Clinical trial NCT02603523: Effects of Senior Dance on Risk Factors for Falls
Official title: Effects of Senior Dance on Risk Factors for Falls in Older Adults: A Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Accidental Falls
Keywords: accidental falls
older people
dance
randomized controlled trial
Lead sponsor: Universidade Estadual Paulista Júlio de Mesquita Filho
Sponsor class: OTHER
Collaborators: name: Federal University of Minas Gerais
name: Universidade Cidade de Sao Paulo
name: University of Sydney
name: The George Institute
First posted: 2015-11-11
Enrollment: 82
Sex: ALL
Minimum age (years): 60
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The efficacy of exercise programs to prevent falls among older people is well documented in the literature. However, older people's adherence to these exercise programs has been reported to be suboptimal, varying between 21% and 74%. In addition, about 45% of people aged over 60 years do not meet the minimum recommended level of physical activity. In this context, dance is a promising alternative to traditional exercise programs, as it can positively influence important risk factors for falls, such as sedentary lifestyle, balance impairments and muscle weakness. Nevertheless, a recent systematic review conducted in this area show that the lack of randomized clinical trials as well as the low methodological quality of existing studies do not allow to reach definitive conclusions on the real effects of dance on risk factors for falls. A type of dance that is becoming popular among the older population in Brazil is the Senior Dance. Senior Dance classes consist of different choreographies, which include rhythmic and simple movements with rhythmic folk songs. The concentration required to learn the choreographies challenges balance, motor coordination and cognitive function. Thus the present study is a randomized clinical trial aiming to investigate the Senior Dance effect on balance, mobility and cognitive function, compared with a control group, among older people living in the community. A total of 82 subjects will be randomly allocated into two groups. The intervention group will participate in a 12-week, twice-weekly group-based program of Senior Dance, while the control will be encouraged to maintain their current routine activities. Outcomes measures (balance, mobility and cognitive function) will be evaluated before and after the intervention by an assessor blinded to group allocation. The results of this study will assist health practitioners when prescribing intervention for the older population.


Eligibility criteria: Inclusion criteria:

* Community-dwelling aged 60 years or over
* Cognitively intact (defined as a minimum score of 24 points on the Mini Mental Status Examination).

Exclusion criteria:

* Previous stroke with severe neurological impairment
* Progressive neurological disease
* Severe visual deficiency, dizziness or vertigo for less than 3 months
* Inability to maintain a standing position, even with the use of a walking aid or other device
* Any illness that the physician considers as an exercise contra-indication (e.g. uncontrolled angina, acute coronary disease).
* Participants who are currently participating in regular exercise programs including strength training and balance challenge, such as supervised group exercise, Tai Chi, Yoga, or any dance activity.

Primary outcomes:
measure: Single-leg stance with eyes closed
timeFrame: 12 weeks after randomization
Secondary outcomes:
measure: Short Physical Performance Battery
timeFrame: 12 weeks after randomization
measure: Falls Efficacy Scale - International (FES-I)
timeFrame: 12 weeks after randomization
measure: Trail Making Test (TMT)
timeFrame: 12 weeks after randomization
measure: The Montreal Cognitive Assessment (MOCA):
timeFrame: 12 weeks after randomization
Other outcomes:
Locations:
city: Presidente Prudente
country: Brazil
facility: UNESP
state: São Paulo
Study officials:
affiliation: Departamento de Fisioterapia, Faculdade de Ciências e Tecnologia, UNESP - Universidade Estadual Paulista, Presidente Prudente, São Paulo, Brasil
name: Marcia R Franco, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: Departamento de Fisioterapia, Faculdade de Ciências e Tecnologia, UNESP - Universidade Estadual Paulista, Presidente Prudente, São Paulo, Brasil
name: Carlos Marcelo Pastre, PhD
role: STUDY_DIRECTOR
References:
citation: Fernandez-Arguelles EL, Rodriguez-Mansilla J, Antunez LE, Garrido-Ardila EM, Munoz RP. Effects of dancing on the risk of falling related factors of healthy older adults: a systematic review. Arch Gerontol Geriatr. 2015 Jan-Feb;60(1):1-8. doi: 10.1016/j.archger.2014.10.003. Epub 2014 Nov 6.
citation: Franco MR, Sherrington C, Tiedemann A, Pereira LS, Perracini MR, Faria CSG, Negrao-Filho RF, Pinto RZ, Pastre CM. Effect of Senior Dance (DanSE) on Fall Risk Factors in Older Adults: A Randomized Controlled Trial. Phys Ther. 2020 Apr 17;100(4):600-608. doi: 10.1093/ptj/pzz187.
citation: Franco MR, Sherrington C, Tiedemann A, Pereira LS, Perracini MR, Faria CR, Pinto RZ, Pastre CM. Effectiveness of Senior Dance on risk factors for falls in older adults (DanSE): a study protocol for a randomised controlled trial. BMJ Open. 2016 Dec 30;6(12):e013995. doi: 10.1136/bmjopen-2016-013995.