Partnered, adapted argentine tango dance for cancer survivors: A feasibility study and pilot study of efficacy

• Published in: Clinical biomechanics (Bristol) 2019-12, Vol.70, p.257-264
• Main Authors: Worthen-Chaudhari, L, Lamantia, M.T, Monfort, S.M, Mysiw, W, Chaudhari, A.M.W, Lustberg, M.B
• Format: Article
• Language: English
• Subjects: Balance; Biomechanics; Cancer; Chemotherapy-induced peripheral neuropathy; Physical Medicine and Rehabilitation; Postural control
• ISSN: 0268-0033; 1879-1271
• DOI: 10.1016/j.clinbiomech.2019.08.010

AbstractBackgroundNeurotoxic 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). MethodsTwenty-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. FindingsFeasibility 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). InterpretationPartnered, Adapted Argentine Tango is feasible for cancer survivors and may improve postural control. Enrolling with a companion improved attendance.