Feasibility and preliminary efficacy of a telerehabilitation approach to group adapted tango instruction for people with Parkinson disease.

People with Parkinson disease (PD) demonstrate improvements in motor function following group tango classes, but report long commutes as a barrier to participation. To increase access, we investigated a telerehabilitation approach to group tango instruction. Twenty-six people with mild-to-moderate PD were assigned based on commute distance to either the telerehabilitation group (Telerehab) or an in-person instruction group (In-person). Both groups followed the same twice-weekly, 12-week curriculum with the same instructor. Feasibility metrics were participant retention, attendance and adverse events. Outcomes assessed were balance, PD motor sign severity and gait. Participant retention was 85% in both groups. Attendance was 87% in the Telerehab group and 84% in the In-person group. No adverse events occurred. Balance and motor sign severity improved significantly over time ( p < 0.001) in both groups, with no significant group × time effects. Gait did not significantly change. Since a priori feasibility criteria were met or exceeded, and there were no notable outcome differences between the two instruction approaches, this pilot study suggests a telerehabilitation approach to group tango class for people with PD is feasible and may have similar outcomes to in-person instruction.

Experiencias de danzaterapia de mujeres que han sufrido cáncer de mama. Un estudio fenomenológico / Danze therapy in women with breast cancer. A phenomenological study

Objetivo: Este estudio se dirige a identificar, describir y analizar los posibles cambios en la experiencia vivida del cuerpo propio y los cambios en las relaciones interpersonales de las mujeres con cáncer de mama derivados de su participación en encuentros grupales de danzaterapia. Método: Ésta es una investigación cualitativa de orientación fenomenológica con utilización del método de danzaterapia de María Fux para las vivencias grupales. Se describen aquí las experiencias de ocho encuentros y se aporta un análisis de las descripciones basándonos principalmente en Merleau-Ponty y María Fux. Resultados: Las participantes han podido expresar dolores y tristeza por las situaciones que les han ocasionado el cáncer de mama y sus entornos relacionales; ellas han podido experimentar momentos de creación y entrega a las sensaciones rítmicas del cuerpo y del entorno vivencial con distintas emociones vividas por separado y conjuntamente; ellas han experimentado recuerdos y sensaciones de su niñez y adolescencia; finalmente, ellas han redescubierto su cuerpo sensible, mediante resignificaciones del cuerpo marcado por la ausencia de la mama y mediante sentimientos de mayor aceptación e integración de lo vivido en nuevas gestalts. Conclusiones: Este proyecto todavía está en marcha, pero ya es posible concluir resultados: las vivencias aportadas en la danzaterapia han permitido a estas mujeres tener experiencias de integración y bienestar, al igual que cambios positivos de percepción de su corporeidad y en cuanto a la forma de ser y estar en el mundo y con los otros sujetos, experimentando, así, el cuerpo de una manera nueva y distinta

Objective: This essay aims at identifying, describing and analyzing possible changes both in the experience of the body and in interpersonal relations of women with breast cancer, which result from their participation in Dance Therapy group meetings. Method: This is a phenomenologically oriented qualitative research using Maria Fux´s dance therapy method for group experiences. Eight meetings are described here, and an analysis of descriptions based primarily on Merleau-Ponty and María Fux is provided. Results: The participants have been able to express pain and sorrow over the circumstances that breast cancer and its relational environments have brought to their lives. They have been able to go through moments of creation and surrender to the rhythmic body sensations and experiential environment with different emotions lived separately and jointly. They have revived memories and sensations of their childhood and adolescence, and finally, they have rediscovered their sensitive body through body resignifications marked by the absence of the breast, and by means of feelings of greater acceptance and integration of lived experiences in new gestalts. Conclusions: This project is still under way, but it is already possible to conclude that the life experiences provided in dance therapy have allowed these women to improve their integration and welfare. Likewise, they have felt positive changes in the perception of their corporality and in their way of being in the world and with other subjects, thus experiencing the body in a new and different way

Effects of three caregiver interventions: support, educational literature, and creative movement.

The primary focus of this study is to compare the effectiveness of three distinct intervention techniques in relieving some of the stress experienced by midlife daughters' caregiving for their frail mothers. The three techniques are: (a) a home-based literature "tip of the week" group, (b) a caregiver's support group, and (c) a creative-movement group. Based on a review of caregiving literature, no other studies have utilized a home-based literature intervention or a creative-movement intervention with midlife daughters providing informal care to frail mothers. As part of the weekly assessment evaluation, participants were asked to rate how helpful the previous week's session was with respect to five mental health variables: irritability, depression, anxiety, stress, and concentration. Overall, the support-based group had higher average scores for each of the five mental health variables and the highest overall mental health score. Future research and promising applications of future intervention programs are discussed.

The effect of a traditional dance training program on the physical fitness of adults with hearing loss.

The purpose of this study was to evaluate the effect of a traditional dance training program on aerobic capacity and muscle strength of adults with hearing loss. Twenty-three adults with hearing loss were separated into 2 groups. Thirteen subjects (6 men, 7 women, mean age, 25.7 +/- 3.9 years) constituted the intervention group, whereas 10 subjects (5 men, 5 women, mean age, 26.4 +/- 5.9 years) formed the control group. Pretraining and posttraining treadmill tests were performed to determine heart rate (HR peak), peak minute ventilation (VE peak), peak oxygen consumption (VO2 peak, absolute and relative), and time to exhaustion (min). Peak torque of hamstring and quadriceps muscles at angular velocities of 60 degrees /s, 180 degrees /s, and 300 degrees /s was also measured. The intervention group followed a 12-week traditional dance training program, whereas the control group received no training during this period. Repeated measures of multiple analyses of variance were used to test mean differences between the values of both groups. A paired t-test was used to compare the values within each group prior and after program participation. A significance level of 0.05 was used for all tests. Following the 12-week training program, significant improvements in peak physiological parameters were seen for the intervention group for peak minute ventilation, peak oxygen consumption (both absolute and relative), time to exhaustion, and peak torque values between the 2 measurements (initial and final). No significant improvements in peak physiological parameters and peak torque were noticed in the control group. In conclusion, adults with hearing loss can improve their physical fitness levels with the application of a systematic and well-designed traditional dance training program.

The effect of modified jazz dance on balance, cognition, and mood in older adults.

PURPOSE: The purpose of this pilot study was to evaluate the impact of jazz dance class instruction on balance, cognition, and mood (specifically depression) in 13 healthy, community-dwelling, English-speaking older women with a mean age of 68. DATA SOURCES: Data were collected using self-report questionnaires (Folstein Mini Mental Status Examination [MMSE] and Geriatric Depression Scale [GDS]), and the sensory organization test (SOT) for balance measurements (using the NeuroCom Smart Balance Master) was performed at three time periods in the study: time 1: between week 1 and week 2 of jazz class (baseline), time 2: between week 8 and week 9 of jazz class (midpoint), and time 3: after week 15 of jazz class (final measurement). CONCLUSIONS: Differences in mean MMSE and GDS scores over time were not significant; however, SOT scores showed an increasing trend (p < .001). Data analysis using analysis of variance with repeated measures showed that balance measures improved throughout the duration of the study (F(2,10)= 19.68, p < .001). Post hoc analyses using paired t tests with a Bonferroni correction indicated that significant increases in balance occurred from time 1 to time 2 and from time 2 to time 3. These preliminary pilot study findings suggest that jazz dance does not impact cognition or mood but may improve balance in older women. This finding may have significant implications for fall prevention in the postmenopausal population. IMPLICATIONS FOR PRACTICE: Because falls are a leading cause of morbidity and mortality in older adults of both genders, research is needed to evaluate both the impact of jazz dance on balance in older men and jazz dance as a fall prevention strategy in aging adults. Additionally, longitudinal research with a larger sample size is needed to test the effectiveness of jazz dance as a strategy for improving balance, cognition, and mood.

Comparisons of motivation, health behaviors, and functional status among elders in residential homes in Korea.

This study compared the changes in health behaviors, motivation, and functional status between motivation enhancement exercise-program participants and program dropouts over 6 months. A total of 73 older adults living in residential homes participated in the study. Face-to-face interviews were conducted at pretest and then at 10 weeks and 6 months in the program. The participants exercised using traditional Korean dance movements for 50 min, 4 times per week, for 6 months. The subjects were classified as participants or dropouts by using a cutoff attendance rate of 80%. Repeated ANOVA revealed the following results over 6 months: 1 The motivation to perform health behaviors, especially for perceived benefits, improved significantly for the participants than for the dropouts. 2 Significant differences in the performance of overall health behaviors and exercise-related behaviors were found between the participants and the dropouts. 3 The sickness impact profile (SIP) of the participants improved significantly, compared with the dropouts. Significant group differences were found for total SIP, physical dimensions, and enjoyment of recreation and pastimes. In conclusion, the study found that the 6-month motivation enhancement program was effective in motivating older adults to perform health behaviors and to improve their functional status.

Equine-facilitated group psychotherapy: applications for therapeutic vaulting.

In this day of high-tech, managed-care service delivery with an emphasis on medication and brief treatment, it is important for nurses to be aware of nontraditional treatment options that may be uniquely beneficial for some clients. Although it may still be considered a novelty, including animals in the healing milieu is not a new idea. Florence Nightingale herself suggested that "a small pet animal is often an excellent companion for the sick, for long chronic cases especially" (Nightingale, 1969, p. 102). Healing, according to one recent nursing article, can be seen as "a gradual awakening to a deeper sense of the self (and of the self in relation to others) in a way that effects profound change" (Dorsey & Dorsey, 1998, p. 36). Equine-facilitated psychotherapy, while not a new idea, is a little-known experiential intervention that offers the opportunity to achieve this type of awakening. In this article, the reader is introduced to equine-facilitated psychotherapy's theoretical underpinnings, techniques, and outcomes as illustrated by actual clinical vignettes and research findings.

Dance for health: improving fitness in African American and Hispanic adolescents.

Cardiovascular disease begins early in life but might be prevented or delayed by primary prevention programs designed for children and adolescents. Regular physical activity is an important part of primary prevention programs, and school physical education programs have potential for the promotion of regular physical activity. Cardiovascular disease is the major cause of death among Hispanics and African Americans in the United States. Low levels of fitness and increased body mass index are common in African American and Hispanic adolescents. Increased physical activity and the adoption of healthy eating habits would increase fitness and reduce body mass index among these adolescents. The purpose of the study was to undertake a small-scale controlled trial to determine if Dance for Health, an intervention program designed to provide an enjoyable aerobic program for African American and Hispanic adolescents, has a significant effect on improving aerobic capacity, helping students maintain or decrease weight, and on improving attitudes toward physical activity and physical fitness. In the first year of the program (1990-91), approximately 110 boys and girls ages 10-13 years participated in an aerobic dance pilot program three times per week for 12 weeks. Dance for Health was revised and continued in the 1992-93 school year with seventh grade students and an added culturally sensitive health curriculum. Forty-three students were randomized to Dance for Health and 38 to usual physical activity. Those in the intervention class received a health education curriculum twice a week and a dance oriented physical education class three times a week. The usual physical activity consisted mostly of playground activities. Students in the intervention had a significantly greater lowering in body mass index and resting heart rate than students in regular physical activity.