PMID- 30624952 OWN - NLM STAT- MEDLINE DCOM- 20190415 LR - 20190415 IS - 1557-7708 (Electronic) IS - 1075-5535 (Linking) VI - 25 IP - 3 DP - 2019 Mar TI - Sardinian Folk Dance for Individuals with Parkinson's Disease: A Randomized Controlled Pilot Trial. PG - 305-316 LID - 10.1089/acm.2018.0413 [doi] AB - OBJECTIVES: Among different exercise models proposed for individuals with Parkinson's disease (IwPD), the popularity of traditional forms of dance is increasing. The aim of this study was to evaluate the effects of Sardinian folk dance (Ballu Sardu, BS) on functional performance and motor and nonmotor symptoms in IwPD. DESIGN: Single-blind, randomized controlled pilot trial. SETTINGS: Outpatient health clinic. SUBJECTS AND INTERVENTIONS: Twenty IwPD (13M, 7F; 67.4 +/- 6.1 years) were randomly assigned to BS (n = 10) or usual care (n = 10). The dance program consisted of two sessions/week, 90-min/class, for 12 weeks. OUTCOME MEASURES: Motor and nonmotor symptoms, as well as functional performance, were evaluated using different questionnaires and tests such as the Unified Parkinson's Disease Rating Scale Part-III (UPDRS-III), 6-min walking test (6MWT), Berg Balance Scale (BBS), Timed Up-and-Go (TUG) test, Five Times Sit-to-Stand Test (FTSST), Back Scratch Test (BST), Sit-and-Reach Test (SRT), instrumented gait analysis, Parkinson's Disease Fatigue Scale (PFS-16), Beck Depression Inventory, Starkstein Apathy Scale (SAS), and Montreal Cognitive Assessment (MOCA) scale. RESULTS: Repeated-measures analysis of variance revealed significant Time x Group interactions for UPDRS-III and functional variables such as the 6MWT, BBS, FTSST, TUG (all, p < 0.001), BST (p = 0.04), and gait analysis parameters (stride length, p = 0.031; gait speed, p = 0.049; and gait fatigue index (GFI), p = 0.005). For nonmotor symptoms, significant Time x Group interactions for depression (p < 0.001), apathy (p = 0.016), and MOCA scores (p = 0.012) were observed. Of note, for GFI and SAS, the BS group only showed a trend toward improvement, while the condition of the controls worsened significantly. No between-group differences were observed for SRT and PFS-16. CONCLUSIONS: BS is an enjoyable activity, which has been proved to be superior to usual care alone in inducing changes in different motor and nonmotor symptoms associated with PD. Results show that BS can be considered a safe tool for contrasting impairments observed in IwPD due to the intrinsic nature of the neurodegenerative disease. FAU - Solla, Paolo AU - Solla P AD - 1 Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy. FAU - Cugusi, Lucia AU - Cugusi L AD - 1 Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy. FAU - Bertoli, Matilde AU - Bertoli M AD - 2 Department of Biomedical Sciences, University of Sassari, Sassari, Italy. FAU - Cereatti, Andrea AU - Cereatti A AD - 2 Department of Biomedical Sciences, University of Sassari, Sassari, Italy. AD - 3 Department of Electronics and Telecommunications, Politecnico di Torino, Torino, Italy. FAU - Della Croce, Ugo AU - Della Croce U AD - 2 Department of Biomedical Sciences, University of Sassari, Sassari, Italy. FAU - Pani, Danilo AU - Pani D AD - 4 Department of Electrical and Electronic Engineering, University of Cagliari, Cagliari, Italy. FAU - Fadda, Laura AU - Fadda L AD - 1 Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy. FAU - Cannas, Antonino AU - Cannas A AD - 1 Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy. FAU - Marrosu, Francesco AU - Marrosu F AD - 1 Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy. FAU - Defazio, Giovanni AU - Defazio G AD - 1 Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy. FAU - Mercuro, Giuseppe AU - Mercuro G AD - 1 Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20190109 PL - United States TA - J Altern Complement Med JT - Journal of alternative and complementary medicine (New York, N.Y.) JID - 9508124 SB - IM MH - Aged MH - Dance Therapy/*methods MH - Female MH - Humans MH - Italy/ethnology MH - Male MH - Middle Aged MH - Parkinson Disease/ethnology/physiopathology/*therapy MH - Pilot Projects MH - Treatment Outcome OTO - NOTNLM OT - Parkinson's disease OT - folk dance OT - functional performance OT - gait analysis OT - motor symptoms OT - nonmotor symptoms EDAT- 2019/01/10 06:00 MHDA- 2019/04/16 06:00 CRDT- 2019/01/10 06:00 PHST- 2019/01/10 06:00 [pubmed] PHST- 2019/04/16 06:00 [medline] PHST- 2019/01/10 06:00 [entrez] AID - 10.1089/acm.2018.0413 [doi] PST - ppublish SO - J Altern Complement Med. 2019 Mar;25(3):305-316. doi: 10.1089/acm.2018.0413. Epub 2019 Jan 9.