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Health-related quality of life and alternative forms of exercise in Parkinson disease
Authors:Madeleine E Hackney  Gammon M Earhart
Institution:1. Program in Physical Therapy, Washington University School of Medicine, St. Louis, MO 63108, USA;2. Department of Anatomy and Neurobiology, Washington University School of Medicine, St. Louis, MO 63110, USA;3. Department of Neurology, Washington University School of Medicine, St. Louis, MO 63104, USA;1. Department of Neurology, University of Florida, Jacksonville, FL, USA;2. Buehler Center on Aging, Health & Society Northwestern University, Chicago, IL, USA;3. Department of Preventive Medicine, Northwestern University, Chicago, IL, USA;4. Department of Neurology, Northwestern University, Chicago, IL, USA;1. Faculty of Education and Health Sciences, Department of Clinical Therapies, University of Limerick, Limerick, Ireland;2. Department of Physiotherapy, School of Allied Health, La Trobe University, Bundoora, Victoria, Australia;3. Department of Arts, Humanities and Social Sciences, Irish World Academy of Music and Dance, University of Limerick, Limerick, Ireland;4. Statistical Consulting Unit, Department of Maths and Statistics, University of Limerick, Limerick, Ireland;1. Program in Physical Therapy, Washington University in St. Louis School of Medicine, Campus Box 8502, 4444 Forest Park Blvd, Suite 11101, St. Louis, MO 63108, USA;2. Department of Neurology, Washington University in St. Louis School of Medicine, Campus Box 8111, 660 S. Euclid, St. Louis, MO 63110, USA;3. Department of Neuroscience, Washington University in St. Louis School of Medicine, Campus Box 8108, 660 S. Euclid, St. Louis, MO 63110, USA;4. Occupational Therapy Program, Department of Kinesiology, University of Wisconsin- Madison School of Education, Unit II Gym, 2000 Observatory Drive, Madison, WI 53706, USA;1. Department of Neurology, McGill University, Montreal General Hospital, Montreal, Quebec, Canada;2. Division of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet, Stockholm, Sweden;1. College of Nursing, Chungnam National University, South Korea;2. Osher Center for Integrative Medicine, Harvard Medical School and Brigham and Women''s Hospital, USA;3. Department of Nursing, Woosong College, South Korea;4. Department of Physical Medicine & Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, USA;5. Sackler Faculty of Medicine, Tel Aviv University, Center for the Study of Movement, Cognition, and Mobility at Tel Aviv Sourasky Medical Center, Tel Aviv-Yafo, Israel;6. Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, USA;7. Department of Neurology, Harvard Medical School, Brigham and Women''s Hospital, USA;8. Harvard Medical School, Massachusetts General Hospital, USA
Abstract:Parkinson disease (PD) reduces health-related quality of life (HRQoL), but exercise may improve HRQoL. This pilot study compared the effects of Tango, Waltz/Foxtrot, Tai Chi and No Intervention on HRQoL in individuals with PD. Seventy-five persons with PD (Hoehn and Yahr I-III) were assigned to 20 lessons of Tango, Waltz/Foxtrot, Tai Chi, or an untreated No Intervention group. Participants completed the PDQ-39 before and after participation in 20 classes or within 13 weeks in the case of the No Intervention group. Two-way repeated measures ANOVAs determined differences between interventions. Tango significantly improved on mobility (p = 0.03), social support (p = 0.05) and the PDQ-39 SI (p < 0.01) at post-testing. No significant changes in HRQoL were noted in the Waltz/Foxtrot, Tai Chi or No Intervention. Tango may be helpful for improving HRQoL in PD because it addresses balance and gait deficits in the context of a social interaction that requires working closely with a partner.
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