Contact Form

Name

Email *

Message *

Sunday, August 11, 2013

Uk and dancing for Parkinsons

How Parkinson's can be tangoed away: Shaking your hips twice-a-week may improve symptoms of disease

  • Parkinson's sees a progressive loss of nerve cells and dopamine
  • Dopamine loss cause involuntary shakes and struggles with physical tasks
  • Regular dance classes has been shown to help regain movement control

On cue: Dancing can help Parkinson's sufferers with balance and movement
On cue: Dancing can help Parkinson's sufferers with balance and movement
Dancing the tango or an Irish jig may improve symptoms of Parkinson’s disease.
New research shows that after dancing twice a week, patients were able to take up physical activities that they had been unable to perform since developing the disease.
Trials are now under way at a number of centres, including the University of Southampton, where the effects of dance on the disease are being investigated.
The 127,000 Britons with Parkinson’s disease suffer a progressive loss of nerve cells in part of the brain called the substantia nigra.
This leads to a reduction in levels of a brain chemical called dopamine.
Just what triggers this loss is not known, but is probably down to a combination of genetic and environmental factors.
Dopamine plays a key role in regulating the movement of the body and a drop in levels causes involuntary shaking, muscle stiffness and a slowing down of physical movements.
There is currently no cure for Parkinson’s but several  treatments are available to help control symptoms.
Turning and walking backwards are among the tasks that sufferers have the most difficulty with.
In new research at Washington University School of Medicine, Parkinson’s patients took part in twice-weekly one-hour sessions of tango dancing.
Results show that by the end of the year-long study, there were significant improvements in  their balance and mobility compared with patients who did conventional exercises.
Another study at the University of California tracked eye movement during dancing exercises. 
People with Parkinson’s can have difficulty co-ordinating  their eye movements, and researchers believe that the music and movements involved in dancing may help the brain to get around the balance and movement problems.
 
A third piece of research, being led by the University of Limerick, found that patients who practised traditional Irish set dancing – often to referred to as a jig – fell less often and were more mobile after regular set dancing lessons.
Benefits may be down to exercise, the strong rhythm of Irish music and the sociability of group dances.
Parkinson’s research first turned to set dancing after Italian doctor Daniele Volpe had a chance encounter in a Co Clare village.
Treadmill turn-off: Researchers found Parkinson's patients were more willing to retain dancing as an exercise compared to traditional gym workouts
Treadmill turn-off: Researchers found Parkinson's patients were more willing to retain dancing as an exercise compared to traditional gym workouts
While attending a traditional music festival, he saw  a man walk in  with distinct Parkinson’s symptoms and start dancing  in a ‘fluent’ way.
Along with Dublin-based researcher  Timothy Lynch, Dr Volpe put  24 patients with Parkinson’s through weekly set dancing classes for six months.
When measured against a control group, all of them saw improvement in balance, mobility and quality of life.
They found it easier to change direction and to start moving again after they had stopped.
In 20 years of sending patients  to the gym, to swimming and to treadmill-based rehabilitation, he said that when it came to dancing, patients were far more willing to continue with the exercise.
It is suggested that external  cues such as music bypass the areas of the brain rendered dysfunctional by the disease and activate other areas involved in movement.
The movement of the dance partner and the physical contact involved also act as cues.  Co-ordinated steps with partners lead to faster movement, while physical contact improves balance.
The tango may be particularly useful because it involves rhythmic rocking, or shifting weight from foot to foot – a strategy commonly used to address muscle ‘freezing’.
Alongside the Southampton study, which is also looking at the tango, a second trial is under way at the University of Limerick, where Irish set dancing is being used. Parkinson’s UK is also looking at the benefits of Zumba – the Latin-inspired dance fitness craze.

Saturday, August 10, 2013

Friday, August 9, 2013

Australia conference on Disease and Movement Disorders

Sydney Australia



MDS Abstract of the 16th International Congress of Parkinson's Disease and Movement Disorders, Volume 27, 
June 2012 Abstract Supplement
Movement Disorders 2012
Dublin, Ireland June 17-21, 2012.

Irish Set Dance Improves Mobility, Balance And Quality Of Life In Parkinson's Disease
Volpe,  D., Signorini,  M., Marchetto,  A., Scutari,  A., Zambito Marsala,  S., Piggott,  C., Lynch,  T.
Objective:
To verify if Irish set dance could be effective on mobility, balance and quality of life in Parkinson's disease (PD).
Background:
The effectiveness of aerobic exercise in healthy subjects is well documented in the last years where it was demonstrated that it improves not only motor but also cognitive performances with an improvement of motor learning and memory. Recently some research has demonstrated that dance may be an effective strategy for ameliorating mobility in elderly people. Specifically tango seems to improve mobility and quality of life in PD. Irish set dance is a dance with very high social value and its peculiar characteristics with strong acoustic cue, twisting in pairs and interesting steps for improving gait could represent an interesting rehabilitative intervention in PD.
Methods:
We recruited 24 subjects with PD. The patients were randomly assigned to an Irish set dance group or to conventional physiotherapy group. The subjects were evaluated 3 weeks before and 3 weeks after the interventions with UPDRS motor score, Berg Balance Scale, falls diary, FOG questionnaire, Time Up and Go test, gait analysis and neuropsychological evaluation. For quality of life we submitted PDQ-39. All the subjects underwent respectively a program of Irish set dance and physiotherapy for 6 months with a lesson of 2 hours weekly.
Results:
Both groups showed significant improvements only in UPDRS III and PDQ-39.The Irish set dance group documented significant improvements also in the Berg Balance Scale, in reduced number of falls, in self-reported Freezing of Gait, in the Time Up and Go test, in stridelength and walkspeed. On the contrary not significant improvements in the same measurements were registered in the conventional physiotherapy group.
Conclusions:
Irish set dance seems to be an effective rehabilitative intervention to improve mobility, balance and quality of life in PD. Further studies are needed to confirm our results.
Keywords :
Gait disorders: Treatment,Parkinsonism,Rehabilitation,Sensorimotor cortex
To cite this abstract, please use the following information:
Volpe, D., Signorini, M., Marchetto, A., Scutari, A., Zambito Marsala, S., Piggott, C., et al; Irish set dance improves mobility, balance and quality of life in Parkinson's disease [abstract]. Movement Disorders 2012;27 Suppl 1 :557

Randomized Study to determine effectiveness of Irish Set Dancing as beneficial for Parkinson's patients

Oversight Info
Authority
Ireland: University of Limerick

Has Dmc
Yes

Brief Summary
The aim of this study is to investigate if set dancing is beneficial and feasible for those
with Parkinson's disease in Ireland. The hypothesis of this feasibility study are that:

- Participants will be able to partake fully in the intervention without reporting
adverse events.

- There will be evidence of gains in functional exercise tolerance, balance, motor
performance and quality of life in those with Parkinson's disease who participate in
eight weeks of set dancing classes compared to a control group.

Detailed Description
Background: Previous research has found that people with Parkinson's disease
 who participatein dance classes have improved functional exercise capacity, mobility,
balance and quality of life (Duncan and Earhart 2012; Hackney and Earhart 2009). Dance may be an
effectiveintervention for people with Parkinson's disease as it targets key components of
rehabilitation programmes for people with Parkinson's disease (Earhart 2009). These
components include use of cueing strategies, training of muscle power and balance and
focusing of attention on movement strategies.

The benefit of many forms of dance have being investigated in people with Parkinson's
disease including Tango, (Hackney et al 2007), Contact Improvisation (Marchant et al
2010)and modern dance (Batson 2010). However, recently Irish set dancing has also
being found to be beneficial for those with Parkinson's disease (Volpe 2012). Irish Set
dancing may bebeneficial for people with Parkinson's disease as it involves continuous
movement initiationand cessation along with focusing of attention on body posture
and foot placement (Hackneyand Earhart 2010). However, research to date has
not been conducted in the Irish population.
It is important to investigate if set dancing is beneficial for people with Parkinson's
disease in Ireland as results may be influenced by the familiarity which the Irish
population has for set dancing.

The objectives of the study are:

- To compare functional exercise tolerance, balance, motor performance and quality of
life in those with Parkinson's disease before and after participating in set dancing
classes, using the following validated outcome measures: Unified Parkinson's Disease
Rating Scale 3, Berg Balance Scale, The Parkinson's Disease Questionnaire and The
Six-Minute Walk Test.

- To compare functional exercise tolerance, balance, motor performance and quality of
life in those with Parkinson's disease participating in set dancing classes to those
receiving usual care.

- To assess the effect of the intervention on care giver burden using the Zarit Care
Giver Burden Interview.

Participants, who meet inclusion/exclusion criteria, will be randomly assigned to a group
who will receive a set dancing intervention along with their usual care or to a control
group who will continue with their usual care only. Participants will be assessed the week
before the intervention period begins and the week after the intervention period ends using
valid and reliable outcome measures. A follow-up assessment will take place three months
after the final class has taken place.

Overall Status
Recruiting

Start Date
2012-12-01

Completion Date
2013-06-01

Primary Completion Date
2013-06-01

Phase
N/A

Study Type
Interventional

Study Design
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking:
 Double Blind (Investigator, Outcomes Assessor), Primary Purpose: Treatment

Primary Outcome
Measure
Safety Issue
Berg Balance Scale (To assess change in balance)
No

Time Frame
This outcome will be assessed the week before the intervetion begins and the week after the 
intervention period ends. A long-term follow-up assessment will be carried out three months 
after the last class has taken place.

Secondary Outcome
Measure


Time Frame



This outcome will be assessed the week before the
 intervetion begins and the week after the intervention period ends. A long-term follow-up assessment 
will be carried out three months after the last class has taken place.


Six-Minute Walk Test (To assess change of functional exercise tolerance)

N
Zarit Care Giver Burden Interview (ZCBI)(To assess changes in caregiver burden)

No

This outcome will be assessed the week before the intervention begins and the week after the 
intervention period ends. A long-term follow-up assessment will be carried out three months after 
the last class has taken place.
This outcome will be assessed the week before the intervention begins and the week after the 
intervention period ends. A long-term follow-up assessment will be carried out three months
 after the last class has taken place.

Enrollment
20

Condition

Intervention
Intervention Type
Other

Intervention Name

Description
Participants will attend eight weeks of set dancing classes. Each class will be one and a half hours. Family members or volunteers will partner each participant with Parkinson's disease. The class will be led by a Chartered Physiotherapist who is also a set dancing teacher. Set dancing steps and sets will be thought and progressed in line with the participants' abilities. Frequent rests will be taken during the class.
Participants will be given a home exercise programme which will involve mental rehearsal, listening to music, watching dance DVD's and practicing dance material in the seated position to reduce the risk of falling.

Arm Group Label
Intervention group

Eligibility
Criteria
Inclusion Criteria:

- Have a diagnosis of idiopathic Parkinson's disease (Hackney et al 2007; Marchant et
al 2010), stage 1-2.5 on the Hoeln and Yahr scale for staging of Parkinson's disease
(Batson 2010)

- Showing a clear benefit from anti-Parkinson medication (Marchant et al 2010)

- Able to walk three meters with or without an assistive device (Hackney and Earhart
2009)

- Not pregnant

- Over 18 year of age

- Have a TV and DVD player in their own home to allow them to participate in the home
exercise programme.

Exclusion Criteria:

- A serious cardiovascular and/or pulmonary condition (Lodder et al 2004)

- A neurological deficit other than Parkinson's disease (Batson 2010; Marchant et al
2010)

- Evidence of a musculoskeletal problem contraindicating participation in exercise
participation(Duncan and Earhart 2012)

- A cognitive or hearing problem which will effect their ability to follow instructions
or hear the music (Batson 2010)

- Participated in regular dance classes in the past six months (Marchant et al 2010)

Gender
Both

Minimum Age
18 Years

Maximum Age
N/A

Healthy Volunteers
No

Overall Official
Last Name
Role
Affiliation
Meg E Morris, Prof.
Study Chair
Department of Physiotherapy, School of Allied Health, 
La Trobe University, Bundoora 3086, Australia

Overall Contact
Last Name
Joanne Shanahan, B.S.c

Phone
+353876930093

Email
joanne.s@outlook.com

Location
Facility
Status
Contact
University of Limerick
Limerick Munster Ireland
Recruiting
Last Name: Joanne Shanahan, B.S.c
Phone: +353876930093
Email: joanne.s@outlook.com

Investigator
Last Name: Joanne Shanahan, B.S.c
Role: Principal Investigator
Last Name: Amanda Clifford, PhD
Role: Sub-Investigator
Last Name: Orfhlaith Ni Bhriain, PhD
Role: Sub-Investigator
Last Name: Daniele Volpe
Role: Sub-Investigator
Last Name: Meg E Morris, Prof.
Role: Sub-Investigator

Location Countries
Country
Ireland

Verification Date
2012-12-01

Lastchanged Date
2012-12-22

Firstreceived Date
2012-12-01

Responsible Party
Responsible Party Type
Principal Investigator

Investigator Affiliation
University of Limerick

Investigator Full Name
Joanne Shanahan

Investigator Title
Joanne Shanahan, B.S.c, MISCP

Keywords

Is Fda Regulated
No

Has Expanded Access
No

Condition Browse

Number Of Arms
2

Arm Group
Arm Group Label
Intervention group

Arm Group Type
Other

Description
Participants in this group will receive a set dancing intervention along with their
 usual care.

Arm Group Label
Control Group

Arm Group Type
No Intervention

Description
The control group will continue with their usual medical regime, activities of daily 
living and exercise habits and at the end of the study participants in this group 
will be offered the set dancing intervention.

Firstreceived Results Date
N/A

Overall Contact Backup
Last Name
Amanda Clifford, PhD

Phone
+35361234118

Email
Amanda.Clifford@ul.ie

Reference
Citation
Hackney ME, Earhart GM. Effects of dance on gait and balance in Parkinson's disease:
 a comparison of partnered and nonpartnered dance movement. Neurorehabil 
Neural Repair. 2010 May;24(4):384-92. doi: 10.1177/1545968309353329.
 Epub 2009 Dec 14.

PMID
20008820

Citation
Hackney ME, Kantorovich S, Levin R, Earhart GM. Effects of tango on functional 
mobility in Parkinson's disease: a preliminary study. J Neurol Phys Ther. 
2007 Dec;31(4):173-9. doi: 10.1097/NPT.0b013e31815ce78b.

PMID
18172414

Citation
Marchant D, Sylvester JL, Earhart GM. Effects of a short duration, high dose 
contact improvisation dance workshop on Parkinson disease: a pilot study. 
Complement Ther Med. 2010 Oct;18(5):184-90.
 doi: 10.1016/j.ctim.2010.07.004. Epub 2010 Aug 21.

PMID
21056841

Information obtained from ClinicalTrials.gov on January 22, 2013

© 2013 ICH GCP

Bristol England demonstrates Irish Set Dancing to Parkinson's Patients

Bristol Irish Set Dancing 

Saturday, 29 June 2013


Geraldine Teggart, a member of the Bristol set dancing group, set up an event last week for the local Parkinson's young onset group. The purpose of the event was to bring set dancing to people with Parkinson's in the Bristol area, given what we now know from recent research about the possible benefits of set dancing for people with Parkinson's.

The evening was a great success. Geraldine began with a brief summary of the research to date and an introduction to set dancing. This was followed on by a demonstration by some 25 set dancers from the Bristol group. Excellent music  was provided by local musicians Phil, Hiroko and Martin. People with Parkinson's were then invited to join the group on the floor to begin to learn some basic steps and figures. To our delight almost everyone present gave it a try and all seemed to have a good time. A cheque was also presented to the Parkinson's group for £258 raised through raffles at the Bristol set dancing weekend in April.

The next step will be to consider how we might best progress from here. It is possible that we might be able to set up a regular workshop for people with Parkinson's disease, if there is sufficient interest. Watch this space!

For any further info please contact Geraldine on geraldine.teggart@blueyonder.co.uk 

COULD SET DANCING BE THERAPY FOR PARKINSON'S SUFFERERS?

 MOST IRISH SOLUTION... COULD SET DANCING BE THERAPY FOR PARKINSON'S SUFFERERS?

“A hAon, a Dó, a hAon, Dó, Trí!”
Home >  Health >  Health News
We always knew the old hAon, Dó, Trí was good for you, but we had no idea just how good.  
An Italian Doctor’s chance discovery of the therapeutic effects of Irish Set Dancing in the treatment of Parkinson's disease will be the subject of an international Gathering event this Tuesday.
Dr Daniel Volpe, who is the Director of Neurological Rehabilitation at St. Raffaele Arcangelo Hospital in Venice, will present his research work confirming the benefits of set dancing in the rehabilitative therapy for people with Parkinson's disease.
Commenting on the background to Dr. Volpe’s research, event spokesperson Pat Hayes said: “During one of his regular visits to County Clare to play with his traditional Irish music band, Dr Volpe watched as a man he recognised as suffering from Parkinson’s disease walked into the room. Dr Volpe later watched in astonishment as the man who earlier had struggled to walk, took part in the festivities and set danced without any difficulty.” 
Could set-dancing work as a therapy for sufferers of Parkinson's disease?
Mr. Hayes added: “Afterwards, Dr Volpe, who works in developing physiotherapy for people with Parkinson’s disease, took it upon himself to learn a bit more about the reel step. He conducted a study that found Irish dancing does, indeed, have positive effects for those suffering from Parkinson’s disease.”
“There will be worldwide interest in this event given the links Dr Volpe has with the Physiotherapy Departments of two major universities in Ireland and Australia. We are delighted to be hosting this unique event and have no doubt that it will focus in on the value of Irish music and dance,” concluded Cllr. Hayes.

For more on The Therapeutic effects of Irish Set Dancing in the treatment of Parkinson's disease’ Gathering see http://www.feaklefestival.ie/conference.