Improved Mobility, Cognition, and Disease Severity in Corticobasal Degeneration of an African American Man After 12 Weeks of Adapted Tango: A Case Study.
Hayley A Silverstein, Ariel R Hart, Ariyana Bozorg and 1 others
PMID 30801264WHAT IT FOUND
Short-term gains in mobility, cognition, and disease severity were seen after adapted tango in a man with corticobasal degeneration, but many gains faded by follow-up and depression worsened.
Key findings
01YD attended 20, 90-minute adapted tango classes over 12 weeks and showed short-term improvement, but improvements were not all maintained at 6-month posttest.
02At posttest, YD improved on disease-related motor symptoms, reported fewer non-motor symptoms, and maintained ability in motor ADLs, but returned to baseline or worsened at 6-month posttest, save for UPDRS-III.
03YD became more depressed at posttest, going from minimal to mild depression, and it was not resolved at 6-month posttest.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
This is a single case report, so it cannot show that adapted tango works for people with corticobasal degeneration. Improvements were not all maintained at follow-up, and some declined below baseline. There are no CBD-specific norms for the outcome measures, so changes were interpreted using Parkinson's disease norms and minimal detectable changes. YD added clonazepam at 6-month posttest, so medication status changed during follow-up.
Declared interests
The supplied article metadata lists NIH extramural and U.S. government non-PHS research support. The text states approval by Emory University School of Medicine and the Atlanta VA. No company funding or author conflict statement is given.
The easy way to misread this
Do not conclude that adapted tango is proven treatment for CBD. This is a single case, and short-term gains were not all maintained at follow-up.