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Dance-Based Therapy in a Program of All-inclusive Care for the Elderly: An Integrative Approach to Decrease Fall Risk

Krampe, Jean MSN, RN; Rantz, Marilyn J. PhD, RN, FAAN; Dowell, Laura PT; Schamp, Richard MD; Skubic, Marjorie PhD; Abbott, Carmen PT

Nursing Administration Quarterly: April-June 2010 - Volume 34 - Issue 2 - p 156–161
doi: 10.1097/NAQ.0b013e3181d91851

Background Loss of balance and diminished gait are major fall risk factors in older persons. Literature suggests that physical activity based on dance may improve balance and gait. The aim of this pilot study was to determine whether dance-based therapy affects the balance/gait of community-based frail seniors.

Conceptual Framework The Roy Adaptation Model and Environmental Press Theory were used as joint frameworks.

Participants Eleven participants were recruited from a Program of All-inclusive Care for the Elderly (PACE). Inclusion criteria were (1) Mini-Mental State Examination score of 23 or more, (2) attending PACE on Monday, Wednesday, and Friday, and (3) able to stand with or without assistance.

Methods A Lebed Method dance intervention was conducted using a longitudinal design 3 times a week for 6 weeks. Functional Reach and Timed Get Up and Go were measured at baseline, 6 weeks after the start of the intervention, and 6 weeks postintervention and repeated to estimate the persistence of the effect.

Conclusions Graphs were compared looking for functional trends; postintervention interviews were conducted with each subject.

Implications Dance therapy results in positive functional trends, suggesting that further study using dance-based therapy will be useful to decrease fall risks in older persons.

Sinclair School of Nursing, University of Missouri and Alexian Brothers Community Services (Ms Krampe); Alexian Brothers Community Services (Ms Dowell and Dr Schamp); Sinclair School of Nursing (Dr Rantz); Electrical and Computer Engineering (Dr Skubic); and Physical Therapy (Ms Abbott), University of Missouri, Columbia.

Corresponding Author: Jean Krampe, MSN, RN, Sinclair School of Nursing, School of Nursing, University of Missouri, Columbia, MO 65211 (

This pilot project was funded by the MUSSON Rantz Care in Aging Research Endowment, partially funded by the Sigma Theta Tau National Honor Society-Nu Chi Chapter, with in-kind support from Alexian Brothers Community Services.

© 2010 Lippincott Williams & Wilkins, Inc.