Edorium Journal of

Disability and Rehabilitation

 
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Original Article
 
Evaluation of dance therapy effects on gait pattern in patients with previous cerebrovascular events: Randomized study results from a single center
Erbil Dursun1, Soner Yalcin2, Tugba Gokbel3, Cagla Karacan4, Beril Melina Dursun5, Melike Akarsu6, Nigar Dursun1
1MD, Professor of Physical Medicine and Rehabilitation, Department of Physical Medicine and Rehabilitation, Kocaeli University, Kocaeli, Turkey.
2MD and Certified tango trainer.
3Resident of the Department of Physical Therapy and Rehabilitation, Izmit Rehabilitation and Training Center, Kocaeli University Medical School, Kocaeli, Turkey.
4Recreational Therapist, Department of Physical Therapy and Rehabilitation, Izmit Rehabilitation and Training Center, Kocaeli University Medical School, Kocaeli, Turkey.
5Student of Istanbul University National Music Conservatory.
6Orthotist at the Department of Physical Therapy and Rehabilitation, Izmit Rehabilitation and Training Center, Kocaeli University Medical School, Kocaeli, Turkey.

Article ID: 100019D05ED2016
doi:10.5348/D05-2016-19-OA-15

Address correspondence to:
Nigar Dursun
MD, Kocaeli Üniversitesi Tip Fakültesi Kampüsü
Fizik Tedavi ve Rehabilitasyon Anabilim Dali
Umuttepe Kampüsü
Kocaeli-Turkey

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How to cite this article
Dursun E, Yalcin S, Gokbel T, Karacan C, Dursun BM, Akarsu M, Dursun N. Evaluation of dance therapy effects on gait pattern in patients with previous cerebrovascular events: Randomized study results from a single center. Edorium J Disabil Rehabil 2016;2:124–130.


Abstract
Aims: As stroke is a complex medical condition involving physical, psychological and cognitive impairments, and also causes restrictions in daily activities and social participation, its rehabilitation is very important, but challenging. Therefore, we aimed to investigate the effects of therapeutic dance programs on walking ability and balance in post-stroke patients, when combined with botulinum toxin A (BTX-A) injections and conventional rehabilitation program.
Methods: A total of 51 post-stroke hemiplegic patients treated with BTX-A, who attended the conventional neurological rehabilitation program of the Physical Therapy and Rehabilitation Clinic of Kocaeli University Medical School between November 2014 and December 2015, were included in this prospective, randomized, single center study. Patients were randomized as 1:1 into adapted tango classes (n = 27) and control group (n= 24). Clinical and functional outcomes were evaluated by the Modified Ashworth Scale (MAS), BBS, and Timed Up and Go (TUG) tests.
Results: Patients in the tango and control groups were well-matched in age, gender, and stroke side during randomization. There were statistically significant improvements in the tango group in MAS (p = 0.002), in TUG (p<0.001), and Berg Balance Scale (BBS) (p< 0.001) when compared with the control group, respectively (p<0.001, p=0.042, p<0.001). Balance improvement was more prominent in the tango group than in the control group (p= 0.003).
Conclusion: Partner adapted tango dance therapy accompanying BTX-A injections may improve postural balance in ambulatory post-stroke patients, who are treated with the conventional rehabilitation program.

Keywords: Botulinum toxin injection, Chronic stroke, Dance, Exercise


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Author Contributions:
Dursun Erbil – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Yalcin Soner – Substantial contributions to conception and design, Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Gokbel Tugba – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Cagla Karacan – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Beril Melina Dursun – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Melike Akarsu – Acquisition of data, Critical revision of the article, Final approval of the version to be published
Dursun Nigar – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Dursun Erbil et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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