PD-Ballet

  • Research type

    Research Study

  • Full title

    PD-Ballet: Efficacy of ballet dancing on motor and non-motor symptoms of Parkinson’s disease: a hybrid type 2 effectiveness-implementation trial

  • IRAS ID

    275588

  • Contact name

    K Ray Chaudhuri

  • Contact email

    ray.chaudhuri@kcl.ac.uk

  • Sponsor organisation

    King's College London

  • Clinicaltrials.gov Identifier

    NCT04719468

  • Duration of Study in the UK

    2 years, 6 months, 31 days

  • Research summary

    Parkinson’s Disease is a neurodegenerative condition currently affecting over 120,000 people in the UK and this number is set to double by 2065. The current treatment is based around symptomatic pharmacotherapy with levodopa being the gold standard. Currently there is some evidence for non-pharmacological treatments outlined by NICE guidelines, with no recommendations to specific adjuvant non-pharmacotherapies to aid PD symptoms, other than referral for physiotherapy. However, physical exercise has been shown to improve balance, strength, coordination and gait, leading to a significant improvement in quality of life.

    While a clear benefit of physical exercise on the motor symptoms is evident, few studies to date focused on the effects of group classes and on non-motor effects. Dance is emerging as a therapeutic option with cognitive, functional and psychosocial benefits, due to it being a multi-dimensional activity offering auditory, visual and sensory stimulation, musical experience, social interaction, memory, motor learning and emotional perception, expression and interaction and as such stimulating multiple pathways. To date, no research has explored acute and chronic effects of exercise-based interventions (such as dance therapy with ballet) in comparison to the conventional therapy-based management of Parkinson’s.

    We propose a randomised, controlled, single-blind study involving 160 PwP across all stages of the disease. Participants will be allocated to either standard therapy plus 12 weekly sessions of ballet dancing or standard therapy alone on a 2:1 ratio. Non-motor symptoms, motor symptoms and quality of life will be measured using validated scales, questionnaires and wearable sensor recordings (Parkinson’s KinetiGraph, GaitSmart). Furthermore, electrophysiological measures will be performed to determine the effects on cortical activity in a subgroup of participants. Assessments will be performed by a blinded rater at baseline and at the end of the intervention. The project will also explore the possibility of implementation of such therapy into the current pathways.

  • REC name

    Wales REC 7

  • REC reference

    20/WA/0261

  • Date of REC Opinion

    23 Dec 2020

  • REC opinion

    Further Information Favourable Opinion