CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2020; 78(01): 13-20
DOI: 10.1590/0004-282X20190140
ARTICLE

Feasibility of a Brazilian samba protocol for patients with Parkinson's disease: a clinical non-randomized study

Viabilidade de um protocolo de samba brasileiro em pacientes com doença de Parkinson: ensaio clínico não-randomizado
1   Universidade Federal do Rio de Janeiro, Departamento de Fisioterapia, Rio de Janeiro RJ, Brazil.
,
2   Universidade do Estado de Santa Catarina, Departamento de Fisioterapia, Florianópolis SC, Brazil.
,
1   Universidade Federal do Rio de Janeiro, Departamento de Fisioterapia, Rio de Janeiro RJ, Brazil.
,
3   Universidade do Estado de Santa Catarina, Departamento de Educação Física, Florianópolis SC, Brazil.
,
3   Universidade do Estado de Santa Catarina, Departamento de Educação Física, Florianópolis SC, Brazil.
,
3   Universidade do Estado de Santa Catarina, Departamento de Educação Física, Florianópolis SC, Brazil.
,
3   Universidade do Estado de Santa Catarina, Departamento de Educação Física, Florianópolis SC, Brazil.
,
3   Universidade do Estado de Santa Catarina, Departamento de Educação Física, Florianópolis SC, Brazil.
,
3   Universidade do Estado de Santa Catarina, Departamento de Educação Física, Florianópolis SC, Brazil.
› Author Affiliations

Abstract Background: New protocols applied in the rehabilitation of Parkinson's disease enable different action strategies for health professionals, as well as a new range of activities for these individuals. However, no valid samba protocol with activity prescription for this population was found in the literature.

Objective: To investigate the feasibility of a Brazilian samba protocol in individuals with Parkinson's disease. Methods: Twenty participants, mean age of 66.4±10.7 years, diagnosed with idiopathic Parkinson 's disease, divided into: experimental group that received the intervention of Brazilian samba dance classes (10 individuals); and control group that maintained their routine activities (10 individuals). For data collection, a divided questionnaire was used: General Information; Disability stages scale; Balance and Quality of Life. Results: During class implementation, there were no falls, as all dance activities adhered to the details of the protocol steps without any changes. On average, patients completed 82.7% of activities. After 12 weeks, the experimental group had improvements in the UPDRS global score, in daily activities, and on motor examination. There was also improvement in balance scores and in the mobility domain of the quality of life in the experimental group. Conclusion: The samba protocol seems to be feasible and safe for patients with PD. Moreover, it has pleasant characteristics and offers sufficient physical benefits for combination with drug treatment. There were also benefits in social relationships and as a possible rehabilitation tool in individuals with Parkinson's disease.

Resumo

Fundamentos: Novos protocolos aplicados na reabilitação da doença de Parkinson possibilitam diferentes estratégias de atuação para profissionais de saúde, além de um novo leque de atividades para estes indivíduos. Entretanto, não se encontrou na literatura qualquer protocolo de samba com prescrição de atividades validado para esta população. Objetivo: O objetivo foi verificar a viabilidade de um protocolo de samba brasileiro em indivíduos com doença de Parkinson. Métodos: Vinte participantes, com idade média de 66,4±10,7 anos, com diagnóstico de doença de Parkinson idiopática divididos em: grupo experimental que recebeu a intervenção das aulas de dança - samba brasileiro (10 indivíduos); e grupo controle que manteve as suas atividades rotineiras (10 indivíduos). Para a coleta dos dados foi utilizado um questionário dividido: Informações Gerais; Escala de estágios de Incapacidade; Equilíbrio e Qualidade de Vida. Resultados: Durante a realização das aulas, não houve quedas, todas as atividades de dança aderiram aos detalhes das etapas do protocolo, sem quaisquer alterações, e os pacientes completaram, em média, 82,7% das atividades. Após 12 semanas, o grupo experimental apresentou melhoras no escore global da escala UPDRS, em atividades de vida diária e no exame motor. Houve também melhora nos escores de equilíbrio e no domínio de mobilidade da qualidade de vida do grupo experimental. Conclusão: A utilização de um protocolo de samba para indivíduos com doença de Parkinson mostrou-se viável, por sua característica segura e prazerosa, e por apresentar benefícios físicos suficientes para combinação com o tratamento medicamentoso. Houve também benefícios nas relações sociais e como uma possível ferramenta de reabilitação em indivíduos com a doença de Parkinson.



Publication History

Received: 20 August 2019

Accepted: 04 September 2019

Article published online:
13 June 2023

© 2020. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 
  • References

  • 1 Capato TT, Tornai J, Ávila P, Barbosa ER, Piemonte ME. Randomized controlled trial protocol: balance training with rhythmical cues to improve and maintain balance control in Parkinson’s disease. BMC Neurol. 2015 Sep;15:162. https://doi.org/10.1186/s12883-015-0418-x
  • 2 Hindle JV, Watermeyer TJ, Roberts J, Martyr A, Lloyd-Williams H, Brand A, et al.: Cognitive rehabiliation for Parkinson's disease dementia: a study protocol for a pilot randomized controlled trial. Trials. 2016 Mar;17:152. https://doi.org/10.1186/s13063-016-1253-0
  • 3 Sena ELS, Meira EC, Souza AS, Santos ISC, Souza DM, Alvarez AM, et al.: Tecnologia cuidativa de ajuda mútua grupal para pessoas com Parkinson e suas famílias. Texto Contexto - Enferm. 2010;19(1):93-103. http://dx.doi.org/10.1590/S0104-07072010000100011
  • 4 Soh SE, Morris ME, Watts JJ, McGinley JL, Iansek R. Health-related quality of life in people with Parkinson receiving comprehensive care. Australian Health Rev. 2016;40(6):613-8. https://doi.org/10.1071/AH15113
  • 5 Ashburn A, Roberts L, Pickering R, Roberts HC, Wiles R, Kunkel D, et al. A design to investigate the feasibility and effects of partnered ballroom dancing on people with Parkinson disease: randomized controlled trial protocol. JMIR Res Protoc. 2014 Jul;3(3):e34. https://doi.org/10.2196/resprot.3184
  • 6 Shanahan J, Morris ME, Bhriain ON, Saunders J, Clifford AM. Dance for people with Parkinson disease: what is the evidence telling us? Arch Phys Med Rehabil. 2015 Jan;96(1):141-53. ttps://doi.org/10.1016/j.apmr.2014.08.017
  • 7 Lötzke D, Ostermann T, Büssing A. Argentine tango in Parkinson disease--a systematic review and meta-analysis. BMC Neurol. 2015 Nov;15:226. https://doi.org/10.1186/s12883-015-0484-0
  • 8 Earhart GM. Dance as therapy for individuals with Parkinson disease. Eur J Phys Rehabil Med. 2009 Jun;45(2):231-8.
  • 9 Shanahan J, Morris ME, Bhriain ON, Volpe D, Richardson M, Clifford AM. Irish set dancing feasible for people with Parkinson's disease in Ireland? Complement Ther Clin Pract. 2015 Feb;21(1):47-51. https://doi.org/10.1016/j.ctcp.2014.12.002
  • 10 McNeely ME, Mai MM, Duncan RP, Earhart GM. Differential effects of tango versus dance for PD in Parkinson disease. Front Aging Neurosci. 2015;7(239). https://doi.org/10.3389/fnagi.2015.00239
  • 11 Ford JH, Rubin DC, Giovanello KS. The effects of song familiarity and age on phenomenological characteristics and neural recruitment during autobiographical memory retrieval. Psychomusicology. 2016 Sep;26(3):199-210. https://doi.org/10.1037/pmu0000152
  • 12 Perna MA. Samba de Gafieira: a história da dança de salão brasileira. 2. Ed. Rio de Janeiro: O Autor; 2001.
  • 13 Trotta FC, Oliveira LX. O subúrbio feliz do pagode carioca. Intercom, Rev Bras Ciênc Comun. 2015;38(2):99-118. http://dx.doi.org/10.1590/1809-5844201526
  • 14 Jost M. A construção/invenção do samba: Mediações e interações estratégicas. Rev Inst Estud Bras. 2015;62:112-25. http://dx.doi.org/10.11606/issn.2316-901X.v0i62p112-125.
  • 15 Hackney ME, Earhart GM. The effects of a secondary task on forward and backward walking in Parkinson’s disease. Neurorehabil Neural Repair. 2010 Jan; 24(1):97-106. http://dx.doi.org/10.1177/1545968309341061
  • 16 Hughes AJ, Daniel SE, Kilford L, Lees AJ. Accuracy of clinical diagnosis of idiopathic Parkinson’s disease: a clinico-pathological study of 100 cases. J Neurol Neurosurg Psychiatry. 1992 Mar;55(3):181-4. https://doi.org/10.1136/jnnp.55.3.181
  • 17 Bertolucci PHF, Brucki SMD, Campacci SR, Yara J. O mini-exame do estado mental em uma população geral: impacto da escolaridade. Arq Neuropsiquiatr. 1994;52(1):01-07. http://dx.doi.org/10.1590/S0004-282X1994000100001
  • 18 Hoehn MM, Yahr MD. Parkinsonism: onset, progression and mortality. Neurology. 1967;17(5):427-42.
  • 19 Tillmann AC, Andrade A, Swarowsky A, Guimarães ACA. Brazilian samba protocol for individuals with Parkinson's Disease: A clinical non-randomized study. JMIR Res Protoc. 2017 Jul;6(7):e129. http://dx.doi.org/10.2196/resprot.6489
  • 20 Movement Disorders Society Force on Rating Scales for Parkinson’s Disease. The unified Parkinson’s disease rating scale (UPDRS): status and recommendations. Mov Disord. 2003 Jul;18(7):738-50. https://doi.org/10.1002/mds.10473
  • 21 Scalzo PL, Nova IC, Perracini MR, Sacramento DRC, Cardoso F, Ferraz HB, et al. Validation of the Brazilian version of the berg balance scale for patients with Parkinson's disease. Arq Neuropsiquiatria. 2009;67(3b):831-5. http://dx.doi.org/10.1590/S0004-282X2009000500010
  • 22 Souza RG, Borges V, Silva SMCA, Ferraz HB. Quality of life scale in Parkinson’s disease PDQ-39 - (Brazilian Portuguese version) to assess patientes with and without levedopa motor flutuation. Arq Neuropsiquiatr. 2007 Sep;65(3b):787-91. http://dx.doi.org/10.1590/S0004-282X2007000500010
  • 23 Gadotti IC, Vieira ER, Magee DJ. Importance and clarification of measurement properties in rehabilitation. Rev Bras Fisioter. 2006;10(2):137-46. http://dx.doi.org/10.1590/S1413-35552006000200002
  • 24 Faul F, Erdfelder E, Lang AG, Bluchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175-91. https://doi.org/10.3758/BF03193146
  • 25 Csikszentmihalyi M. Flow: the psychology of optimal experience. New York: Happer Perennial; 1990.
  • 26 Gomes SS, Leite GS, Pedrinelli V, Ferreira R, Brandão R. Fluxo no para-atletismo. Motricidade. 2012;8(S2):985-92.
  • 27 Allen NE, Song J, Paul SS, Sherrington C, Murray SM, O'Rourke SD, et al. Predictors of adherence to a falls prevention exercise program for people with Parkinson's disease. Mov Disord Clin Pract. 2015 Dec;2(4):395-401. https://doi.org/10.1002/mdc3.12208
  • 28 Kalia LV, Lang AE. Parkinson's disease. Lancet. 2015 Aug;386(9996):896-912. https://doi.org/10.1016/S0140-6736(14)61393-3
  • 29 Giardini A, Pierobon A, Callegari S, Bertotti G, Maffoni M, Ferrazzoli D, et al. Towards proactive active living: patients with Parkinson's disease experience of a multidisciplinary intensive rehabilitation treatment. Eur J Phys Rehabil Med. 2017 Feb;53(1):114-24. https://doi.org/10.23736/S1973-9087.16.04213-1
  • 30 Zhu M, Li M, Ye D, Jiang W, Lei T, Shu K. Sensory symptoms in Parkinson's disease: Clinical features, pathophysiology, and treatment. J Neurosci. 2016;94(8):685-92. https://doi.org/10.1002/jnr.23729
  • 31 Bloem BR, Marinus J, Almeida Q, Dibble L, Nieuwboer A, Post B, et al. Measurement instruments to assess posture, gait, and balance in Parkinson's disease: Critique and recommendations. Mov Disord. 2016 Sep;31(9):1342-55. https://doi.org/10.1002/mds.26572
  • 32 Lee NY, Lee DK, Song HS. Effect of virtual reality dance exercise on the balance, activities of daily living, and depressive disorder status of Parkinson's disease patients. J Phys Ther Sci. 2015 Jan;27(1):145-7. https://doi.org/10.1589/jpts.27.145.
  • 33 Wosniak F. Lesões em praticantes de ballet clássico. Medicina Esportiva Joaquim Brava. São Paulo, 2001.
  • 34 Paiva TA, Fagundes RR, Amaral LEF, Pacheco LF. Doença de Parkinson e Exercícios Físicos: Possíveis Benefícios. Rev Mov. 2014;7(2):700-10.
  • 35 Heiberger R, Maurer C, Amtage F, Mendez-Balbuena I, Schulte-Mönting J, Hepp-Reymond MC, et al. Impact of a weekly dance class on the functional mobility and on the quality of life of individuals with Parkinson’s disease. Front Aging Neurosci. 2011;3:14. https://doi.org/10.3389/fnagi.2011.00014
  • 36 Navarro-Peternella FM, Marcon SS.: Quality of life of a person with Parkinson's disease and the relationship between the time of evolution and the severity of the disease. Rev Latino-Am Enfermagem. 2012;20(2):384-91. http://dx.doi.org/10.1590/S0104-11692012000200023
  • 37 Clarke CE, Patel S, Ives N, Rick CE, Dowling F, Woolley R, et al. Physiotherapy and Occupational Therapy vs No Therapy in Mild to Moderate Parkinson Disease: A Randomized Clinical Trial. JAMA Neurol. 2016 Mar;73(3):291-9. http://dx.doi.org/10.1001/jamaneurol.2015.4452