Clinical trial NCT04120467: Dance as a Means to Improve Functions and Quality of Life After a Stroke
Official title: Dance After a Stroke to Restore Pleasure in Physical Activity to Improve Cognitive and Motor Functions, Quality of Life and Well-being
Study type: INTERVENTIONAL
Overall status: TERMINATED
Phase: NA
Conditions: Stroke
Keywords: Stroke
Rehabilitation
Dance
Lead sponsor: School of Health Sciences Geneva
Sponsor class: OTHER
Collaborators: name: Institution de Lavigny
First posted: 2019-10-09
Enrollment: 16
Sex: ALL
Minimum age (years): 45
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Context Dance is an intrinsically motivating activity comprising social interaction, stimulation through music, the joy of moving despite motor limitations induced by pathology, and which has good perceived benefits among participants. Moving with pleasure is essential to finding the motivation to engage in rehabilitation program and physical activity. In stroke context, physical activity and rehabilitation were difficult to carry out because of cognitive and motor disabilities. Moreover, when the rehabilitation is over, the diminishing motor stimulation gradually limits autonomy in daily tasks. It is therefore urgent to provide persons in a post-stroke situation with motivating physical activity opportunities. Very few studies have studied dance in a context of stroke, while this physical activity is highly adapted and effective for other chronic conditions.

Objectives: The main objective is to assess the effects of dance practice on cognitive and motor functions for persons after stroke. The secondary objective is to investigate the effects of dance on quality of life, motivation and adherence. The investigator's hypothesis is that the practice of dance induces an increase of balance and motor capacities, and improving the quality of life, adherence and motivation after a stroke.

Materials and method :

Forty-eight subjects with stroke in subacute phase will be randomized into two groups: 1) intervention (dance and standard rehabilitation) and 2) control (standard rehabilitation). Before intervention, stroke severity, cognitive abilities and motor capacities will be tested. Two baseline tests will occur to assess the stability of individuals will be planned. Participants will attend a dance class weekly during 6 weeks. The cognitive and motor functions (balance, lower-limbs strength, coordination and motor level), the quality of life (Stroke-specific quality of life scale) will be measured at 4 and 6 weeks in both groups. Participant satisfaction with regard to dance will be tested, as well as adherence and adverse effects.

Perspectives:

The joy of dancing and the possibility of including other non-disabled people should facilitate adherence and motivation and increase the recovery of cognitive and motor functions.This project should motivate physiotherapists and dance teachers to increase the offer of dance classes for persons with motor and cognitive impairments.This action will be a basis for combating people's sedentary lifestyle after a stroke.


Eligibility criteria: Inclusion Criteria:

* Post stroke
* Subacute phase
* Able to endure 60 minutes of physical activity
* Medical stability
* Able to understand the consign

Exclusion Criteria:

* Medical complications
* Hearing disorders
* Previous pathologies associated with balance disorders

Primary outcomes:
measure: Change from Baseline cognitive-motor functions in both groups (dance vs. control): cognitive recovery
timeFrame: 6 weeks
measure: Change from baseline cognitive-motor functions in both groups (dance vs. control): balance recovery
timeFrame: 4 weeks and 6 weeks
measure: Change from baseline cognitive-motor functions in both groups (dance vs. control): standing balance recovery
timeFrame: 4 weeks and 6 weeks
measure: Change from baseline cognitive-motor functions in both groups (dance vs. control): balance confidence recovery
timeFrame: 4 weeks and 6 weeks
measure: Change from baseline cognitive-motor functions in both groups (dance vs. control): lower limbs muscle strength recovery
timeFrame: 4 weeks and 6 weeks
measure: Change from baseline cognitive-motor functions in both groups (dance vs. control): coordination recovery
timeFrame: 4 weeks and 6 weeks
measure: Change from baseline cognitive-motor functions in both groups (dance vs. control): functional ability recovery
timeFrame: 6 weeks
Secondary outcomes:
measure: Change from baseline Quality of life in both groups (dance vs. control)
timeFrame: 6 weeks
measure: Change from baseline Motivation for Physical Activity practice in both groups (dance vs. control)
timeFrame: 4 weeks and 6 weeks
measure: Incidence of dance practice on adverse effects: existence of pain and fatigue after each dance class
timeFrame: up to 6 weeks (after each dance class)
measure: Level of participant's satisfaction with dance class
timeFrame: 6 weeks
Other outcomes:
Locations:
city: Lavigny
country: Switzerland
facility: Institution de Lavigny
state: Vaud
Study officials:
affiliation: Haute Ecole de Santé de Genève (SchoolHSG)
name: Anne-Violette Bruyneel
role: PRINCIPAL_INVESTIGATOR
References:
citation: Bruyneel AV. Effects of dance activities on patients with chronic pathologies: scoping review. Heliyon. 2019 Jul 20;5(7):e02104. doi: 10.1016/j.heliyon.2019.e02104. eCollection 2019 Jul.
citation: Patterson KK, Wong JS, Nguyen TU, Brooks D. A dance program to improve gait and balance in individuals with chronic stroke: a feasibility study. Top Stroke Rehabil. 2018 Sep;25(6):410-416. doi: 10.1080/10749357.2018.1469714. Epub 2018 May 10.
citation: Patterson KK, Wong JS, Prout EC, Brooks D. Dance for the rehabilitation of balance and gait in adults with neurological conditions other than Parkinson's disease: A systematic review. Heliyon. 2018 Mar 29;4(3):e00584. doi: 10.1016/j.heliyon.2018.e00584. eCollection 2018 Mar.
citation: Demers M, McKinley P. Feasibility of delivering a dance intervention for subacute stroke in a rehabilitation hospital setting. Int J Environ Res Public Health. 2015 Mar 16;12(3):3120-32. doi: 10.3390/ijerph120303120.
citation: Morice E, Moncharmont J, Jenny C, Bruyneel AV. Dancing to improve balance control, cognitive-motor functions and quality of life after stroke: a study protocol for a randomised controlled trial. BMJ Open. 2020 Sep 30;10(9):e037039. doi: 10.1136/bmjopen-2020-037039.