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Tango For Parkinson's Disease: A Step In The Right Direction

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by

Edwina Oliver

on 24 October 2016

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Transcript of Tango For Parkinson's Disease: A Step In The Right Direction

Warm Up
Tango For Parkinson's Disease
Class Content
Parkinson's Disease
A Step In the Right Direction
Gentle Walking

Range of Motion

Breathing exercises

Rib/Pelvic dissociation

Strength &Balance tasks

Benefits of Dancing
Aims
Participants
Class Schedule
FITT Principle
Recommendation For Implementation
Key Findings
Evaluation
Reflections
Thanks For Watching
References
Incurable degenerative disease
2nd most common neurological condition
Characteristics
Bradykinesia
Resting tremor
Postural instability
rigidity

Results in poor balance, gait disturbance & increase risk of falls leading to reduce quality of life (QoL)
PD patients reduce level of activity due to reduce motivation, fear of falling & low expectations
Argentine Tango is a safe, feasible and fun alternative to challenge balance & improve fitness
Incorporate cueing techniques, whole body co-ordination and complex step sequences that challenge balance and improve mobility
1. Improve functional dependence
Increase mobility
2. Reduce falls risk
Improve balance
3. Increase Quality of life
Minimise PD symptom progression
Social interaction & motivation
4. Improve cardiovascular capacity
PD disease stage 1-3 Hoehn & Yahr scale
Need to walk independently without gait aid for 20m
Adequate hearing, vision and cognition
Precaution for secondary impairment eg. Cardiac disease, OA or history of falls
Twice per week
12 week program
Class run for 1 hour duration
Taught 1:6 ratio, 12 pairs total
PD patients to be paired with non PD partner
Lead by PT + AHA or Tango instructor + PT
Frequency:

2 days per week
Intensity:
Low to moderate controlled by tempo of music
Time:
1 hour
Type:
Aerobic, flexibility, neuromotor, resistance
Volume:
15 mins flexibility, 45 mins Aerobics
Progression:
Increase difficulty of dance sequence, total dance time with smaller breaks & tempo of music
Argentine Tango
Cool Down
Introduction to tango fundamentals
Dancing to music
Posture
Embracing partner
Individual step practice
Partnered Practice
Freelance dancing with partner

Gentle stretching

Breathing exercises

Close with applause
Flat surface and open space & plenty of chairs
Providing plenty of water for hydration
Participants to wear loose comfortable clothes and supportive shoes
Undergo medical examination and falls risk assessment prior to referral to class
Encouraging rests when needed
Completion of program receive
Certificate of achievement
Booklet of dance routines
CD of music
Info on further community classes
Task-specific training in dancing classes such as walking backwards, turning, stepping over obstacles were shown effective to improve daily activities of patients with PD
Improves mobility, motor skills, balance, gait pattern and speed, reduces bradykinesia, freezing episodes and tremor, improve posture, reduces fear of falling, increases quality of life
Tango has also shown to improve spatial cognition and memory
Tango class allows for gains while focusing on the enjoyment and music of class, not patients limitations
Tango also improves QoL through strengthening of social networks and improving self-esteem
To swap between leader & follower each class
Outcome measures
Class evaluation
Survey addressing
Enjoyment levels
Attendance rates
Suggested improvements
Strengths
Limitations
Emphasis on social aspect of class
Fun, enjoyable environment
Shift focus away from condition
Maximises mobility & independence

Requires training to teach
Only suitable for early stage PD
Intensity based on whole class not individual
Not an individually tailored program
Small class size
Hard to integrate mid program

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Edwina Oliver, Bingxuan He, Ken Evert Ang, Vivian Chu & Matthew Chow
Full transcript