Clinical trial NCT06334146: Tap Dance for Adults With Lower Limb Amputation
Official title: Feasibility and Acceptability of Tap Dance as a Therapeutic Intervention for Adults With Lower Limb Amputation
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Amputation; Traumatic, Leg, Lower
Lead sponsor: University of Nevada, Las Vegas
Sponsor class: OTHER
First posted: 2024-03-27
Enrollment: 3
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: The goal of this study is to determine whether it is possible for people with lower limb amputation (LLA) to perform adapted tap dance, whether an adapted tap dance program would be enjoyable, and whether it may improve balance and balance confidence.

There is a lack of research investigating therapeutic interventions for people with lower limb amputation (LLA). Tap dance encourages balance and novel movements of the limbs, while providing auditory feedback from the feet that provide information about the foot's contact with the ground, which may help prosthesis users gain a better ability to understand where their prosthetic foot is in space. As with most forms of dance, tap is usually taught and practiced in a group setting, which encourages community involvement. It has been shown to be safer than many forms of dance due to low impact forces. It also, as a genre, can incorporate canes, chairs and partner work, providing the ability to modify steps/moves when required so that they remain practical, achievable and safe for people with mobility limitations, while still enabling participation. It therefore may be an accessible dance medium to help improve balance, balance confidence, and build community for people with LLA.

Participants will be asked to:

* come to 1 hour dance classes, once per week, for 8 weeks.
* do mobility tests before and after the program
* complete questionnaires before, during and after the program. The total time for participation is approximately 8-10 weeks.


Eligibility criteria: Inclusion Criteria:

* unilateral or bilateral lower limb amputation at ankle level or above
* fitted with a walking prosthesis, used regularly for walking in the home and the community
* good socket fit
* able to stand or walk for 2 minutes at a time with or without an assistive device
* willing to travel to the University of Nevada Las Vegas for tap classes once a week for 8 weeks, and for two testing sessions
* able to complete all required outcome measures
* able to understand written and spoken English

Exclusion Criteria:

* leg/foot ulcer/sore or other conditions that cause pain during weight-bearing
* cardiovascular, respiratory or other critical health conditions that preclude moderate physical activity

Primary outcomes:
measure: Session Adherence
timeFrame: through study completion, over 8 weeks
measure: Physical Activities Enjoyment Scale (PACES)
timeFrame: Intervention week 8
Secondary outcomes:
measure: Change in Timed Up-and-Go test score
timeFrame: 8 weeks
measure: Change in Four Square Step Test score
timeFrame: 8 weeks
measure: Change in Berg Balance Scale score
timeFrame: 8 weeks
measure: Change in Activities-Specific Balance Confidence Scale score
timeFrame: 8 weeks
measure: Physical Activities Enjoyment Scale (PACES) score - Mid program
timeFrame: Intervention week 4
measure: Change in Trinity Amputation and Prosthesis Experience Scale (TAPES) functional activity restriction subscale score
timeFrame: 8 weeks
measure: Change in Trinity Amputation and Prosthesis Experience Scale (TAPES) social activity restriction subscale score
timeFrame: 8 weeks
measure: Change in Trinity Amputation and Prosthesis Experience Scale (TAPES) athletic activity restriction score
timeFrame: 8 weeks
measure: Use of assistive devices per session
timeFrame: through study completion, over 8 weeks
measure: Session completion per session
timeFrame: through study completion, over 8 weeks
Other outcomes:
Locations:
city: Las Vegas
country: United States
facility: University of Nevada Las Vegas
state: Nevada
Study officials:
affiliation: University of Nevada, Las Vegas
name: Jenny A Kent, PhD
role: PRINCIPAL_INVESTIGATOR
References: