Tango-Therapy Intervention for Older Adults with Cognitive Impairment Living in Nursing Homes: Effects on Quality of Life, Physical Abilities and Gait
Abstract
:1. Introduction
2. Materials and Methods
2.1. Participants
2.2. Ethics
2.3. Intervention
2.4. Outcome Measures
2.5. Statistical Analysis
3. Results
3.1. Sample Characteristics
3.2. Feasibility
3.3. Outcomes
3.3.1. Intergroup Comparison
3.3.2. Intragroup Comparison
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Session Components | Activities |
---|---|
Pre-warm-up | Organizing the seating arrangement in the room, greeting the participants, engaging in small talk. |
Warm-up | Seated exercises to mobilize lower and upper limbs, head and trunk as well as singing to warm-up the voice and foster social connection. |
Main part | Different aspects of tango therapy were practiced. This could include technical aspects, such as forward and backward walking, side-step, square, rectangle, as well as improvisation via spontaneous expression. The physical connection via ‘Abrazo’ (embrace) or other interactions were also an important aspect of the intervention. |
Cool-down | Seated rituals, such as singing and breathing exercises. |
Social exchange | The sessions were frequently followed by coffee and cake, or participants stayed to talk with each other and facilitators. |
Song Title | Artist |
---|---|
Le plus beau tango du monde | Tino Rossi |
Paloma | Tino Rossi |
Mon Amant de Saint Jean | Lucienne Delyle |
Voulez-Vous Danser Grand’mère | Lina Margy |
Vous Permettez Monsieur | Salvatore Adamo |
Variables | Total (n = 54) | SMCI (n = 41) | MNCI (n = 13) |
---|---|---|---|
Sex, females, n (%) | 42 (78) | 32 (78) | 10 (77) |
Age (years), M ± SD | 84.9 ± 6.7 | 84.9 ± 6.8 | 84.9 ± 6.9 |
Charlson Index, M ± SD | 5.6 ± 1.6 | 5.4 ± 1.2 | 6.4 ± 2.6 |
MMSE, score (range 0–30) M ± SD | 14.5 ± 7.4 | 11.3 ± 5.1 | 24.5 ± 2.5 |
Katz Index, score (range 0–6) M ± SD | 4.5 ± 1.3 | 4.3 ± 1.3 | 5.4± 0.8 |
Variables | Pre-Test M ± SD | Post-Test M ± SD | p-Value | |
---|---|---|---|---|
SPPB | Balance subscore (0–4) | 2.1 ± 0.9 | 2.3 ± 1 | 0.221 |
Gait speed subscore (0–4) | 2 ± 1 | 2 ± 1.1 | 0.725 | |
Sit to stand subscore (0–4) | 1.2 ± 1.2 | 1.2 ± 1.2 | 0.862 | |
Total score (0–12 | 5.3 ± 2.4 | 5.4 ± 2.6 | 0.876 | |
Katz Index, score (range 0–6) M ± SD | 4.5 ± 1.3 | 4.3 ± 1.2 | 0.253 | |
QoL-AD, score (range 13–52) | Participant | 33.8 ± 5.4 | 34.3 ± 5.7 | 0.172 |
Caregiver | 31.9 ± 4.5 | 33 ± 4.2 | 0.103 | |
Weighted composite score | 33.1 ± 4.6 | 34 ± 4.5 | 0.030 * |
Variables | SMCI (n = 41) | MNCI (n = 13) | Intergroup Comparison | Intragroup Comparison | |||||
---|---|---|---|---|---|---|---|---|---|
T1 | T2 | T1 | T2 | T1/T1 | T2/T2 | SMCI | MNCI | ||
SPPB | Balance (0–4) | 2.05 ± 0.8 | 2.2 ± 0.9 | 2.4 ± 1.2 | 2.7 ± 1.2 | 0.426 | 0.075 | 0.422 | 0.305 |
Gait speed (0–4) | 1.9 ± 0.9 | 1.7 ± 0.9 | 2.5 ± 1.4 | 2.7 ± 1.3 | 0.171 | 0.020 * | 0.486 | 0.527 | |
Sit to stand (0–4) | 1 ± 0.9 | 1 ± 1 | 2 ± 1.6 | 1.9 ± 1.4 | 0.042 * | 0.026 * | 0.966 | 0.725 | |
Total (0–12) | 4.9 ± 1.8 | 4.8 ± 1.9 | 6.8 ± 3.5 | 7.2 ± 3.6 | 0.09 | 0.025 * | 0728 | 0.751 | |
Katz Index | 4.3 ± 1.3 | 4 ± 1.2 | 5.4 ± 0.8 | 5.3 ± 0.9 | 0.003 * | 0.001 * | 0.25 | 0.914 | |
QoL-AD (13–52) | Participant | 33.3 ± 5.1 | 34 ± 4.9 | 35 ± 6.1 | 35.2 ± 7.4 | 0.472 | 0.776 | 0.122 | 0.858 |
Caregiver | 31.4 ± 4.2 | 32.4 ± 4.2 | 33.3 ± 5 | 34.7 ± 3.9 | 0.238 | 0.203 | 0.205 | 0.441 | |
Composite score | 32.4 ± 4.2 | 33.6 ± 4 | 34.4 ± 5.1 | 35 ± 5.7 | 0.368 | 0.434 | 0.038 * | 0.552 | |
Intervention Attendance | 7.8 ± 1.7 | 8.7 ± 1.6 | 0.084 | ||||||
EVIBE | 4.5 ± 0.5 | 4.7 ± 0.4 | 0.087 |
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Bracco, L.; Cornaro, C.; Pinto-Carral, A.; Koch, S.C.; Mourey, F. Tango-Therapy Intervention for Older Adults with Cognitive Impairment Living in Nursing Homes: Effects on Quality of Life, Physical Abilities and Gait. Int. J. Environ. Res. Public Health 2023, 20, 3521. https://doi.org/10.3390/ijerph20043521
Bracco L, Cornaro C, Pinto-Carral A, Koch SC, Mourey F. Tango-Therapy Intervention for Older Adults with Cognitive Impairment Living in Nursing Homes: Effects on Quality of Life, Physical Abilities and Gait. International Journal of Environmental Research and Public Health. 2023; 20(4):3521. https://doi.org/10.3390/ijerph20043521
Chicago/Turabian StyleBracco, Lucía, Clara Cornaro, Arrate Pinto-Carral, Sabine C. Koch, and France Mourey. 2023. "Tango-Therapy Intervention for Older Adults with Cognitive Impairment Living in Nursing Homes: Effects on Quality of Life, Physical Abilities and Gait" International Journal of Environmental Research and Public Health 20, no. 4: 3521. https://doi.org/10.3390/ijerph20043521