups. Values are means ± SEs.