A comprehensive Movement and Motion training program improves mobility in Parkinson’s disease

Narayanan Krishnamurthi, Claudia Murphey, Erika Driver-Dunckley

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Background: Mobility in Parkinson’s disease (PD) is restricted due to impairments in gait and postural control. Although typical dance-based movement programs are beneficial in PD, many did not improve gait which may be due to the nature of the training, limited data, or both. Moreover, the investigation of the effects of a dance program specifically designed for people with PD is scarce. Aims: To examine the effects of our newly developed, PD-specific, dance-based training program Movement and Motion (M&M), on mobility in people with PD. Methods: Nineteen participants with mild-to-moderate PD (Hoehn and Yahr score 1–2) participated in a 10-week M&M training program (two 1-h sessions per week). Several quantitative and objective indices of stride-to-stride gait, posture, and range of motion and clinical scores were obtained pre- and post-M&M training. The significance of the changes in these measures after the training was tested using paired t test or Wilcoxon signed-rank test and changes were considered significant at p < 0.05. Results: Gait velocity, stride length, double support and stance durations, the degree of arm swing, and turning significantly improved after the training. Moreover, the time taken to initiate movement shifts and target reach significantly decreased after the training. In addition, the range of motion at many major joints significantly increased. Discussion: The improvements in the gait, posture, and range of motion measures indicate greater gait stability, posture control, and flexibility, respectively, after M&M training. Conclusions: The movements involved in M&M training address specific impairments in PD, such as decreased amplitude and speed of movements, increased stiffness, and altered posture control during leaning and reaching. Results indicate that regular practice of PD-specific M&M training can alleviate the targeted impairments and, thus, may lead to improved mobility and quality of life for people with PD.

Original languageEnglish (US)
Pages (from-to)633-643
Number of pages11
JournalAging Clinical and Experimental Research
Volume32
Issue number4
DOIs
StatePublished - Apr 1 2020

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Keywords

  • Dance training
  • Gait
  • Parkinson’s disease
  • Posture control

ASJC Scopus subject areas

  • Aging
  • Geriatrics and Gerontology

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