Latin Dance for Post-Lung Transplant Recovery

Overseen By Teresa Padro, DNP, APRN

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Mayo Clinic

Disqualifiers: Tracheostomy, Hemodialysis, recent falls, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Approved in 1 Jurisdiction This treatment is already approved in other countries

Compensation: Varies

Number of Visits: 12

Duration: 12 weeks

52 Participants Needed

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial examines whether Latin dance can improve wellbeing in individuals who have undergone lung transplants. The research focuses on balance, fear of movement, anxiety, depression, and lung function. It targets those who received a single or double lung transplant at Mayo Clinic Florida since January 1, 2020, and who can walk, with or without assistance, after completing rehab. Participants should not have severe medical dependencies such as tracheostomies or high oxygen needs. The trial includes attending 12 dance sessions over 12 weeks. As an unphased trial, it provides a unique opportunity to explore innovative ways to enhance wellbeing.

Do I need to stop my current medications for the trial?

The trial protocol does not specify whether you need to stop taking your current medications.

What prior data suggests that Latin dance is safe for post-lung transplant patients?

Research has shown that dance can safely and effectively boost health and well-being. In studies involving individuals with noninfectious lung diseases, dance activities led to positive outcomes. Participants enjoyed these activities and reported improvements in their quality of life. Additionally, evidence suggests that dance serves as a safe exercise option for people during and after cancer treatment. Most participants handle it well, with few reports of negative effects.

Overall, dance, including Latin dance, appears to be a promising and safe way to improve health, with minimal risks. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about using Latin Dance for post-lung transplant recovery because it offers a fun, engaging way to enhance physical rehabilitation. Unlike traditional physical therapy, which can be repetitive and tedious, dance provides a dynamic and enjoyable exercise experience that may improve patient adherence and motivation. Additionally, Latin Dance incorporates balance and coordination, potentially offering cognitive and emotional benefits that standard rehabilitation exercises might not provide. This innovative approach could lead to improved overall recovery and quality of life for lung transplant recipients.

What evidence suggests that Latin Dance might be an effective treatment for post-lung transplant recovery?

Research shows that dance, including Latin dance, can benefit people with lung problems. Studies have found that dance programs make physical activities easier for participants. This is crucial for those recovering from lung transplants, as exercise aids overall recovery. Dance also appears to enhance quality of life and mental health by reducing anxiety and depression. Although specific data on Latin dance for lung transplant patients is limited, this trial will explore its potential benefits. Participants will engage in Latin dance sessions, which may aid recovery by boosting physical and mental well-being. ^{1 3 6 7 8}

Who Is on the Research Team?

Teresa Padro, DNP, APRN

Principal Investigator

Mayo Clinic

Are You a Good Fit for This Trial?

This trial is for individuals who have had a lung transplant and are able to walk with or without assistance. They should have completed outpatient cardiopulmonary rehabilitation and have their pain under control.

Inclusion Criteria

I can walk with or without help, have finished heart/lung rehab, and my pain is well managed.

Exclusion Criteria

Chest tube

Gastro-jejunal tubes

Nasogastric tubes

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants engage in Latin dance sessions to improve wellbeing in areas such as balance, fear of movement, anxiety, depression, and spirometry

12 weeks

12 sessions (in-person)

Follow-up

Participants are monitored for changes in kinesophobia, anxiety, depression, gait, and lung function after the dance sessions

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

• Latin Dance

Trial Overview The study is testing whether Latin dance, over the course of 12 sessions, can improve balance, reduce fear of movement, alleviate anxiety and depression, as well as enhance lung function measured by spirometry in post-lung transplant patients.

How Is the Trial Designed?

Group I: Post-Lung Transplant Experimental Treatment 1 Intervention

Subjects that received a single or double lung transplants at Mayo Clinic Florida from 1/1/2020 to the present will participate in open sessions of Latin Dance over a 12-week period.

Who Is Running the Clinical Trial?

Mayo Clinic

Lead Sponsor

Trials

3,427

Recruited

3,221,000+

Published Research Related to This Trial

Patients six months post-heart or lung transplantation expressed mixed feelings of gratitude for health improvements and resignation due to complications, highlighting the need for better information and support.

Regular and comprehensive support from healthcare professionals, families, and society is crucial for helping transplant patients adhere to treatment guidelines and successfully reintegrate into normal life.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Patients' experiences of information and support during the first six months after heart or lung transplantation. Ivarsson, B., Ekmehag, B., Sjöberg, T.[2015]

Depression is common among lung transplant recipients, with rates increasing significantly after three years post-surgery, highlighting the need for ongoing mental health support.

SSRIs and new-generation antidepressants like mirtazapine are effective treatment options for managing depression in these patients, but careful monitoring for drug interactions is essential.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Depression after lung transplantation: causes and treatment. Fusar-Poli, P., Lazzaretti, M., Ceruti, M., et al.[2022]

A total of 217 Pulmonary Rehabilitation Centers were identified in Latin America, with 160 (73.7%) responding to a survey about their characteristics and practices, indicating a significant presence of PR facilities in the region.

Most centers (65.8%) were privately managed and offered comprehensive programs, including exercise training and educational components, with an average of 24 sessions, highlighting the diverse approaches to managing chronic respiratory diseases.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Perspective of Pulmonary Rehabilitation Centers in Latin America. Barreto, GZ., Ivanaga, IT., Chiavegato, L., et al.[2022]

The 'Dance and go on' project effectively uses Bachata dancing as a rehabilitation tool for individuals with mental health issues, helping them express emotions and reduce social stigma associated with mental illness.

Participation in the dance group has led to significant improvements in self-care, self-esteem, and social relationships among patients, fostering a sense of community and acceptance of their challenges.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

"Dance and go on": a project of psychosocial rehabilitation on the road. Tavormina, R., Tavormina, MG., Nemoianni, E.[2018]

A culturally adapted pulmonary rehabilitation (PR) program is being developed and tested in Kyrgyzstan for individuals with post-TB lung disease (PTBLD), addressing a significant gap in treatment options for this population.

The study will evaluate the effectiveness of a 6-week PR program on improving exercise capacity and other health outcomes through a randomized controlled trial involving follow-up assessments, highlighting the potential benefits of PR in managing PTBLD.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Culturally adapted pulmonary rehabilitation for adults living with post-tuberculosis lung disease in Kyrgyzstan: protocol for a randomised controlled trial with blinded outcome measures. Akylbekov, A., Orme, MW., Jones, AV., et al.[2022]

A study involving 80 lung transplant patients showed that complementary techniques like relaxation and TENS were effectively adopted by patients for managing pain, anxiety, and stress during their recovery.

Among the techniques, TENS was found to be the most user-friendly and compliant, while relaxation was the easiest for patients to learn and practice, indicating that these methods can enhance post-transplant care.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Complementary Therapy Learning in the Setting of Lung Transplantation: A Single-Center Observational Study of Appropriation and Efficacy. Michel-Cherqui, M., Fessler, J., Szekely, B., et al.[2023]

The BAILAMOS Latin dance program was culturally tailored for older Latinos and showed high feasibility, with 9 out of 13 participants completing 85% of the sessions over 3 months.

Participants reported a significant increase in self-reported physical activity and enjoyment, along with improvements in physical quality of life, indicating the program's potential to enhance health outcomes despite a decrease in accelerometer-measured moderate-intensity activity.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

BAILAMOS: Development, Pilot Testing, and Future Directions of a Latin Dance Program for Older Latinos. Marquez, DX., Bustamante, EE., Aguiñaga, S., et al.[2021]

A 4-month Latin dance program significantly increased moderate-to-vigorous physical activity (MVPA), dance-specific activity, leisure time activity, and total physical activity among older Latino adults compared to a health education control group, with 333 participants involved in the study.

The results suggest that culturally relevant dance programs can effectively promote physical activity in older Latinos, highlighting the need for more accessible dance opportunities to enhance their overall activity levels.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

BAILA: A Randomized Controlled Trial of Latin Dancing to Increase Physical Activity in Spanish-Speaking Older Latinos. Marquez, DX., Wilbur, J., Hughes, S., et al.[2023]

A systematic review of 70 studies found that dance-based interventions can effectively rehabilitate patients with various pathologies, including neuromuscular, musculoskeletal, and cardiovascular conditions, as well as healthy individuals.

Dance therapy not only improves physical health but also enhances mental and social skills, making it a versatile and innovative rehabilitation strategy for diverse populations.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Characterization of dance-based protocols used in rehabilitation - A systematic review. Hincapié-Sánchez, MF., Buriticá-Marín, ED., Ordoñez-Mora, LT.[2022]

Dance interventions have shown a broad range of benefits for patients with noninfectious pulmonary diseases, including improvements in quality of life, social cohesion, and exercise tolerance, based on a systematic review of seven studies.

The interventions, lasting from 1 to 10 weeks, were particularly enjoyable for children and adolescents with asthma, suggesting that dance could be a fun and effective way to enhance health and well-being in this population.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The Impact of Dance Interventions on Patients with Noninfectious Pulmonary Diseases: A Systematic Review. Niranjan, V., Tarantino, G., Kumar, J., et al.[2023]

In a study of 9,526 lung transplant patients, a longer 6-minute walk distance (6MWD) was significantly associated with lower mortality rates after transplantation, indicating that exercise capacity can be a useful predictor of postoperative survival.

The analysis showed that continuous increases in 6MWD, particularly between 1,200-1,400 feet, provided incremental survival benefits, suggesting that 6MWD should be evaluated continuously rather than relying on a single cutoff value for predicting outcomes.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The utility of preoperative six-minute-walk distance in lung transplantation. Castleberry, AW., Englum, BR., Snyder, LD., et al.[2022]

Latin dance is effective in improving physical health by aiding in weight loss, enhancing cardiovascular health, and increasing muscle strength, flexibility, and balance, based on a systematic review of 22 studies.

It also positively impacts mental health by reducing stress, improving mood, fostering social connections, and enhancing cognitive function, suggesting it could be a valuable public health intervention.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Effect of Latin dance on physical and mental health: a systematic review. Liu, X., Soh, KG., Omar Dev, RD.[2023]

Arts in Health interventions, such as music and dance, may enhance the quality of life for individuals with chronic lung disease, although their use in medical treatment is not widely recognized by healthcare professionals.

Current research indicates that these interventions offer various biopsychosocial benefits, but more studies are needed to fully understand their effectiveness and integrate them into chronic disease management strategies.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Music and dance in chronic lung disease. Philip, K., Lewis, A., Hopkinson, NS.[2020]

Citations

1. clinicaltrials.gov clinicaltrials.gov/study/NCT05924113

A Study of Latin Dance for Post- Lung Transplant The purpose of this research study is to see if participating in Latin dance for 12 sessions can improve wellbeing in several areas including balance, fear of ...

2. acprc.org.uk acprc.org.uk/research-publications/editions/2020-journal-vol-52/dance-based-versus-conventional-exercise-in-pulmonary-rehabilitation-a-retrospective-service-evaluation/

Dance-based versus conventional exercise in pulmonary ... The aim of the evaluation was to ascertain whether the dance-based programme resulted in improvements in exercise tolerance and HRQoL.

3. researchgate.net researchgate.net/publication/365350465_Dance-based_versus_conventional_exercise_in_pulmonary_rehabilitation_A_retrospective_service_evaluation

Dance-based versus conventional exercise in pulmonary ... Latin-based dance may also serve to improve engagement in pulmonary rehabilitation. Aim To conduct a service evaluation of a community-based PR ...

4. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC7204197/

Dance/movement therapy for improving psychological and ... Creative arts therapies such as dance/movement, music, art and drama therapy have been used to aid in the care of cancer patients and in their recovery.

5. frontiersin.org frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2021.635578/pdf

Dancing With Health: Quality of Life and Physical ... Dancing with Health is multi-site pilot study that aimed to evaluate a dance programme for women in recovery from breast cancer across five ...

6. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC9518039/

The Impact of Dance Interventions on Patients with ... Dance interventions are promising and may effectively improve health and well-being among patients with noninfectious pulmonary diseases.

7. academic.oup.com academic.oup.com/heapro/article/38/4/daad077/7236781

a mixed-methods systematic review and meta-analysis Evidence suggests dance is a safe and feasible form of physical activity both during and after cancer treatment. Participants reported good ...

8. repository.derby.ac.uk repository.derby.ac.uk/item/q5937/effectiveness-of-dance-movement-therapy-and-dance-movement-interventions-on-cancer-patients-health-related-outcomes-a-systematic-review-and-meta-analysis

a systematic review and meta-analysis This review examined the effectiveness of using dance movement therapy (DMT) and dance movement interventions (DMIs) with cancer and palliative care patients.