Abstract
Dance is an enjoyable, non-therapy-focused activity that may provide a range of benefits for people with Parkinson’s. The internal simulation of movement through observation, imitation, and imagery, is intrinsic to dance and may contribute to functional improvements for people with Parkinson’s. This study explored the feasibility and potential benefits of a dance program designed by a collaborative team of dance artists, researchers, physiotherapists, and people living with Parkinson’s. The program incorporated motor simulation through observation, imitation and imagery of movement, supported by creative themes, expression, and music. A 6-week pilot trial of the program was conducted with 10 people with Parkinson’s. A focus group following the trial (N = 8) provided insights into the use of imagery, observation and imitation within dance, and the link between creativity and functional outcomes, as well as indicating multidimensional benefits of dance as reported in previous studies. Exploratory outcome measures also suggested potential effects on motor simulation, functional dexterity, and quality of life. The present study demonstrates the feasibility of a co-developed dance program for Parkinson’s and indicates how creative elements of dance may support functional outcomes. Future research should examine the role of motor simulation processes in dance for Parkinson’s, including the potential to develop transferable cognitive-motor skills. This study also highlights the value of collaborative partnerships in designing dance for health programs, which may optimise beneficial effects by using creative approaches to incorporate evidence-based elements, with guidance from individuals with lived experience to ensure the relevance to their goals.
Highlights
Parkinson’s disease is the fastest growing neurological condition worldwide (Dorsey et al, 2018)
The dance program was co-developed through a series of group discussions and practical sessions
While various different types of dance have been associated with benefits for people with Parkinson’s, as noted above, Ballet and Bharatanatyam involve elements that were expected to promote motor simulation through imagery and expression
Summary
Parkinson’s disease is the fastest growing neurological condition worldwide (Dorsey et al, 2018). Symptoms include progressive movement difficulties such as slowness, rigidity, tremor, and problems with balance and walking. Creativity in Dance for Parkinson’s (Bologna et al, 2013). Further to these motor impairments, Parkinson’s causes a range of cognitive, affective, and behavioural changes (Schapira et al, 2017). Both motor and non-motor symptoms can impact significantly on activities of daily living and independence. While medications can be effective, they do not address all symptoms and can have debilitating side-effects, necessitating the exploration of alternative, non-pharmacological approaches to enable people to live well with Parkinson’s (Li et al, 2016)
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