Effects of Dance and Tai Chi on Balance and Wellbeing on Healthy Adults

General Population Clinical Trial

Official title:

The Effects of Eight-week Dance and Tai Chi on Balance, Well-being and Mood Among Healthy Adults

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT06294080
• Other study ID #: DfH2023
• Status: Not yet recruiting
• Phase: N/A
• Start date: September 2024
• Est. completion date: January 2025

Study information

• Verified date: February 2024
• Source: University of Wolverhampton
• Contact: Matthew Wyon, PhD
• Phone: 01902323144
• Email: m.wyon[@]wlv.ac.uk
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The aim of the proposed randomised controlled study is to compare the effects and efficacy between a dance, a Tai Chi and a waiting list control group intervention over an eight-week period on physical functions and mental benefits among non-clinical adults aged between 18 and 59. The study's primary outcome is mental wellbeing and secondary parameters are physical functional and mood. A tertiary outcome will examine how the physical and mental parameters change during the learning and practice phases

Description:

A double-blind, randomised controlled trial will be adopted to evaluate the effects and efficacy of an eight-week dance intervention compare with Tai Chi and control group on physical and mental benefits.

Participants will be asked to attend baseline testing one week prior to the first session, which will include lower extremity muscle strength, balance, and mental wellbeing. Participants will also be asked to fill in the mood evaluating questionnaire before and after each session to measure the acute effect of each intervention. The first four weeks of the interventions are the learning phase, participants will mainly focus on learning the movements of dance or Tai Chi. After the last session of the fourth week and before the first session of the fifth, participants will be asked to complete the previous test procedure as the mid-term test. The last four weeks are the practising phase, participants will mainly focus on practising the learned movements with reduced direction from the instructor. The post-intervention test will be completed within one week after the last session, alongside an interview on their perceptions of the intervention.

Randomisation and blinding Participants will be randomly assigned to three groups: dance, Tai Chi, and Control group, using stratified random sampling based on sex. Participant mental wellbeing scores will be ranked from highest to lowest in each sex group before being systematically assigned to one of the three intervention groups, this will reduce potential differences in baseline data between groups. All measurements will be conducted by research assistants blinded to participants' group allocation and analysis will be carried out by statistician blinded to the group and test parameters.

Interventions Participants will complete informed consent and Physical Activity Readiness Questionnaire (PAR-Q) prior to data collection. At the first testing session basic anthropometric (stature, body mass, age) and personal information (ethnicity, activity level) will be recorded and each participant issued with an Unique Identifying Code (UIC).

The Dance Group, participants will be provided with three dance genre options to choose from, ballroom dance, street dance/Hip-pop and ballet, and the most-voted genre will be delivered. Dance sessions are instructed twice a week for eight weeks. Every session lasts 45-60 minutes, containing 5-10 minutes of warm-up and 35-55 minutes of learning or practicing. In the first four weeks, a short dance sequence will be taught and in the following four weeks, participants will mainly practicing the learnt sequence along with music.

The Tai Chi Group will be given the essential 18-form of Chen's style Tai Chi Chuan which is comparatively easier for beginners to learn the iconic forms with less movements and moderate intensity. Each session lasts 45-60 minutes, twice a week for 8 weeks. Every session contains 5-10 minutes of warm-up, 5 minutes of standing exercise with calming music, and 30-45 minutes of learning or practicing. In the first 8 sessions, 15 forms will be taught in total, averaging two forms taught every session. In the following 8 sessions, participants will practise the complete 18-form repeatedly following the lead of an instructor with background music. Each repetition takes approximately 2 minutes 20 seconds. Apart from movements, the Taoism philosophy as the origin of Tai Chi will also be embedded during the intervention.

Participants in Control Group will be told to maintain their usual lifestyle and only attend for physical assessments.

The pedagogy is also considered as a vital factor in this study. Thus, instructors should record each session and briefly summarise the teaching content, descriptions, and emphases if mentioned.

Intensity monitoring and progression While delivering both dance and Tai Chi interventions, the intensity will be monitored using sessions Rate of Perceived Exertion (sRPE) using the modified Borg scale. Given the targeted age group, instructors will maintain the intended RPE between 3 (moderate) and 5 (hard), with the arbitrary unit (A.U. = RPE × session duration in minutes) from 135 to 300. Participants are asked to provide a number from CR-10 retrospectively every session and the instructor then adjusts the training load accordingly if necessary. No progression is designed in the learning phase, only studying the planned form(s) of the day. While in the practicing phase, instructors should gradually raise the standard of movements and slower the speed of practicing the full sequence to increase the difficulty and intensity.

Outcome measures The Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS) will be utilised to evaluate participants mental wellbeing state change. The WEMWBS is a 14-item self-evaluating scale containing hedonic and eudaimonic statements such as 'I've been feeling relaxed' or 'I've been feeling close to other people'. The respondents rate each statement spontaneously with a 5-point Likert scale from 1 to 5 (none, rarely, sometimes, often, all the time), resulting in a minimum score of 14 and maximum score of 70. The higher WEMWBS score suggests the better mental wellbeing.

The Isometric Mid-Thigh Pull (IMTP) will be used to measure lower extremity maximum strength using Hawkins Dynamic force plate. It is considered as a safe, time-effective, and reliable measurement. Participants will be asked to stand on force plates with hips and knees slightly bent. The bar height is adjusted so that it is at mid-thigh height of each participant and the height recorded. The participant grips the bar with a slight pretension. The participant is to remain completely still for 2-3 seconds before and between each repetition. The participant will then be instructed to contract as hard and as fast as possible pulling against the bar and hold the maximum pull for 2-3 seconds before resting. Each participant will carry out 3 repetitions and the maximum and mean power recorded.

The Y Balance Test (YBT) will be used to assess participants' dynamic balance. Participants will be instructed to stand barefoot unilaterally on the centre of a tape-made 'Y'. While standing on one leg, participants will reach out with their non-stance leg as far as possible in the three directions of the 'Y'. No weight can be transferred to the non-stance leg. Three attempts for each direction for each leg will be taken and calculated as a percentage of their leg length; the greatest distance for each direction will be recorded. Leg length will be measured from the greater trochanter to the lateral malleolus.

The Brunel Mood Scale (BRUMS) will be used pre and post each dance or Tai Chi session to monitor participants' mood changes. The BRUMS contains 6 categories including anger, confusion, depression, fatigue, tension, and vigour, each is comprised of 4 adjectives such as panicky, exhausted, energetic, or active. Participants are asked to indicate their mood using a 5-point Likert scale (0=not at all, 1=a little, 2=moderately, 3=quite a bit, 4=extremely).

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 70
• Est. completion date: January 2025
• Est. primary completion date: November 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 59 Years

Eligibility

Inclusion Criteria:

1. healthy male and female adults of any ethnicity aged from 18 to 59

2. no chronic medical conditions and

3. no physical injuries in the past 3 months that could potentially affect physical activities

Exclusion Criteria:

1. participants who are currently engaging in regular dance or Tai Chi classes

2. currently has a chronic disease or acute illness

Related Conditions & MeSH terms

• General Population

Intervention

Other:
• Dance
Exercise intervention
• Tai Chi
Exercise intervention

Locations

Country	Name	City	State
United Kingdom	University of Wolverhampton	Walsall	West Midlands

Sponsors (1)

Lead Sponsor	Collaborator
University of Wolverhampton

Country where clinical trial is conducted

United Kingdom, 

References & Publications (17)

Badby AJ, Mundy PD, Comfort P, Lake JP, McMahon JJ. The Validity of Hawkin Dynamics Wireless Dual Force Plates for Measuring Countermovement Jump and Drop Jump Variables. Sensors (Basel). 2023 May 17;23(10):4820. doi: 10.3390/s23104820. — View Citation

Basso JC, McHale A, Ende V, Oberlin DJ, Suzuki WA. Brief, daily meditation enhances attention, memory, mood, and emotional regulation in non-experienced meditators. Behav Brain Res. 2019 Jan 1;356:208-220. doi: 10.1016/j.bbr.2018.08.023. Epub 2018 Aug 25. — View Citation

Caldwell K, Harrison M, Adams M, Triplett NT. Effect of Pilates and taiji quan training on self-efficacy, sleep quality, mood, and physical performance of college students. J Bodyw Mov Ther. 2009 Apr;13(2):155-63. doi: 10.1016/j.jbmt.2007.12.001. Epub 2008 Feb 20. — View Citation

Chan AW, Yu DS, Choi KC. Effects of tai chi qigong on psychosocial well-being among hidden elderly, using elderly neighborhood volunteer approach: a pilot randomized controlled trial. Clin Interv Aging. 2017 Jan 5;12:85-96. doi: 10.2147/CIA.S124604. eColl — View Citation

Easwaran K, Gopalasingam Y, Green DD, Lach V, Melnyk JA, Wan C, Bartlett DJ. Effectiveness of Tai Chi for health promotion for adults with health conditions: a scoping review of Meta-analyses. Disabil Rehabil. 2021 Oct;43(21):2978-2989. doi: 10.1080/09638288.2020.1725916. Epub 2020 Feb 18. — View Citation

Goyal M, Singh S, Sibinga EM, Gould NF, Rowland-Seymour A, Sharma R, Berger Z, Sleicher D, Maron DD, Shihab HM, Ranasinghe PD, Linn S, Saha S, Bass EB, Haythornthwaite JA. Meditation programs for psychological stress and well-being: a systematic review an — View Citation

Grgic J, Scapec B, Mikulic P, Pedisic Z. Test-retest reliability of isometric mid-thigh pull maximum strength assessment: a systematic review. Biol Sport. 2022 Mar;39(2):407-414. doi: 10.5114/biolsport.2022.106149. Epub 2021 Jun 1. — View Citation

Haddad M, Stylianides G, Djaoui L, Dellal A, Chamari K. Session-RPE Method for Training Load Monitoring: Validity, Ecological Usefulness, and Influencing Factors. Front Neurosci. 2017 Nov 2;11:612. doi: 10.3389/fnins.2017.00612. eCollection 2017. — View Citation

Koutedakis Y, Jamurtas A. The dancer as a performing athlete: physiological considerations. Sports Med. 2004;34(10):651-61. doi: 10.2165/00007256-200434100-00003. — View Citation

Kreutz G. Does partnered dance promote health? The case of tango Argentino. J R Soc Promot Health. 2008 Mar;128(2):79-84. doi: 10.1177/1466424007087805. — View Citation

Martin L, Oepen R, Bauer K, Nottensteiner A, Mergheim K, Gruber H, Koch SC. Creative Arts Interventions for Stress Management and Prevention-A Systematic Review. Behav Sci (Basel). 2018 Feb 22;8(2):28. doi: 10.3390/bs8020028. — View Citation

Muro A, Artero N. Dance practice and well-being correlates in young women. Women Health. 2017 Nov-Dec;57(10):1193-1203. doi: 10.1080/03630242.2016.1243607. Epub 2016 Oct 4. — View Citation

Nadasen K. "Life without line dancing and the other activities would be too dreadful to imagine": an increase in social activity for older women. J Women Aging. 2008;20(3-4):329-42. doi: 10.1080/08952840801985060. — View Citation

Plisky PJ, Gorman PP, Butler RJ, Kiesel KB, Underwood FB, Elkins B. The reliability of an instrumented device for measuring components of the star excursion balance test. N Am J Sports Phys Ther. 2009 May;4(2):92-9. — View Citation

Sheppard A, Broughton MC. Promoting wellbeing and health through active participation in music and dance: a systematic review. Int J Qual Stud Health Well-being. 2020 Dec;15(1):1732526. doi: 10.1080/17482631.2020.1732526. — View Citation

Tao D, Gao Y, Cole A, Baker JS, Gu Y, Supriya R, Tong TK, Hu Q, Awan-Scully R. The Physiological and Psychological Benefits of Dance and its Effects on Children and Adolescents: A Systematic Review. Front Physiol. 2022 Jun 13;13:925958. doi: 10.3389/fphys — View Citation

Terry PC, Karageorghis CI, Curran ML, Martin OV, Parsons-Smith RL. Effects of music in exercise and sport: A meta-analytic review. Psychol Bull. 2020 Feb;146(2):91-117. doi: 10.1037/bul0000216. Epub 2019 Dec 5. — View Citation

* Note: There are 17 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Well-being	Warwick-Edinburgh Mental Wellbeing Scale. The total score is obtained by summing the score for each of the 14 items. The scoring range for each item is from 1 - 5 and the total score is from 14-70. Higher scores indicate greater positive mental wellbeing.	Week 1, week 4 and week 8
Secondary	Leg strength	Isometric Mid-Thigh Pull: (IMTP) will be used to measure lower extremity maximum muscle strength. The participant will then be instructed to contract as hard and as fast as possible pulling against the bar and hold the maximum pull for 2-3 seconds before resting. Measurement is in kg with greater scores indicating greater muscular strength	Week 1, week 4 and week 8
Secondary	Balance	Y Balance Test: While standing on one leg, participants will reach out with their non-stance leg as far as possible in the three directions of the 'Y'. No weight can be transferred to the non-stance leg. Three attempts for each direction for each leg will be taken and calculated as a percentage of their leg length; the greatest distance for each direction will be recorded. The greater the score the better the dynamic stability/balance	Week 1, week 4 and week 8
Secondary	Mood	Brunel Mood Scale (BRUMS): The acute effect of each session will be monitored. The BRUMS contains 6 categories including anger, confusion, depression, fatigue, tension, and vigour, each is comprised of 4 adjectives such as panicky, exhausted, energetic, or active. Participants are asked to indicate their mood using a 5-point Likert scale (0=not at all, 1=a little, 2=moderately, 3=quite a bit, 4=extremely).The higher the score the more positive the mood	30 minutes pre and post each dance and Tai Chi intervention session up to 9 weeks