Feasibility of delivering a dance intervention for subacute stroke in a rehabilitation hospital setting

Marika Demers, Patricia McKinley, Marika Demers, Patricia McKinley

Abstract

Dance can be a promising treatment intervention used in rehabilitation for individuals with disabilities to address physical, cognitive and psychological impairments. The aim of this pilot study was to determine the feasibility of a modified dance intervention as an adjunct therapy designed for people with subacute stroke, in a rehabilitation setting. Using a descriptive qualitative study design, a biweekly 45-min dance intervention was offered to individuals with a subacute stroke followed in a rehabilitation hospital, over 4 weeks. The dance intervention followed the structure of an usual dance class, but the exercises were modified and progressed to meet each individual's needs. The dance intervention, delivered in a group format, was feasible in a rehabilitation setting. A 45-min dance class of moderate intensity was of appropriate duration and intensity for individuals with subacute stroke to avoid excessive fatigue and to deliver the appropriate level of challenge. The overall satisfaction of the participants towards the dance class, the availability of space and equipment, and the low level of risks contributed to the feasibility of a dance intervention designed for individuals in the subacute stage of post-stroke recovery.

References

    1. World Heart Federation Stroke. [(accessed on 25 November 2014)]. Available online:
    1. Hakim A.M., Silver F., Hodgson C. Organized stroke care: A new era in stroke prevention and treatment. Can. Med. Assn. J. 1998;159:S1.
    1. Mayo N., Wood-Dauphinee S., Ahmed S., Gordon C., Higgins J., Mcewen S., Salbach N. Disablement following stroke. Disabil. Rehabil. 1999;21:258–268. doi: 10.1080/096382899297684.
    1. Dogğan A., MengüllüoGĞlu M., Özgirgin N. Evaluation of the effect of ankle-foot orthosis use on balance and mobility in hemiparetic stroke patients. Disabil. Rehabil. 2011;33:1433–1439. doi: 10.3109/09638288.2010.533243.
    1. Berrol C. Dance/movement therapy in head injury rehabilitation. Brain Injury. 1990;4:257–265. doi: 10.3109/02699059009026175.
    1. Berrol C.F., Ooi W.L., Katz S.S. Dance/movement therapy with older adults who have sustained neurological insult: A demonstration project. Amer. J. Dance Ther. 1997;19:135–160. doi: 10.1023/A:1022316102961.
    1. Hackney M.E., Hall C.D., Echt K.V., Wolf S.L. Application of adapted tango as therapeutic intervention for patients with chronic stroke. J. Geriatr. Phys. Ther. 2012;35:206–217. doi: 10.1519/JPT.0b013e31823ae6ea.
    1. Hackney M.E., Earhart G.M. Recommendations for implementing tango classes for persons with Parkinson disease. Amer. J. Dance Ther. 2010;32:41–52. doi: 10.1007/s10465-010-9086-y.
    1. Belardinelli R., Lacalaprice F., Ventrella C., Volpe L., Faccenda E. Waltz dancing in patients with chronic heart failure new form of exercise training. Circ. Heart Fail. 2008;1:107–114. doi: 10.1161/CIRCHEARTFAILURE.108.765727.
    1. Keogh J.W., Kilding A., Pidgeon P., Ashley L., Gillis D. Physical benefits of dancing for healthy older adults: A review. J. Aging Phys. Act. 2009;17:479–500.
    1. Ritter M., Low K.G. Effects of dance/movement therapy: A meta-analysis. Art. Psychother. 1996;23:249–260. doi: 10.1016/0197-4556(96)00027-5.
    1. Strassel J., Cherkin D., Steuten L., Sherman K., Vrijhoef H. A systematic review of the evidence for the effectiveness of dance therapy. Altern. Ther. Health Med. 2011;17:50–59.
    1. Brown S., Martinez M.J., Parsons L.M. The neural basis of human dance. Cereb. Cortex. 2006;16:1157–1167. doi: 10.1093/cercor/bhj057.
    1. Brown S., Parsons L.M. The neuroscience of dance. Sci. Amer. 2008;299:78–83. doi: 10.1038/scientificamerican0708-78.
    1. Lindsay P., Bayley M., Hellings C., Hill M., Woodbury E., Phillips S. Canadian best practice recommendations for stroke care (updated 2008) Can. Med. Assn. J. 2008;179:S1–S25. doi: 10.1503/cmaj.081148.R2.
    1. Johannsen L., Wing A.M., Hatzitaki V. Effects of maintaining touch contact on predictive and reactive balance. J. Neurophysiol. 2007;97:2686–2695. doi: 10.1152/jn.00038.2007.
    1. Earhart G.M. Dance as therapy for individuals with Parkinson disease. Eur. J. Phys. Rehabil. Med. 2009;45:231–238.
    1. Hackney M.E., Earhart G.M. Short duration, intensive tango dancing for Parkinson disease: An uncontrolled pilot study. Complement. Ther. Med. 2009;17:203–207. doi: 10.1016/j.ctim.2008.10.005.
    1. Hackney M.E., Earhart G.M. Effects of dance on balance and gait in severe Parkinson disease: A case study. Disabil. Rehabil. 2010;32:679–684. doi: 10.3109/09638280903247905.
    1. Biasin L., Sage M.D., Brunton K., Fraser J., Howe J.-A., Bayley M., Brooks D., McIlroy W.E., Mansfield A., Inness E.L. Integrating aerobic training within subacute stroke rehabilitation: A feasibility study. Phys. Ther. 2014;94:1796–1806. doi: 10.2522/ptj.20130404.
    1. Duncan P., Studenski S., Richards L., Gollub S., Lai S.M., Reker D., Perera S., Yates J., Koch V., Rigler S. Randomized clinical trial of therapeutic exercise in subacute stroke. Stroke. 2003;34:2173–2180. doi: 10.1161/01.STR.0000083699.95351.F2.
    1. Tang A., Marzolini S., Oh P., McIlroy W.E., Brooks D. Feasibility and effects of adapted cardiac rehabilitation after stroke: A prospective trial. BMC Neurol. 2010;10 doi: 10.1186/1471-2377-10-40.
    1. Demers M., Thomas A., Wittich W., McKinley P. Implementing a novel dance intervention in rehabilitation: Perceived barriers and facilitators. Disabil. Rehabil. 2014 doi: 10.3109/09638288.2014.955135.
    1. Rabbia J. Dance as a community-based exercise in older adults. Top. Geriatr. Rehabil. 2010;26:353–360. doi: 10.1097/TGR.0b013e3181fee5cc.

Source: PubMed

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