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The goal of this study is to determine whether it is possible for people with lower limb amputation (LLA) to perform adapted tap dance, whether an adapted tap dance program would be enjoyable, and whether it may improve balance and balance confidence.
There is a lack of research investigating therapeutic interventions for people with lower limb amputation (LLA). Tap dance encourages balance and novel movements of the limbs, while providing auditory feedback from the feet that provide information about the foot's contact with the ground, which may help prosthesis users gain a better ability to understand where their prosthetic foot is in space. As with most forms of dance, tap is usually taught and practiced in a group setting, which encourages community involvement. It has been shown to be safer than many forms of dance due to low impact forces. It also, as a genre, can incorporate canes, chairs and partner work, providing the ability to modify steps/moves when required so that they remain practical, achievable and safe for people with mobility limitations, while still enabling participation. It therefore may be an accessible dance medium to help improve balance, balance confidence, and build community for people with LLA.
Participants will be asked to:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Tap dance program | Experimental | Participants undertake tap dance program. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tap dance program | Other | Participants will take part in a weekly adapted tap dance class, for one hour per week, for eight weeks. |
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| Measure | Description | Time Frame |
|---|---|---|
| Session Adherence | Number of planned dance tap sessions attended | through study completion, over 8 weeks |
| Physical Activities Enjoyment Scale (PACES) | Total score on 18-item self response scale measuring enjoyment of an activity, out of a maximum 126. | Intervention week 8 |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Timed Up-and-Go test score | Timed walking test in which the participant rises from a chair, walks to a marker 10 feet away, turns, and returns to sit in the chair. Time to complete, in seconds, is recorded. | 8 weeks |
| Change in Four Square Step Test score |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jenny A Kent, PhD | University of Nevada, Las Vegas | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Nevada Las Vegas | Las Vegas | Nevada | 89154 | United States |
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Time taken in seconds to complete a stepping sequence between two canes placed in a cross shape. |
| 8 weeks |
| Change in Berg Balance Scale score | Score out of 23, for performance of 14 mobility-related tasks. | 8 weeks |
| Change in Activities-Specific Balance Confidence Scale score | 16 item self response scale measuring balance confidence. Scored out of 100% | 8 weeks |
| Physical Activities Enjoyment Scale (PACES) score - Mid program | Total score on 18-item self response scale measuring enjoyment of an activity, out of a maximum 126. | Intervention week 4 |
| Change in Trinity Amputation and Prosthesis Experience Scale (TAPES) functional activity restriction subscale score | Total score on functional activity restriction subscale of the TAPES - self reported outcome measure, out of maximum 12 | 8 weeks |
| Change in Trinity Amputation and Prosthesis Experience Scale (TAPES) social activity restriction subscale score | Total score on social activity restriction subscale of the TAPES - self reported outcome measure, out of maximum 12 | 8 weeks |
| Change in Trinity Amputation and Prosthesis Experience Scale (TAPES) athletic activity restriction score | Total score on athletic activity restriction subscale of the TAPES - self reported outcome measure, out of maximum 12 | 8 weeks |
| Use of assistive devices per session | Percentage of sessions for which assistive devices are used | through study completion, over 8 weeks |
| Session completion per session | Percentage of planned dance tap sessions completed | through study completion, over 8 weeks |