Partnered, adapted argentine tango dance for cancer survivors: A feasibility study and pilot study of efficacy. (December 2019)

• Record Type: Journal Article
• Authors: Worthen-Chaudhari, L.; Lamantia, M.T.; Monfort, S.M.; Mysiw, W.; Chaudhari, A.M.W.; Lustberg, M.B.
• Is Part Of: Clinical biomechanics. Volume 70(2019)
• Page Start: 257
• Page End: 264
• Publication Date: 2019-12
• Subjects: CIPN Chemotherapy-induced peripheral neuropathy -- CONSORT Consolidated Standards Of Reporting Trials -- AE adverse event -- CoP center of pressure -- RMSml root-mean-square amplitude of the center of pressure in the medial-lateral direction (x axis) -- SD standard deviation -- s seconds -- mm millimeters -- min minutes; Cancer -- Chemotherapy-induced peripheral neuropathy -- Biomechanics -- Balance -- Postural control; Biomechanics -- Periodicals; Osteopathic medicine -- Periodicals; Biomechanics -- Periodicals; Osteopathic Medicine -- Periodicals; 612.76
• DOI: 10.1016/j.clinbiomech.2019.08.010
• Languages: English
• ISSNs: 0268-0033

Abstract

Abstract: Background: Neurotoxic cancer treatments can cause chemotherapy-induced peripheral neuropathy and postural control deficits that cancer survivors report as a concern. Exercise-based sensorimotor training has emerged as a promising treatment for symptoms including balance deficits, however, more study is needed to optimize engagement and participation. We evaluated feasibility, satisfaction, and preliminary efficacy of a novel balance training program for cancer survivors: partnered, Adapted Argentine Tango dance (Tango). Methods: Twenty-two individuals participated ( n = 22). Tango classes (1 h) were offered twice/week. At baseline, midpoint (8 classes), and conclusion of the training (15 or 16 classes), we assessed postural control by measuring center-of-pressure (CoP) measures during quiet standing with eyes closed. We also documented attendance, barriers to attendance, and satisfaction (7 point scale; 1 high). At conclusion, we analyzed whether 1) attendance and satisfaction met feasibility criteria; 2) postural control improved among participants who were outside of normal range at baseline; and 3) co-enrolling with a companion increased attendance. Findings: Feasibility criteria were met: more than half of participants attended more than half the classes offered with a mean satisfaction rate of 1.2 (SD 0.4). Those who enrolled with a companion ( n = 9) attended more sessions than those who did not ( n = 13) (Mann-Whitney U value = 20; p = 0.012). Participants with demonstrated deficits (n = 9) improved in 3 CoP measures at midpoint (i.e., medial-lateral sway, ellipse area, medial-lateral velocity), retaining improvement in 2 CoP measures at endpoint (i.e., medial-lateral sway, ellipse area). Interpretation: Partnered, Adapted Argentine Tango is feasible for cancer survivors and may improve postural control. Enrolling with a companion improved attendance. Highlights: Tango is feasible for cancer survivors to participant in with high satisfaction. Tango may improve postural control among cancer survivors with deficits. Enrolling with a companion was associated with higher attendance.