physical benefits in dancers with spinal cord injury participating in six week mixed ability latin...
TRANSCRIPT
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Physical Benefits in Dancers with Spinal
Cord Injury Participating in Six Week Mixed Ability Latin Dance Class
Bonny Masters MD
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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.
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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)
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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.
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ParticipantsAge 42.9+12.1Paraplegia 5F/2MTetraplegia 6F/2MMean duration of injury 14.0 years +8.2Wheelchairs power/manual 5P/10M
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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
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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
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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
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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
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Community IntegrationOutcome Measure
Mean Pre Intervention Mean Post Intervention P-Value
CRIS 55.1+5.1 56.7+3.7 P=0.034
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Adherence
• Surprising 93.3 ±7.8%
attendance rate.
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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.
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Decrease in weight of both manual and power wheelchair users is encouraging given the clinical challenge of weight loss in this population.
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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.
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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.
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• Other outcomes worth
consideration of further
study include spasticity,
sleep, bowel program
time, long term change
in functional
independence, mood
and quality of life.
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Let’s Dance!