Tango for Older People With Dementia

NCT05744011 | Unknown

• 1 other identifier: CERUBFC-2022-09-29-031
• Study Type: interventional
• Target: 124
• Locations: 1 country
• Sites: 2

Brief Summary

Cognitive impairment (CI) is the leading cause of loss of autonomy and has a huge impact on physical performance and quality of life (QOL) in older people. Pharmacological treatments currently available have modest efficacy at best. Dance as both artistic and physical activity, combining emotions, social interaction, and sensory stimulation, therefore appears as a non-pharmacological intervention, which could contribute to the prevention of functional decline. Among all the existing dances, tango occupies a special place because of the cultural and emotional resonance it carries, but also because of what it leads to motor mobilization (variations in the rhythm of walking, rotation of the belts, weight transfers…). These characteristics seem to make the tango an excellent tool for the rehabilitation of balance and gait, as well as for the prevention of the loss of autonomy in older adults with CI. The objective of this study is to evaluate and compare the effectiveness of an intervention based on tango and classical physical activity.

Conditions

Old Age; Dementia

Keywords

older adults; cognitive impairment; dance movement therapy; physical performance; tango-therapy; quality of life; well-being; gait

Outcome Measures

Primary Outcomes (2)

• Change from Baseline physical abilities (balance, gait speed and lower limbs strength) at 1 and 3 months

  Physical abilities will be measured with the Short Physical Performance Battery (SPPB). This test is composed of three evaluation criteria: balance, walking speed and sit to stand \[23\]. Specifically, during the balance test, the subject had to maintain each of three distinct positions for 10 seconds (feet together, semi-tandem and tandem). The failure of a step was the condition to start the second test, in which the subject walked 4 meters two consecutive times. The best score was retained. Finally, the time taken to complete the fastest 5 chair lifts without the help of the upper limbs was evaluated. At the end of the three tests, a score of a maximum of 12 points could be obtained.

  Before intervention/ after 1 month / after 3 months

• Change from Baseline general physical performance at 1 and 3 months

  The Timed Up \& Go test (TUG) is a general physical performance test used to assess mobility, balance and locomotor performance in elderly people with balance disturbances. The individual must stand up from a chair (which should not be leaned up against a wall), walk a distance of 3 meters, turn around, walk back to the chair and sit down - all performed at a comfortable and safe pace. One practice trial is permitted to allow the individual to familiarize him/herself with the task. Timing commences with the verbal instruction "go" and stops when the patient returns to seated position. The individual wears their regular footwear and is permitted to use their walking aid (cane/walker) with its use indicated on the data collection form. No physical assistance is given.

  Before intervention/ after 1 month / after 3 months

Secondary Outcomes (4)

• Change from Baseline ability to perform activities of daily living (ADL) at 1 and 3 months

  Before intervention/ after 1 month / after 3 months

• Change from Baseline questionnaire on Quality of Life (QoL) at 1 and 3 months

  Before intervention/ after 1 month / after 3 months

• Change from Baseline neuropsychiatric symptoms at 1 and 3 months

  Before intervention/ after 1 month / after 3 months

• Change from Baseline signs and symptoms of major depression at 1 and 3 months

  Before intervention/ after 1 month / after 3 months

Study Arms (2)

Tango group

EXPERIMENTAL

Tango intervention 2 times/week 1 hour During 3 months Conducted by care staff who previously received training in therapeutic tango from the University of Burgundy.

Other: Tango intervention

Physical activity group

ACTIVE COMPARATOR

Physical activity intervention 2 times/week 1 hour During 3 months No music Conducted by physical activity professor assisted by care staff

Other: Adapted Physical Activity

Interventions

Tango intervention OTHER

The interventions will be implemented by ABB Reportages and will be carried out by nursing staff who had previously received training in therapeutic tango at the University of Burgundy. A dance movement therapist and a musician will accompany the interventions twice a month. Participants will attend a 1-hour tango session, twice a week for twelve weeks.

Also known as: dance-movement-therapy

Tango group

Adapted Physical Activity OTHER

The intervention will be carried out by an Adapted Physical Activity professor and by nursing staff. Music is prohibited during the sessions. Participants will attend a 1-hour APA, twice a week for twelve weeks.

Also known as: APA

Physical activity group

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• Over 65 years old
• MMSE \< 21
• agreed to participate
• lived permanently in the nursing home
• able to walk 10 meters without human assistance

You may not qualify if:

• medical contraindications,
• limited life expectancy
• bedridden persons.

Sponsors & Collaborators

• University of Burgundy: lead

Study Sites (2)

Centre Hospitalier du Mont d'Or

Albigny-sur-Saône, France

COMPLETED

Ehpad Du Chg Le Val D'Or

Chasselay, 69380, France

RECRUITING

Related Publications (1)

• Bracco L, Pinto-Carral A, Hillaert L, Mourey F. Tango-therapy vs physical exercise in older people with dementia; a randomized controlled trial. BMC Geriatr. 2023 Oct 24;23(1):693. doi: 10.1186/s12877-023-04342-x.

  PMID: 37875856 DERIVED

MeSH Terms

Conditions

Alzheimer Disease; Cognitive Dysfunction

Condition Hierarchy (Ancestors)

Dementia; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Tauopathies; Neurodegenerative Diseases; Neurocognitive Disorders; Mental Disorders; Cognition Disorders

Study Officials

• France Mourey, Professor

  Inserm U1093, University of Burgundy

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Renaud Jamet, Nurse

CONTACT

(0033)0472081896; r.jamet@ch-montdor.fr

Lucia Bracco, PhD Student

CONTACT

(0033)0786952449; lucia.bracco@u-bourgogne.fr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Model Details: Randomized Controlled Trial

Study Record Dates

• First Submitted: February 8, 2023
• First Posted: February 24, 2023
• Study Start: December 1, 2022
• Primary Completion: June 16, 2023
• Study Completion: September 29, 2023
• Last Updated: February 24, 2023

Record last verified: 2023-02

Locations

FR (2)