Parkinson's and Dance: Difference between revisions

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&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Parkinson's disease (PD) is a progressive neurodegenerative disease. Common symptoms of PD are resting tremor, bradykinesia, rigidity, mask face, and difficulties with gait <ref name="Ventura et al.">Ventura, MI, Barnes, DE, Ross, JM, Lanni, KE, Sigvardt, KA, Disbrow, EA. A pilot study to evaluate multi-dimensional effects of dance for people with Parkinson's disease. Contemp Clin Trials 2016;51:50-55. PMID: 27765693</ref> including short, shuffling steps, festination and/or freezing of gait, difficulty turning or walking backward and impaired ability to perform dual tasks when walking. <ref name="Earhart">Earhart, GM. Dance as therapy for individuals with Parkinson disease. Eur J Phys Rehabil Med 2009;45:231-8. PMID: 19532110</ref> Individuals with PD are also at an increased risk of falls.<ref name="Pickering et al.">Pickering, RM, Grimbergen, YA, Rigney, U, Ashburn, A, Masibrada, G, Gray, P, Bloem, BR. A meta-analysis of six prospective studies of falling in Parkinson's disease. Mov Disord 2007;22:1892-1900. PMID: 17588236</ref><br>  
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Parkinson's disease (PD) is a progressive neurodegenerative disease. Common symptoms of PD are resting tremor, bradykinesia, rigidity, mask face, and difficulties with gait <ref name="Ventura et al.">Ventura, MI, Barnes, DE, Ross, JM, Lanni, KE, Sigvardt, KA, Disbrow, EA. A pilot study to evaluate multi-dimensional effects of dance for people with Parkinson's disease. Contemp Clin Trials 2016;51:50-55. PMID: 27765693</ref> including short, shuffling steps, festination and/or freezing of gait, difficulty turning or walking backward and impaired ability to perform dual tasks when walking. <ref name="Earhart">Earhart, GM. Dance as therapy for individuals with Parkinson disease. Eur J Phys Rehabil Med 2009;45:231-8. PMID: 19532110</ref> Individuals with PD are also at an increased risk of falls.<ref name="Pickering et al.">Pickering, RM, Grimbergen, YA, Rigney, U, Ashburn, A, Masibrada, G, Gray, P, Bloem, BR. A meta-analysis of six prospective studies of falling in Parkinson's disease. Mov Disord 2007;22:1892-1900. PMID: 17588236</ref><br>  


&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Medical treatments for PD, including medications, do not fully address gait and balance issues<ref name="Gage et al.">Gage, H, Storey, L. Rehabilitation for Parkinson's disease: a systematic review of available evidence. Clin Rehabil 2004;18:463-482. PMID: 15293481</ref> and so exercise has become an important part of treatment. Four key areas of focus when designing exercise programs for PD as recommended by Keus et al.<ref name="Keus et al.">Keus, SH, Bleom, BR, Hendriks, EJ, Bredero-Cohen, AV, Munneke, M. Practice recommendations development group evidence-based analysis of physical therapy in Parkinson's disease recommendations for practice and research. Mov Disord 2007;22:451-460. PMID: 17133526</ref> are:
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Medical treatments for PD, including medications, do not fully address gait and balance issues<ref name="Gage et al.">Gage, H, Storey, L. Rehabilitation for Parkinson's disease: a systematic review of available evidence. Clin Rehabil 2004;18:463-482. PMID: 15293481</ref> and so exercise has become an important part of treatment. Four key areas of focus when designing exercise programs for PD as recommended by Keus et al.<ref name="Keus et al.">Keus, SH, Bleom, BR, Hendriks, EJ, Bredero-Cohen, AV, Munneke, M. Practice recommendations development group evidence-based analysis of physical therapy in Parkinson's disease recommendations for practice and research. Mov Disord 2007;22:451-460. PMID: 17133526</ref> are:  


&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 1) Cueing strategies to improve gait,<ref name="Keus et al. " />  
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 1) Cueing strategies to improve gait,<ref name="Keus et al." />  


&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 2) Cognitive movement strategies to improve transfers,<ref name="Keus et al. " />
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 2) Cognitive movement strategies to improve transfers,<ref name="Keus et al." />  


&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 3) Exercises to improve balance,<ref name="Keus et al. " /> and  
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 3) Exercises to improve balance,<ref name="Keus et al." /> and  


&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 4) Training of joint mobility and muscle power to improve physical capacity.<ref name="Keus et al." />
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 4) Training of joint mobility and muscle power to improve physical capacity.<ref name="Keus et al." />
 
Dance is suggested to address each of these key areas<ref name="Keus et al. " /> in the following ways as suggested by Earhardt<ref name="Earhardt" />:
 
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; - The use of music to accompany the dance movement, acting as an external cue to facilitate movement.<ref name="Earhardt" />
 
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; - The use of specific movement strategies when teaching the dance steps.<ref name="Earhardt" />
 
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; - The need to control dynamic balance and respond to perturbations when interacting with other participants facilitating
 
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; balance exercises.<ref name="Earhardt" />
 
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; - Dance is helps enhance strength and flexibility. It may also improve cardiovascular functioning if done to a sufficient
 
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; intensity.<ref name="Earhardt" />


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History of the use of Dance for Individuals with Parkinson's[edit | edit source]

          Parkinson's disease (PD) is a progressive neurodegenerative disease. Common symptoms of PD are resting tremor, bradykinesia, rigidity, mask face, and difficulties with gait [1] including short, shuffling steps, festination and/or freezing of gait, difficulty turning or walking backward and impaired ability to perform dual tasks when walking. [2] Individuals with PD are also at an increased risk of falls.[3]

          Medical treatments for PD, including medications, do not fully address gait and balance issues[4] and so exercise has become an important part of treatment. Four key areas of focus when designing exercise programs for PD as recommended by Keus et al.[5] are:

          1) Cueing strategies to improve gait,[5]

          2) Cognitive movement strategies to improve transfers,[5]

          3) Exercises to improve balance,[5] and

          4) Training of joint mobility and muscle power to improve physical capacity.[5]

Dance is suggested to address each of these key areas[5] in the following ways as suggested by Earhardt[6]:

          - The use of music to accompany the dance movement, acting as an external cue to facilitate movement.[6]

          - The use of specific movement strategies when teaching the dance steps.[6]

          - The need to control dynamic balance and respond to perturbations when interacting with other participants facilitating

            balance exercises.[6]

          - Dance is helps enhance strength and flexibility. It may also improve cardiovascular functioning if done to a sufficient

            intensity.[6]

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Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

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  1. Ventura, MI, Barnes, DE, Ross, JM, Lanni, KE, Sigvardt, KA, Disbrow, EA. A pilot study to evaluate multi-dimensional effects of dance for people with Parkinson's disease. Contemp Clin Trials 2016;51:50-55. PMID: 27765693
  2. Earhart, GM. Dance as therapy for individuals with Parkinson disease. Eur J Phys Rehabil Med 2009;45:231-8. PMID: 19532110
  3. Pickering, RM, Grimbergen, YA, Rigney, U, Ashburn, A, Masibrada, G, Gray, P, Bloem, BR. A meta-analysis of six prospective studies of falling in Parkinson's disease. Mov Disord 2007;22:1892-1900. PMID: 17588236
  4. Gage, H, Storey, L. Rehabilitation for Parkinson's disease: a systematic review of available evidence. Clin Rehabil 2004;18:463-482. PMID: 15293481
  5. 5.0 5.1 5.2 5.3 5.4 5.5 Keus, SH, Bleom, BR, Hendriks, EJ, Bredero-Cohen, AV, Munneke, M. Practice recommendations development group evidence-based analysis of physical therapy in Parkinson's disease recommendations for practice and research. Mov Disord 2007;22:451-460. PMID: 17133526
  6. 6.0 6.1 6.2 6.3 6.4 Cite error: Invalid <ref> tag; no text was provided for refs named Earhardt