Dance/movement therapy for improving balance ability and bone mineral density in long-term patients with schizophrenia: a randomized controlled trial
Fractures are common accidents for long-term hospitalized patients with schizophrenia (SZ) in psychiatric hospitals, and once they occur, patients usually endure the pain of fractures for a long time. Accumulating evidence has supported the implementation of dance/movement therapy (DMT) as a promisi...
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creator | Guan, Hengyong Zhou, Zhaoxia Li, Xipo Pan, Yanfen Zou, Zhenmin Meng, Xiangfei Guan, Kunya Zhang, Lie Li, Zhanmin Li, Xueling Wei, Baochun Zhang, Xuan Li, Weiqing Han, Dongmei Li, Zezhi Xiu, Meihong |
description | Fractures are common accidents for long-term hospitalized patients with schizophrenia (SZ) in psychiatric hospitals, and once they occur, patients usually endure the pain of fractures for a long time. Accumulating evidence has supported the implementation of dance/movement therapy (DMT) as a promising intervention for patients with SZ. However, no research has been conducted to investigate its role in balance ability in SZ. This study was designed to investigate the efficacy of a 12-week DMT intervention in bone mineral density and balance ability in patients with SZ using a randomized, controlled trial design. A total of 58 veterans with SZ were randomly assigned to the DMT intervention group (
n
= 29) and the treatment-as-usual (TAU) group (
n
= 29). Bone mineral density (BMD) and balance ability were measured in both groups at two measurement points (at baseline and at the end of Week 12). We found that patients in the DMT intervention group had significant improvements in BMD and balance ability compared with the TAU group by using repeated measures analysis of variance. Treatment with DMT demonstrated a significant improvement in BMD from baseline to week 12 (0.03, 95% CI: 0.01–0.05). For the Berg total score and static and dynamic balance, the mean changes in the DMT group were 7.3 (95% CI: 5.6–9.0), 4.0 (95% CI: 0.9–7.1), and 3.7 (95% CI: 2.6–4.8), respectively. Regression analysis showed that baseline BMD was a significant predictor of improvement in BMD from baseline to week 12 in the DMT group (
β
= 0.58,
p
|
doi_str_mv | 10.1038/s41537-023-00373-w |
format | Article |
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n
= 29) and the treatment-as-usual (TAU) group (
n
= 29). Bone mineral density (BMD) and balance ability were measured in both groups at two measurement points (at baseline and at the end of Week 12). We found that patients in the DMT intervention group had significant improvements in BMD and balance ability compared with the TAU group by using repeated measures analysis of variance. Treatment with DMT demonstrated a significant improvement in BMD from baseline to week 12 (0.03, 95% CI: 0.01–0.05). For the Berg total score and static and dynamic balance, the mean changes in the DMT group were 7.3 (95% CI: 5.6–9.0), 4.0 (95% CI: 0.9–7.1), and 3.7 (95% CI: 2.6–4.8), respectively. Regression analysis showed that baseline BMD was a significant predictor of improvement in BMD from baseline to week 12 in the DMT group (
β
= 0.58,
p
< 0.001). Our results suggest for the first time that DMT intervention may be effective in beneficially regulating BMD and balance ability in SZ patients.</description><identifier>ISSN: 2754-6993</identifier><identifier>EISSN: 2754-6993</identifier><identifier>EISSN: 2334-265X</identifier><identifier>DOI: 10.1038/s41537-023-00373-w</identifier><identifier>PMID: 37524713</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/699/476 ; 692/699/476/1799 ; Bone density ; Cognitive Psychology ; Dance therapy ; Fractures ; Medicine ; Medicine & Public Health ; Neurology ; Neurosciences ; Psychiatry ; Schizophrenia</subject><ispartof>NPJ schizophrenia, 2023-07, Vol.9 (1), p.47-47, Article 47</ispartof><rights>The Author(s) 2023</rights><rights>2023. The Author(s).</rights><rights>The Author(s) 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c475t-ba7dffe03156542d2b28b6e05d1171411f59650e8f1e8fb911c3d45271167eb93</citedby><cites>FETCH-LOGICAL-c475t-ba7dffe03156542d2b28b6e05d1171411f59650e8f1e8fb911c3d45271167eb93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10390548/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10390548/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,41120,42189,51576,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37524713$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Guan, Hengyong</creatorcontrib><creatorcontrib>Zhou, Zhaoxia</creatorcontrib><creatorcontrib>Li, Xipo</creatorcontrib><creatorcontrib>Pan, Yanfen</creatorcontrib><creatorcontrib>Zou, Zhenmin</creatorcontrib><creatorcontrib>Meng, Xiangfei</creatorcontrib><creatorcontrib>Guan, Kunya</creatorcontrib><creatorcontrib>Zhang, Lie</creatorcontrib><creatorcontrib>Li, Zhanmin</creatorcontrib><creatorcontrib>Li, Xueling</creatorcontrib><creatorcontrib>Wei, Baochun</creatorcontrib><creatorcontrib>Zhang, Xuan</creatorcontrib><creatorcontrib>Li, Weiqing</creatorcontrib><creatorcontrib>Han, Dongmei</creatorcontrib><creatorcontrib>Li, Zezhi</creatorcontrib><creatorcontrib>Xiu, Meihong</creatorcontrib><title>Dance/movement therapy for improving balance ability and bone mineral density in long-term patients with schizophrenia: a randomized controlled trial</title><title>NPJ schizophrenia</title><addtitle>Schizophr</addtitle><addtitle>Schizophrenia (Heidelb)</addtitle><description>Fractures are common accidents for long-term hospitalized patients with schizophrenia (SZ) in psychiatric hospitals, and once they occur, patients usually endure the pain of fractures for a long time. Accumulating evidence has supported the implementation of dance/movement therapy (DMT) as a promising intervention for patients with SZ. However, no research has been conducted to investigate its role in balance ability in SZ. This study was designed to investigate the efficacy of a 12-week DMT intervention in bone mineral density and balance ability in patients with SZ using a randomized, controlled trial design. A total of 58 veterans with SZ were randomly assigned to the DMT intervention group (
n
= 29) and the treatment-as-usual (TAU) group (
n
= 29). Bone mineral density (BMD) and balance ability were measured in both groups at two measurement points (at baseline and at the end of Week 12). We found that patients in the DMT intervention group had significant improvements in BMD and balance ability compared with the TAU group by using repeated measures analysis of variance. Treatment with DMT demonstrated a significant improvement in BMD from baseline to week 12 (0.03, 95% CI: 0.01–0.05). For the Berg total score and static and dynamic balance, the mean changes in the DMT group were 7.3 (95% CI: 5.6–9.0), 4.0 (95% CI: 0.9–7.1), and 3.7 (95% CI: 2.6–4.8), respectively. Regression analysis showed that baseline BMD was a significant predictor of improvement in BMD from baseline to week 12 in the DMT group (
β
= 0.58,
p
< 0.001). Our results suggest for the first time that DMT intervention may be effective in beneficially regulating BMD and balance ability in SZ patients.</description><subject>692/699/476</subject><subject>692/699/476/1799</subject><subject>Bone density</subject><subject>Cognitive Psychology</subject><subject>Dance therapy</subject><subject>Fractures</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neurology</subject><subject>Neurosciences</subject><subject>Psychiatry</subject><subject>Schizophrenia</subject><issn>2754-6993</issn><issn>2754-6993</issn><issn>2334-265X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kctu1DAUhiMEolXpC7BAltiwCfU1jtkg1HKTKrGBtWUnJxNXiR1sz4ym78H74jClFBYsLB_pfOc_l7-qnhP8mmDWXiROBJM1pqzGmElW7x9Vp1QKXjdKsccP4pPqPKUbjDFVlLZMPq1OmBSUS8JOqx9XxndwMYcdzOAzyiNEsxzQECJy8xLDzvkNsmZaMWSsm1w-ION7ZIMHNDtf-An14NOacB5NwW_qDHFGi8muaCa0d3lEqRvdbVjGCN6ZN8igWFTC7G6hR13wOYZpKmGOzkzPqieDmRKc3_1n1bcP779efqqvv3z8fPnuuu64FLm2RvbDAJgR0QhOe2ppaxvAoidEEk7IIFQjMLQDKc8qQjrWc0ElIY0Eq9hZ9faou2ztDH1Xpi3b6CW62cSDDsbpvzPejXoTdrpYoLDgbVF4dacQw_ctpKxnlzqYyr0gbJOmLeeNVJKuzV7-g96EbfRlv5ViqmkbKQpFj1QXQ0oRhvtpCF7btvrovC7O61_O630pevFwj_uS3z4XgB2BVFJ-A_FP7__I_gQaZb1u</recordid><startdate>20230731</startdate><enddate>20230731</enddate><creator>Guan, Hengyong</creator><creator>Zhou, Zhaoxia</creator><creator>Li, Xipo</creator><creator>Pan, Yanfen</creator><creator>Zou, Zhenmin</creator><creator>Meng, Xiangfei</creator><creator>Guan, Kunya</creator><creator>Zhang, Lie</creator><creator>Li, Zhanmin</creator><creator>Li, Xueling</creator><creator>Wei, Baochun</creator><creator>Zhang, Xuan</creator><creator>Li, Weiqing</creator><creator>Han, Dongmei</creator><creator>Li, Zezhi</creator><creator>Xiu, Meihong</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>C6C</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M2M</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20230731</creationdate><title>Dance/movement therapy for improving balance ability and bone mineral density in long-term patients with schizophrenia: a randomized controlled trial</title><author>Guan, Hengyong ; Zhou, Zhaoxia ; Li, Xipo ; Pan, Yanfen ; Zou, Zhenmin ; Meng, Xiangfei ; Guan, Kunya ; Zhang, Lie ; Li, Zhanmin ; Li, Xueling ; Wei, Baochun ; Zhang, Xuan ; Li, Weiqing ; Han, Dongmei ; Li, Zezhi ; Xiu, Meihong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c475t-ba7dffe03156542d2b28b6e05d1171411f59650e8f1e8fb911c3d45271167eb93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>692/699/476</topic><topic>692/699/476/1799</topic><topic>Bone density</topic><topic>Cognitive Psychology</topic><topic>Dance therapy</topic><topic>Fractures</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neurology</topic><topic>Neurosciences</topic><topic>Psychiatry</topic><topic>Schizophrenia</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Guan, Hengyong</creatorcontrib><creatorcontrib>Zhou, Zhaoxia</creatorcontrib><creatorcontrib>Li, Xipo</creatorcontrib><creatorcontrib>Pan, Yanfen</creatorcontrib><creatorcontrib>Zou, Zhenmin</creatorcontrib><creatorcontrib>Meng, Xiangfei</creatorcontrib><creatorcontrib>Guan, Kunya</creatorcontrib><creatorcontrib>Zhang, Lie</creatorcontrib><creatorcontrib>Li, Zhanmin</creatorcontrib><creatorcontrib>Li, Xueling</creatorcontrib><creatorcontrib>Wei, Baochun</creatorcontrib><creatorcontrib>Zhang, Xuan</creatorcontrib><creatorcontrib>Li, Weiqing</creatorcontrib><creatorcontrib>Han, Dongmei</creatorcontrib><creatorcontrib>Li, Zezhi</creatorcontrib><creatorcontrib>Xiu, Meihong</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Psychology Database</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>NPJ schizophrenia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Guan, Hengyong</au><au>Zhou, Zhaoxia</au><au>Li, Xipo</au><au>Pan, Yanfen</au><au>Zou, Zhenmin</au><au>Meng, Xiangfei</au><au>Guan, Kunya</au><au>Zhang, Lie</au><au>Li, Zhanmin</au><au>Li, Xueling</au><au>Wei, Baochun</au><au>Zhang, Xuan</au><au>Li, Weiqing</au><au>Han, Dongmei</au><au>Li, Zezhi</au><au>Xiu, Meihong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dance/movement therapy for improving balance ability and bone mineral density in long-term patients with schizophrenia: a randomized controlled trial</atitle><jtitle>NPJ schizophrenia</jtitle><stitle>Schizophr</stitle><addtitle>Schizophrenia (Heidelb)</addtitle><date>2023-07-31</date><risdate>2023</risdate><volume>9</volume><issue>1</issue><spage>47</spage><epage>47</epage><pages>47-47</pages><artnum>47</artnum><issn>2754-6993</issn><eissn>2754-6993</eissn><eissn>2334-265X</eissn><abstract>Fractures are common accidents for long-term hospitalized patients with schizophrenia (SZ) in psychiatric hospitals, and once they occur, patients usually endure the pain of fractures for a long time. Accumulating evidence has supported the implementation of dance/movement therapy (DMT) as a promising intervention for patients with SZ. However, no research has been conducted to investigate its role in balance ability in SZ. This study was designed to investigate the efficacy of a 12-week DMT intervention in bone mineral density and balance ability in patients with SZ using a randomized, controlled trial design. A total of 58 veterans with SZ were randomly assigned to the DMT intervention group (
n
= 29) and the treatment-as-usual (TAU) group (
n
= 29). Bone mineral density (BMD) and balance ability were measured in both groups at two measurement points (at baseline and at the end of Week 12). We found that patients in the DMT intervention group had significant improvements in BMD and balance ability compared with the TAU group by using repeated measures analysis of variance. Treatment with DMT demonstrated a significant improvement in BMD from baseline to week 12 (0.03, 95% CI: 0.01–0.05). For the Berg total score and static and dynamic balance, the mean changes in the DMT group were 7.3 (95% CI: 5.6–9.0), 4.0 (95% CI: 0.9–7.1), and 3.7 (95% CI: 2.6–4.8), respectively. Regression analysis showed that baseline BMD was a significant predictor of improvement in BMD from baseline to week 12 in the DMT group (
β
= 0.58,
p
< 0.001). Our results suggest for the first time that DMT intervention may be effective in beneficially regulating BMD and balance ability in SZ patients.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>37524713</pmid><doi>10.1038/s41537-023-00373-w</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | 692/699/476 692/699/476/1799 Bone density Cognitive Psychology Dance therapy Fractures Medicine Medicine & Public Health Neurology Neurosciences Psychiatry Schizophrenia |
title | Dance/movement therapy for improving balance ability and bone mineral density in long-term patients with schizophrenia: a randomized controlled trial |
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