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Särkämö T, Huttula L, Leppelmeier J, Molander K, Forsbom MB, Säynevirta K, Kullberg-Turtiainen M, Turtiainen P, Sarajuuri J, Hokkanen L, Rantanen P, Koskinen S. DARE to move: feasibility study of a novel dance-based rehabilitation method in severe traumatic brain injury. Brain Inj 2021; 35:335-344. [PMID: 33476199 DOI: 10.1080/02699052.2021.1873420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Objective: Dance is a versatile and multimodal rehabilitation method, which may be useful also in traumatic brain injury (TBI) rehabilitation. Here, we assessed the feasibility and preliminary effects of a novel dance-based intervention called Dual-Assisted Dance Rehabilitation (DARE).Method: This is a feasibility study with a cross-over design where 11 persons with severe/extremely severe TBI received a 12-week (2 times/week) DARE program. Motor and neuropsychological tests and questionnaires measuring mood, executive functions, and quality of life were performed at baseline, 3-month, and 6-month stage. Self-perceived benefits were assessed with a post-intervention questionnaire.Results: Acceptability of and adherence to DARE were encouraging: 91% were fully consistent with protocol, and adherence to DARE sessions was 83-100%. Pre-post treatment effects sizes were medium-large for self-reported depression (BDI-II: d = 1.19-1.74) and executive deficits (BRIEF-A: d = 0.43-1.09) and for test-assessed trunk movement control (TIS: d = 0.47-0.76) and cognitive functioning (WAIS-IV subtests: d = 0.34-0.89). Other outcome measures did not show similar positive effect sizes. Self-perceived benefits were largest for mobility and cognition.Conclusion: Dance-based rehabilitation is a feasible and promising method in severe TBI and its efficacy should be assessed with a larger clinical trial.
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Affiliation(s)
- Teppo Särkämö
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland
| | - Lilli Huttula
- Clinical Neuropsychology Research Group, Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland
| | | | - Kiki Molander
- Finnish Dance Rehabilitation Association, Helsinki, Finland
| | - Maj-Brit Forsbom
- Validia Rehabilitation Helsinki, Helsinki, Finland.,Finnish Dance Rehabilitation Association, Helsinki, Finland
| | | | - Marjo Kullberg-Turtiainen
- Faculty of Social Sciences, University of Helsinki, Helsinki, Finland.,EazyeM Ltd, Helsinki, Finland
| | | | - Jaana Sarajuuri
- Clinical Neuropsychology Research Group, Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland.,Validia Rehabilitation Helsinki, Helsinki, Finland.,ProNeuron, Espoo, Finland
| | - Laura Hokkanen
- Clinical Neuropsychology Research Group, Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland
| | - Pekka Rantanen
- Validia Rehabilitation Helsinki, Helsinki, Finland.,Faculty of Medicine, University of Helsinki, Helsinki, Finland.,Helsinki and Uusimaa Hospital District, Helsinki, Finland
| | - Sanna Koskinen
- Clinical Neuropsychology Research Group, Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland
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Abstract
Rehabilitation of dance injury should be a team-based approach lead by a medical practitioner with experience in both musculoskeletal medicine and dance specific demands. The rehabilitation protocol begins with a dance specific initial assessment, followed by injury management, progression of the rehabilitation program including dance specific movement, advancing to full independence.
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Affiliation(s)
- Melody Hrubes
- Rothman Orthopaedics, 645 Madison Avenue, New York, NY 10022, USA.
| | - Jennifer Janowski
- Athletico Physical Therapy, 24 E. Chicago Ave, Chicago, IL 60611, USA
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