Aging Clinical and Experimental Research

, Volume 30, Issue 7, pp 727–735 | Cite as

Effects of dance practice on functional mobility, motor symptoms and quality of life in people with Parkinson’s disease: a systematic review with meta-analysis

  • Marcela dos Santos Delabary
  • Isabel Giovannini Komeroski
  • Elren Passos Monteiro
  • Rochelle Rocha Costa
  • Aline Nogueira Haas



Patients with Parkinson’s Disease (PD) undergo motor injuries, which decrease their quality of life (QL). Dance, added to drug therapy, can help treating these patients


To conduct a systematic review with meta-analysis with the aim to analyze the effects of dance classes in comparison to other interventions or to the absence of intervention, in randomized clinical trials (RCTs), on functional mobility, motor symptoms and QL of PD patients


The search was conducted in MEDLINE, LILACS, SciELO, Cochrane and PsycINFO (last searched in August 2017). RCTs analyzing dance effects in comparison to other physical training types or to no intervention, on functional mobility, motor symptoms and QL of PD patients were selected. The outcomes assessed were motor symptoms with Unified PD Rating Scale III (UPDRSIII), functional mobility with Timed Up and Go Test (TUG), endurance with 6 min walking test (6MWT), freezing of gait with Freezing of Gait Questionnaire (FOG_Q), walking velocity with GAITRite and QL with PD Questionnaire (PDQ39). Two reviewers independently extracted methodological quality and studies data. Results are presented as weighted mean differences.


Five RCTs were included, totaling 159 patients. Dance promoted significant improvements on UPDRSIII, and a decrease in TUG time when compared to other types of exercise. In comparison to the absence of intervention, dance practice also showed significant improvements in motor scores.


Dance can improve motor parameters of the disease and patients’ functional mobility.


Parkinsonian disorders Dancing Locomotion Rehabilitation Quality of life 


Compliance with ethical standards


This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. This study was funded by the authors.

Conflict of interest

The authors state that there was no conflict of interests with any financial or personal relationships or organizations that could influence the research results.

Supplementary material

40520_2017_836_MOESM1_ESM.pdf (242 kb)
Supplementary material 1 (PDF 241 KB)


  1. 1.
    Monteiro EP, Franzoni LT, Cubillos DM et al (2017) Effects of Nordic walking training on functional parameters in Parkinson’s disease: a randomized controlled clinical trial. Scand J Med Sci Sports 27:351–358. doi: 10.1111/sms.12652 CrossRefPubMedGoogle Scholar
  2. 2.
    Romenets SR, Anang J, Fereshtehnejad SM et al (2015) Tango for treatment of motor and non-motor manifestations in Parkinson’s Disease: a randomized control study. Complement Ther Med 23:175–184. doi: 10.1016/j.ctim.2015.01.015 CrossRefGoogle Scholar
  3. 3.
    Gallo PM, McIsaac TL, Garber CE (2014) Walking economy during cued versus non-cued self-selected treadmill walking in persons with Parkinson’s disease. J Parkinsons Dis 4:705–716. doi: 10.3233/JPD-140445 PubMedGoogle Scholar
  4. 4.
    Marinho MS, Chaves PM, Tarabal TO (2014) Dupla-tarefa na doença de Parkinson: uma revisão sistemática de ensaios clínicos aleatorizados. Rev Bras Geriatr Gerontol 17:191–199CrossRefGoogle Scholar
  5. 5.
    Alberts JL, Linder SM, Penko AL et al (2011) It is not about the bike, it is about the pedaling: forced exercise and Parkinson’s disease. Exerc Sport Sci Rev 39:177–186. doi: 10.1097/JES.0b013e31822cc71a PubMedGoogle Scholar
  6. 6.
    Sharp K, Hewitt J (2014) Dance as an intervention for people with Parkinson’s disease: a systematic review and meta-analysis. Neurosci Biobehav Rev 47:445–456. doi: 10.1016/j.neubiorev.2014.09.009 CrossRefPubMedGoogle Scholar
  7. 7.
    Volpe D, Signorini M, Marchetto A et al (2013) A comparison of Irish set dancing and exercises for people with Parkinson’s disease: a phase II feasibility study. BMC Geriatr 13:1–6. doi: 10.1186/1471-2318-13-54 CrossRefGoogle Scholar
  8. 8.
    Shanahan J, Morris ME, Bhriain ON et al (2015) Dance for people with Parkinson disease: what is the evidence telling us? Arch Phys Med Rehabil 96:141–153. doi: 10.1016/j.apmr.2014.08.017 CrossRefPubMedGoogle Scholar
  9. 9.
    Deeks J, Higgins J, Altman D (eds) (2011) Analysing data and undertaking meta-analysis. In: Higgins J, Green S (eds) Cochrane handbook for systematic reviews of interventions, version 5.1.0. The cochrane collaboration. Accessed Sep 2015Google Scholar
  10. 10.
    Hackney ME, Kantorovich S, Levin R et al (2007) Effects of tango on functional mobility in Parkinson’s disease: a preliminary study. J Neuro Phys Ther 31:173–179. doi: 10.1097/NPT.0b013e31815ce78b CrossRefGoogle Scholar
  11. 11.
    Duncan R, Earhart G (2012) Randomized controlled trial of community-based dancing to modify disease progression in Parkinson disease. Neurorehabilit Neural Repair 26:132–143. doi: 10.1177/1545968311421614 CrossRefGoogle Scholar
  12. 12.
    Hackney ME, Earhart G (2009) Effects of dance on movement control in Parkinson Disease: a comparison of Argentine Tango and American ballrrom. J Rehabil Med 41:475–481. doi: 10.2340/16501977-0362 CrossRefPubMedPubMedCentralGoogle Scholar
  13. 13.
    Higgins J (2011) Analysing data and undertaking metaanalysis. In: Higgins J, Green S (eds) Cochrane handbook for systematic reviews of interventions. Version 5.1.0. Accessed Dec 2015
  14. 14.
    Gonçalves GB, Leite MAA, Pereira JS (2011) Influência das distintas modalidades de reabilitação sobre as disfunções motoras decorrentes da Doença de Parkinson. Rev Bras Neurol 47:22–30Google Scholar
  15. 15.
    Tuon T, Valvassori SS, Dal Pont GC et al (2014) Physical training prevents depressive symptoms and a decrease in brain-derived neurotrophic factor in Parkinson’s disease. Brain Res Bull 108:106–112. doi: 10.1016/j.brainresbull.2014.09.006 CrossRefPubMedGoogle Scholar
  16. 16.
    Hackney ME, Bennett C (2014) Dance therapy for individuals with Parkinson’s disease: improving quality of life. J Parkinsonism Restless Legs Syndr 4:17–25CrossRefGoogle Scholar
  17. 17.
    Frazzitta G, Balbi P, Maestri R et al (2013) The Beneficial Role of Intensive Exercise on Parkinson Disease Progression. Am J Phys Med Rehabilit 92:1–10. doi: 10.1097/PHM.0b013e31828cd254 CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Marcela dos Santos Delabary
    • 1
  • Isabel Giovannini Komeroski
    • 1
  • Elren Passos Monteiro
    • 2
  • Rochelle Rocha Costa
    • 1
  • Aline Nogueira Haas
    • 1
  1. 1.Physical Education SchoolFederal University of Rio Grande do SulPorto AlegreBrazil
  2. 2.Federal Foundation School of Medical Sciences of Porto AlegrePorto AlegreBrazil

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