Una Una propuesta de Danza Brasileña: Efectos en los niveles de cognición global de personas con la Enfermedad de Parkinson (A Brazilian Dance Proposal: Effects on Global Cognition Levels of People with Parkinson's Disease)

Autores/as

  • Maria Vitória Andreazza Duarte Universidade Federal do Rio Grande do Sul
  • Marcela dos Santos Delabary Universidade Federal do Rio Grande do Sul
  • Mariana Wolffenbuttel Universidade Federal do Rio Grande do Sul
  • Aline Nogueira Haas Universidade Federal do Rio Grande do Sul

DOI:

https://doi.org/10.47197/retos.v45i0.91303

Palabras clave:

Danza, Enfermedad de Parkinson, Cognición, Terapia, Rehabilitación, (Dance; Parkinson’s Disease; Cognition; Therapy; Rehabilitation)

Resumen

 

El objetivo del presente estudio fue verificar los efectos de un programa de Danza Brasileña en los niveles de cognición global de personas con enfermedad de Parkinson. Se contó con treinta participantes con dicha enfermedad. Estos realizaron 22 clases de danza brasileña, con una hora de duración, dos veces a la semana, durante 11 semanas. Para la recogida de datos fueron utilizados los siguientes recursos: ficha de datos personales de los participantes; Escala Unificada para la Evaluación de la Enfermedad de Parkinson – parte III, para evaluar los síntomas motores; Estadios de Hoehn & Yahr, para establecer la progresión de la enfermedad; y la Evaluación Cognitiva Montreal, para evaluar la cognición global. Se realizó un estudio descriptivo y los datos estadísticos fueron verificados a través del Test Shapiro-Wilk. Así mismo, fue utilizado el Test de Wilcoxon para comparar los datos de cognición global antes y después de las clases de Danza Brasileña. Para el análisis de estos datos se aplicó el programa Statistical Package for Social Sciences versión 20.0. El nivel de significancia fue de α<0,05. Antes y después de las clases de Danzas Brasileñas, los participantes obtuvieron una puntuación media de Deterioro Cognitivo Leve, con una modesta mejora. No hubo diferencia estadística en la cognición global después de las clases de danza (p = 0,195). Al tratarse de una enfermedad neurodegenerativa y progresiva, la estabilidad en los niveles de la cognición global, puede ser un resultado positivo para personas con la enfermedad de Parkinson, demostrando que la Danza Brasileña puede ser eficaz para mantener mayor tiempo los niveles de cognición retrasando el deterioro de los mismos. 

Abstract The aim of the present study was to verify the effects of a Brazilian Dance program on the global cognition levels of people with Parkinson's disease. Thirty participants with Parkinson's disease participated in 22 Brazilian dance classes, lasting one hour, twice a week, for 11 weeks. For data collection, the following instruments were used: personal data sheet of the participants; Unified Scale for the Evaluation of Parkinson's Disease - part III, to evaluate motor symptoms; Hoehn & Yahr stages, to establish the progression of the disease; and the Montreal Cognitive Assessment, to assess global cognition. Descriptive statistics were performed and the normality of the data was verified through the Shapiro-Wilk Test. The Wilcoxon Test was used to compare global cognition data before and after the Brazilian Dance classes. For data analysis, the Statistical Package for Social Sciences version 20.0 program was used. The level of significance was α <0.05. Before and after the Brazilian Dance classes, the participants presented a mean score of Mild Cognitive Impairment, with a modest improvement. There was no statistical difference in global cognition after dance classes (p = 0.195). As it is a neurodegenerative and progressive disease, the stability in the levels of global cognition can be a positive result for people with Parkinson's disease, showing that Brazilian Dance can be effective in maintaining these levels.

Biografía del autor/a

Aline Nogueira Haas, Universidade Federal do Rio Grande do Sul

Profesor Asociad. Curso de Licenciatura en Danza y Programa de Post-graduación en Ciencias del Movimiento Humano. Universidade Federal do Rio Grande do Sul, Brasil.

Citas

Aarsland, D., Batzu, L., Halliday, G. M., Geurtsen, G. J., Ballard, C., Ray Chaudhuri, K., & Weintraub, D. (2021). Parkinson disease-associated cognitive impairment. Nature Reviews Disease Primers, 7(1), 1–21. https://doi.org/10.1038/s41572-021-00280-3

Armstrong, M. J., & Okun, M. S. (2020). Diagnosis and Treatment of Parkinson Disease: A Review. JAMA - Journal of the American Medical Association, 323(6), 548–560. https://doi.org/10.1001/jama.2019.22360

Baiano, C., Barone, P., Trojano, L., & Santangelo, G. (2020). Prevalence and clinical aspects of mild cognitive impairment in Parkinson’s disease: A meta-analysis. Movement Disorders, 35(1), 45–54. https://doi.org/10.1002/mds.27902

Carapellotti, A. M., Stevenson, R., & Doumas, M. (2020). The efficacy of dance for improving motor impairments, non-motor symptoms, and quality of life in parkinson’s disease: A systematic review and meta-analysis. PLoS ONE, 15(8 August). https://doi.org/10.1371/journal.pone.0236820

Caviness, J. N., Driver-Dunckley, E., Connor, D. J., Sabbagh, M. N., Hentz, J. G., Noble, B., … Adler, C. H. (2007). Defining mild cognitive impairment in Parkinson’s disease. Movement Disorders, 22(9), 1272–1277. https://doi.org/10.1002/mds.21453

Corallo, F., De Cola, M. C., Lo Buono, V., Di Lorenzo, G., Bramanti, P., & Marino, S. (2017). Observational study of quality of life of Parkinson’s patients and their caregivers. Psychogeriatrics, 17(2), 97–102. https://doi.org/10.1111/psyg.12196

Cruise, K. E., Bucks, R. S., Loftus, A. M., Newton, R. U., Pegoraro, R., & Thomas, M. G. (2011). Exercise and Parkinson’s: Benefits for cognition and quality of life. Acta Neurologica Scandinavica, 123(1), 13–19. https://doi.org/10.1111/j.1600-0404.2010.01338.x

Cusso, M. E., Donald, K. J., & Khoo, T. K. (2016). The impact of physical activity on non-motor symptoms in Parkinson’s disease: A systematic review. Frontiers in Medicine, 3(AUG), 1–9. https://doi.org/10.3389/fmed.2016.00035

Dalrymple-Alford, J. C., MacAskill, M. R., Nakas, C. T., Livingston, L., Graham, C., Crucian, G. P., … Anderson, T. J. (2010). The MoCA: Well-suited screen for cognitive impairment in Parkinson disease. Neurology, 75(19), 1717–1725. https://doi.org/10.1212/WNL.0b013e3181fc29c9

De Natale, E. R., Paulus, K. S., Aiello, E., Sanna, B., Manca, A., Sotgiu, G., … Deriu, F. (2017). Dance therapy improves motor and cognitive functions in patients with Parkinson’s disease. NeuroRehabilitation, 40(1), 141–144. https://doi.org/10.3233/NRE-161399

Doidge, N. (2015). The brain’s way of healing: Stories of remarkable recoveries and discoveries. Penguin UK.

Dorsey, E. R., Sherer, T., Okun, M. S., & Bloemd, B. R. (2018). The emerging evidence of the Parkinson pandemic. Journal of Parkinson’s Disease, 8(s1), S3–S8. https://doi.org/10.3233/JPD-181474

Dos Santos Delabary, M., Monteiro, E. P., Donida, R. G., Wolffenbuttel, M., Peyré-Tartaruga, L. A., & Haas, A. N. (2020). Can Samba and Forró Brazilian rhythmic dance be more effective than walking in improving functional mobility and spatiotemporal gait parameters in patients with Parkinson’s disease? BMC Neurology, 20(1), 1–10. https://doi.org/10.1186/s12883-020-01878-y

Fonseca, L. C., Tillmann, A. C., Moratelli, J., Swarowsky, A., & Guimarães, A. C. de A. (2021). The impact of Brazilian samba on balance and quality of life of individuals with Parkinson’s disease. Revista Brasileira de Atividade Física & Saúde, 26, 1–7. https://doi.org/10.12820/rbafs.26e0194

Goetz, C. G., Poewe, W., Rascol, O., Sampaio, C., Stebbins, G. T., Counsell, C., … Seidl, L. (2004). Movement Disorder Society Task Force report on the Hoehn and Yahr staging scale: Status and recommendations. Movement Disorders, 19(9), 1020–1028. https://doi.org/10.1002/mds.20213

Goetz, C. G., Tilley, B. C., Shaftman, S. R., Stebbins, G. T., Fahn, S., Martinez-Martin, P., … Zweig, R. M. (2008). Movement Disorder Society-Sponsored Revision of the Unified Parkinson’s Disease Rating Scale (MDS-UPDRS): Scale presentation and clinimetric testing results. Movement Disorders, 23(15), 2129–2170. https://doi.org/10.1002/mds.22340

Goldman, J. G., Holden, S., Bernard, B., Ouyang, B., Goetz, C. G., & Stebbins, G. T. (2013). Defining optimal cutoff scores for cognitive impairment using movement disorder society task force criteria for mild cognitive impairment in Parkinson’s disease. Movement Disorders, 28(14), 1972–1979. https://doi.org/10.1002/mds.25655

Goldman, J. G., & Sieg, E. (2020). Cognitive Impairment and Dementia in Parkinson Disease. Clinics in Geriatric Medicine, 36(2), 365–377. https://doi.org/10.1016/j.cger.2020.01.001

Gronek, P., Haas, A. N., Czarny, W., Podstawski, R., Do Santos Delabary, M., Clark, C. C. T., … Gronek, J. (2021). The mechanism of physical activity-induced amelioration of Parkinson’s disease: A narrative review. Aging and Disease, 12(1), 192–202. https://doi.org/10.14336/AD.2020.0407

Haas, A. N., Delabary, M. dos S., & Donida, R. G. (2018). Proyecto Danza & Parkinson: Una propuesta de vivencias prácticas para la mejora de la calidad de vida. Tándem: Didáctica de la educación física, (62), 12-17.

Hackney, M. E., Lee, H. L., Battisto, J., Crosson, B., & McGregor, K. M. (2015). Context-dependent neural activation: Internally and externally guided rhythmic lower limb movement in individuals with and without neurodegenerative disease. Frontiers in Neurology, 6(DEC). https://doi.org/10.3389/fneur.2015.00251

Hashimoto, H., Takabatake, S., Miyaguchi, H., Nakanishi, H., & Naitou, Y. (2015). Effects of dance on motor functions, cognitive functions, and mental symptoms of Parkinson’s disease: A quasi-randomized pilot trial. Complementary Therapies in Medicine, 23(2), 210–219. https://doi.org/10.1016/j.ctim.2015.01.010

Hely, M. A., Reid, W. G. J., Adena, M. A., Halliday, G. M., & Morris, J. G. L. (2008). The Sydney Multicenter Study of Parkinson’s disease: The inevitability of dementia at 20 years. Movement Disorders, 23(6), 837–844. https://doi.org/10.1002/mds.21956

Kalyani, H. H. N., Sullivan, K., Moyle, G., Brauer, S., Jeffrey, E. R., Roeder, L., … Kerr, G. (2019). Effects of Dance on Gait, Cognition, and Dual-Tasking in Parkinson’s Disease: A Systematic Review and Meta-Analysis. Journal of Parkinson’s Disease, 9(2), 335–349. https://doi.org/10.3233/JPD-181516

Lawson, R. A., Yarnall, A. J., Duncan, G. W., Breen, D. P., Khoo, T. K., Williams-Gray, C. H., … Burn, D. J. (2016). Cognitive decline and quality of life in incident Parkinson’s disease: The role of attention. Parkinsonism and Related Disorders, 27, 47–53. https://doi.org/10.1016/j.parkreldis.2016.04.009

Litvan, I., Aarsland, D., Adler, C. H., Goldman, J. G., Kulisevsky, J., Mollenhauer, B., … Weintraub, D. (2011). MDS task force on mild cognitive impairment in Parkinson’s disease: Critical review of PD-MCI. Movement Disorders, 26(10), 1814–1824. https://doi.org/10.1002/mds.23823

Litvan, I., Goldman, J. G., Tröster, A. I., Schmand, B. A., Weintraub, D., Petersen, R. C., … Emre, M. (2012). Diagnostic criteria for mild cognitive impairment in Parkinson’s disease: Movement Disorder Society Task Force guidelines. Movement Disorders, 27(3), 349–356. https://doi.org/10.1002/mds.24893

Marras, C., Tröster, A. I., Kulisevsky, J., & Stebbins, G. T. (2014). The tools of the trade: A state of the art “How to Assess Cognition” in the patient with Parkinson’s disease. Movement Disorders, 29(5), 584–596. https://doi.org/10.1002/mds.25874

McKee, K. E., & Hackney, M. E. (2013). The effects of adapted tango on spatial cognition and disease severity in parkinson’s disease. Journal of Motor Behavior, 45(6), 519–529. https://doi.org/10.1080/00222895.2013.834288

McNeely, M. E., Duncan, R. P., & Earhart, G. M. (2015). Impacts of dance on non-motor symptoms, participation, and quality of life in Parkinson disease and healthy older adults. Maturitas, 82(4), 336–341. https://doi.org/10.1016/j.maturitas.2015.08.002

Michels, K., Dubaz, O., Hornthal, E., & Bega, D. (2018). “Dance Therapy” as a psychotherapeutic movement intervention in Parkinson’s disease. Complementary Therapies in Medicine, 40(June), 248–252. https://doi.org/10.1016/j.ctim.2018.07.005

Moratelli, J., Alexandre, K. H., Boing, L., Swarowsky, A., Corrêa, C. L., & Guimarães, A. C. de A. (2021). Binary dance rhythm or Quaternary dance rhythm which has the greatest effect on non-motor symptoms of individuals with Parkinson’s disease? Complementary Therapies in Clinical Practice, 43(August 2020). https://doi.org/10.1016/j.ctcp.2021.101348

Murray, D. K., Sacheli, M. A., Eng, J. J., & Stoessl, A. J. (2014). The effects of exercise on cognition in Parkinson’s disease: A systematic review. Translational Neurodegeneration, 3(1), 1–13. https://doi.org/10.1186/2047-9158-3-5

Nasreddine, Z. S., Phillips, N. A., Bédirian, V., Charbonneau, S., Whitehead, V., Collin, I., … Chertkow, H. (2005). The Montreal Cognitive Assessment, MoCA: A brief screening tool for mild cognitive impairment. Journal of the American Geriatrics Society, 53(4), 695–699. https://doi.org/10.1111/j.1532-5415.2005.53221.x

Pedersen, K. F., Larsen, J. P., Tysnes, O. B., & Alves, G. (2013). Prognosis of mild cognitive impairment in early Parkinson disease: The Norwegian ParkWest study. JAMA Neurology, 70(5), 580–586. https://doi.org/10.1001/jamaneurol.2013.2110

Poewe, W., Seppi, K., Tanner, C. M., Halliday, G. M., Brundin, P., Volkmann, J., … Lang, A. E. (2017). Parkinson disease. Nature Reviews Disease Primers, 3, 1–21. https://doi.org/10.1038/nrdp.2017.13

Prewitt, C. M., Charpentier, J. C., Brosky, J. A., & Urbscheit, N. L. (2017). Effects of Dance Classes on Cognition, Depression, and Self-Efficacy in Parkinson’s Disease. American Journal of Dance Therapy, 39(1), 126–141. https://doi.org/10.1007/s10465-017-9242-8

Ramos, N. R., Romero-Ramos, Ó., & Suárez, A. J. G. (2021). Actividad física y funciones cognitivas en personas mayores: revisión sistemática de los últimos 5 años (Physical activity and cognitive functions in older people: a systematic review of the last 5 years). Retos, (39), 1017-1023. https://doi.org/10.47197/retos.v0i39.79960.

Reginold, W., Duff-Canning, S., Meaney, C., Armstrong, M. J., Fox, S., Rothberg, B., … Marras, C. (2013). Impact of mild cognitive impairment on health-related quality of life in Parkinson’s disease. Dementia and Geriatric Cognitive Disorders, 36(1–2), 67–75. https://doi.org/10.1159/000350032

Rios Romenets, S., Anang, J., Fereshtehnejad, S. M., Pelletier, A., & Postuma, R. (2015). Tango for treatment of motor and non-motor manifestations in Parkinson’s disease: A randomized control study. Complementary Therapies in Medicine, 23(2), 175–184. https://doi.org/10.1016/j.ctim.2015.01.015

Roberts, R., & Knopman, D. S. (2013). Classification and epidemiology of MCI. Clinics in Geriatric Medicine, 29(4), 753–772. https://doi.org/10.1016/j.cger.2013.07.003

Tillmann, A. C., Swarowsky, A., Andrade, A., Moratelli, J., Boing, L., Souza Vieira, M. D. C., … De Azevedo Guimarães, A. C. (2020). The impact of brazilian samba on parkinson’s disease: Analysis by the disease subtypes. Revista Brasileira de Medicina Do Esporte, 26(1), 25–29. https://doi.org/10.1590/1517-869220202601220640

Ventura, M. I., Barnes, D. E., Ross, J. M., Lanni, K. E., Sigvardt, K. A., & Disbrow, E. A. (2016). A pilot study to evaluate multi-dimensional effects of dance for people with Parkinson’s disease. Contemporary Clinical Trials, 51, 50–55. https://doi.org/10.1016/j.cct.2016.10.001

Watson, G. S., & Leverenz, J. B. (2010). Profile of Cognitive Impairment in Parkinson’ s Disease. 20, 640–645. https://doi.org/10.1111/j.1750-3639.2010.00373.x

Williams-gray, C. H., Mason, S. L., Evans, J. R., Foltynie, T., Brayne, C., Robbins, T. W., & Barker, R. A. (2013). The CamPaIGN study of Parkinson ’ s disease : 10-year outlook in an incident population-based cohort. 1258–1264. https://doi.org/10.1136/jnnp-2013-305277

Zhang, Q., Hu, J., Wei, L., Jia, Y., & Jin, Y. (2019). Effects of dance therapy on cognitive and mood symptoms in people with Parkinson’s disease: A systematic review and meta-analysis. Complementary Therapies in Clinical Practice, 36(6), 12–17. https://doi.org/10.1016/j.ctcp.2019.04.005

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Publicado

2022-06-21

Cómo citar

Andreazza Duarte, M. V., dos Santos Delabary, M., Wolffenbuttel, M., & Nogueira Haas, A. (2022). Una Una propuesta de Danza Brasileña: Efectos en los niveles de cognición global de personas con la Enfermedad de Parkinson (A Brazilian Dance Proposal: Effects on Global Cognition Levels of People with Parkinson’s Disease). Retos, 45, 591–597. https://doi.org/10.47197/retos.v45i0.91303

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Monográfico. Expresión Corporal e investigación. De ocurrencias a certezas