Upload
cassandra-murphy
View
215
Download
0
Embed Size (px)
Citation preview
Physical Benefits in Dancers with Spinal
Cord Injury Participating in Six Week Mixed Ability Latin Dance Class
Bonny Masters MD
Our Goal• We examined the physical and psychological benefits
in persons with Spinal Cord Injury (SCI) after
participation in a community based, mixed ability
social dance class.
• Dance instruction was in Rumba, Salsa, and Tango.
Study Design• We monitored attendance and participation in
mixed ability social dance class including salsa,
tango and rumba for 4 hours weekly for 6
weeks.
• There were 3 sites in the Bay Area where
participants could join class. (Oakland, Palo
Alto, and San Jose)
Study Design
• American Dancewheels Foundation’s Wheel
One® curriculum was used to teach American
style ballroom patterns adapted to the specific
needs of individual dancers.
• Standing dancers were paired with wheelchair
based dancers: all men were trained as leaders
and women as followers regardless of who was in
a wheelchair.
ParticipantsAge 42.9+12.1Paraplegia 5F/2MTetraplegia 6F/2MMean duration of injury 14.0 years +8.2Wheelchairs power/manual 5P/10M
Results
VariablePre (Mean ± SD)
6 weeks Post (Mean ± SD) P Value
Weight (lbs.) 148.7 ± 4.5 144 ±43.5 p<0.001Resting pain 3.1 ± 4.5 1.1 ±2.1 p=0.037
Range of Motion in degrees
VariablePre (Mean ± SD)
6 weeks Post (Mean ± SD) P Value
R sh flexion 142.3±14.3 151.6± 14.2 p=0.004R sh extension 70.5 ± 11.2 78.9 ± 10.5 p=0.003R sh IR 53.5 ± 15.4 77.1 ± 25.6 p<0.001R sh ER 92.8 ± 8.8 112 ± 11.8 p<0.001L sh flexion 147.3 ± 15 11 154.5 ± 10.8 p=0.011L sh abduction 150.1 ± 15 160.7 ± 13.1 p<0.001L sh extension 68 ± 9.2 79.9 ± 4.7 p<0.001L sh IR 54.1 ± 14.6 3 79.1 ± 22. p<0.001L sh ER 92.4 ± 12.3 113.4 ± 13.6 p<0.001
Strength in Kg
VariablePre (Mean ± SD)
6 weeks Post (Mean ± SD) P Value
R sh flexion 7.5 ± 3.6 9.7 ± 4.1 p=0.007R sh abduction 6.9 ± 3.2 9.2 ± 4 p=0.003R sh IR 12.8 ± 7.3 16 ± 7.1 p=0.001R sh ER 9.3 ± 4.3 11.1 ± 4.9 p=0.003R Elb Flex 14.9 ± 6.1 18.6 ± 6.7 p=0.001R elb ext 9.4 ± 5.2 11.6 ± 6.2 p=0.005L sh flexion 7.3 ± 2.8 9.9 ± 4.4 p=0.002L sh abduction 7.5 ± 3.2 9.8 ± 4 p<0.001L sh IR 12.6 ± 6.8 16.3 ± 7.5 p=0.007L sh ER 10.1 ± 4.2 12.6 ± 5.5 p<0.001L elb flex 15.5 ± 5.8 17.9 ± 6.9 p=0.003L elb ext 9.9 ± 5.4 12.1 ± 6.7 p=0.007Trunk flexion 7.7 ± 3.6 9.6 ± 4 p=0.007Trunk R lateral 7 ± 4.1 8.6 ± 3.3 p=0.008
Function
Variable
Pre (Mean ± SD)
6 weeks Post (Mean ± SD) P Value
Reaction time (ms) 330.3± 75.1 318.7± 71.5 p=0.037WC skill test 10± 3.3 9.4± 3.1 p=0.0096 min distance (ft)
2035.9± 471.7 2155.3± 505.4 p=0.012
PCI-coordination 7.5± 3.2 5.7± 1.6 p=0.002
Community IntegrationOutcome Measure
Mean Pre Intervention Mean Post Intervention P-Value
CRIS 55.1+5.1 56.7+3.7 P=0.034
Adherence
• Surprising 93.3 ±7.8%
attendance rate.
Conclusion
• These findings support the efficacy of
mixed ability Latin dance as an
intervention that likely improves overall
health and quality of life of SCI patients.
Decrease in weight of both manual and power wheelchair users is encouraging given the clinical challenge of weight loss in this population.
So many potential benefits• Improvements in:
• pain perception
• weight loss
• active ROM
• Coordination
• Social dance may provide a fun,
safe, and socially engaging form of
exercise with measurable benefits,
allowing participation of nearly all
abilities.
Difficulty in studying dance as intervention
• Dancers cannot be blinded.
• Dependence on willingness to
participate.
• Cognitive ability to learn new
information.
• Different modes of wheelchair control.
• Limited to schedule of provided dance
class.
• Other outcomes worth
consideration of further
study include spasticity,
sleep, bowel program
time, long term change
in functional
independence, mood
and quality of life.
Let’s Dance!