Archives of rehabilitation research and clinical translation · 2026
Impact of a Therapeutic Dance Program Compared With Circuit Physiotherapy in Rehabilitation of Older People With Recent Acquired Brain Injury: A Randomized Controlled Feasibility Trial With Embedded Qualitative Assessment.
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Adey-Wakeling Zoe, Block Heather, Hutchins Selena, Greene Leanne, Berg Maayken Van Den, Stewart Garry, Liu Enwu, Shulver Wendy, Crotty Maria, Hillier Susan
Аннотация
OBJECTIVE: To assess the feasibility of providing dance groups to people with recent acquired brain injuries (ABIs) in a hospital rehabilitation outpatient setting.
DESIGN: A mixed methods exploratory trial that included qualitative interviews and a single blind randomized controlled trial comparing 10 weeks (3 per wk: 30 sessions) of dance group to circuit group.
SETTING: A day rehabilitation outpatient setting in a tertiary hospital in South Australia.
PARTICIPANTS: A total of 49 participants (N=49) with ABI consented and were randomly divided.
INTERVENTIONS: Patients were randomly divided to a 10-week program of either dance group (n=25) or physiotherapy circuit group (n=24). The intervention was completed by 84% of dance participants and 87% of physiotherapy circuit group participants.
MAIN OUTCOME MEASURES: Primary outcome measure was health-related quality of life measured with Short Form-36. Secondary outcomes included a battery of assessments of balance, function, mobility, mood, and cognition. Feasibility outcomes included information on enrolment rates, attendance, participant satisfaction, and adverse events.
RESULTS: Physical outcomes were comparable between the 2 groups (with no adverse outcomes), but gains in the mental health component of quality of life measures were observed in the dance group only, including energy/fatigue and emotional well-being. Qualitative results indicated that participants found both dance and circuit groups enjoyable and acceptable. Participants offered that dance had complemented other aspects of their rehabilitation.
CONCLUSIONS: Dance groups in rehabilitation outpatient settings appear a safe, feasible therapeutic option post ABI, with significant gains in health-related quality of life, mood, and fatigue measures. Findings support feasibility to progress to a larger cluster randomized controlled trial to assess cost effectiveness and implementation issues in rehabilitation services generally.
DESIGN: A mixed methods exploratory trial that included qualitative interviews and a single blind randomized controlled trial comparing 10 weeks (3 per wk: 30 sessions) of dance group to circuit group.
SETTING: A day rehabilitation outpatient setting in a tertiary hospital in South Australia.
PARTICIPANTS: A total of 49 participants (N=49) with ABI consented and were randomly divided.
INTERVENTIONS: Patients were randomly divided to a 10-week program of either dance group (n=25) or physiotherapy circuit group (n=24). The intervention was completed by 84% of dance participants and 87% of physiotherapy circuit group participants.
MAIN OUTCOME MEASURES: Primary outcome measure was health-related quality of life measured with Short Form-36. Secondary outcomes included a battery of assessments of balance, function, mobility, mood, and cognition. Feasibility outcomes included information on enrolment rates, attendance, participant satisfaction, and adverse events.
RESULTS: Physical outcomes were comparable between the 2 groups (with no adverse outcomes), but gains in the mental health component of quality of life measures were observed in the dance group only, including energy/fatigue and emotional well-being. Qualitative results indicated that participants found both dance and circuit groups enjoyable and acceptable. Participants offered that dance had complemented other aspects of their rehabilitation.
CONCLUSIONS: Dance groups in rehabilitation outpatient settings appear a safe, feasible therapeutic option post ABI, with significant gains in health-related quality of life, mood, and fatigue measures. Findings support feasibility to progress to a larger cluster randomized controlled trial to assess cost effectiveness and implementation issues in rehabilitation services generally.