PDF(Pubmed)
Abstract：
UNASSIGNED: Dance has been proposed to support superior intrinsic motivation over non-dance forms of therapeutic physical activity. However, this hypothesis has yet to be evaluated empirically, particularly among populations living with neuropathology such as survivors of cancer with neurologic complications from chemotherapy treatment. Questions about motivation are relevant to clinical outcomes because motivation mediates neuroplasticity. We conducted this secondary analysis of a randomized-controlled study to begin to investigate the relationships between personal motivation and neurophysiologic effects of dance-based intervention for healthy aging among populations with neurologic complications of cancer.
UNASSIGNED: We measured motivation using the Intrinsic Motivation Inventory, a validated patient-reported outcome from the psychological approach of Self Determination Theory. We assessed intrinsic motivation, extrinsic motivation, and satisfaction with intervention within a randomized controlled trial of dance versus exercise designed to alleviate symptoms of chemotherapy-induced impairment. Fifty-two survivors of breast cancer with chemotherapy-induced neuropathy diagnosis and associated sensorimotor functional deficits were randomized (1:1) to 8 weeks of partnered dance or home exercise, performed biweekly (NCT05114005; R21-AG068831).
UNASSIGNED: While satisfaction did not differ between interventions, intrinsic motivation was higher among participants randomized to dance than those randomized to exercise (p < 0.0001 at all timepoints: 2 weeks, 4 weeks, 6 weeks, and 8 weeks of intervention), as was extrinsic motivation at 2 weeks (p = 0.04) and 8 weeks (p = 0.01).
UNASSIGNED: These data provide evidence that social dance is more motivating than the type of home exercise generally recommended as therapeutic physical activity. The results inform directions for future study of the effect of dance-based therapeutics on embodied agency, neuroplastic changes, and clinically-relevant neuropathic improvement.
UNASSIGNED: We measured motivation using the Intrinsic Motivation Inventory, a validated patient-reported outcome from the psychological approach of Self Determination Theory. We assessed intrinsic motivation, extrinsic motivation, and satisfaction with intervention within a randomized controlled trial of dance versus exercise designed to alleviate symptoms of chemotherapy-induced impairment. Fifty-two survivors of breast cancer with chemotherapy-induced neuropathy diagnosis and associated sensorimotor functional deficits were randomized (1:1) to 8 weeks of partnered dance or home exercise, performed biweekly (NCT05114005; R21-AG068831).
UNASSIGNED: While satisfaction did not differ between interventions, intrinsic motivation was higher among participants randomized to dance than those randomized to exercise (p < 0.0001 at all timepoints: 2 weeks, 4 weeks, 6 weeks, and 8 weeks of intervention), as was extrinsic motivation at 2 weeks (p = 0.04) and 8 weeks (p = 0.01).
UNASSIGNED: These data provide evidence that social dance is more motivating than the type of home exercise generally recommended as therapeutic physical activity. The results inform directions for future study of the effect of dance-based therapeutics on embodied agency, neuroplastic changes, and clinically-relevant neuropathic improvement.
摘要：
■已经提出舞蹈来支持优于非舞蹈形式的治疗性身体活动的内在动机。然而,这一假设还有待实证评估，特别是在患有神经病理学的人群中，例如患有化疗引起的神经系统并发症的癌症幸存者。关于动机的问题与临床结果相关，因为动机介导神经可塑性。我们对一项随机对照研究进行了二次分析，以开始研究个人动机与基于舞蹈的干预对癌症神经系统并发症人群健康衰老的神经生理影响之间的关系。
■我们使用内在动机清单来衡量动机，通过自我决定理论的心理学方法验证了患者报告的结果。我们评估了内在动机，外在动机，在一项旨在减轻化疗引起的损害症状的舞蹈与运动的随机对照试验中，对干预的满意度。52名患有化疗引起的神经病变诊断和相关的感觉运动功能缺陷的乳腺癌幸存者被随机分配（1：1）至8周的合作舞蹈或家庭运动，每两周进行一次(NCT05114005;R21-AG068831)。
■虽然不同干预措施的满意度没有差异，随机跳舞的参与者的内在动机高于随机运动的参与者（在所有时间点，p<0.0001：2周，4周,6周,和8周的干预)，2周（p=0.04）和8周（p=0.01）的外在动机。
■这些数据提供了证据，表明社交舞蹈比通常推荐作为治疗性体力活动的家庭锻炼类型更具激励性。结果为未来研究基于舞蹈的疗法对具体机构的影响提供了方向，神经可塑性改变,和临床相关的神经病变改善。
■我们使用内在动机清单来衡量动机，通过自我决定理论的心理学方法验证了患者报告的结果。我们评估了内在动机，外在动机，在一项旨在减轻化疗引起的损害症状的舞蹈与运动的随机对照试验中，对干预的满意度。52名患有化疗引起的神经病变诊断和相关的感觉运动功能缺陷的乳腺癌幸存者被随机分配（1：1）至8周的合作舞蹈或家庭运动，每两周进行一次(NCT05114005;R21-AG068831)。
■虽然不同干预措施的满意度没有差异，随机跳舞的参与者的内在动机高于随机运动的参与者（在所有时间点，p<0.0001：2周，4周,6周,和8周的干预)，2周（p=0.04）和8周（p=0.01）的外在动机。
■这些数据提供了证据，表明社交舞蹈比通常推荐作为治疗性体力活动的家庭锻炼类型更具激励性。结果为未来研究基于舞蹈的疗法对具体机构的影响提供了方向，神经可塑性改变,和临床相关的神经病变改善。
