"Dance Therapy" as a psychotherapeutic movement intervention in Parkinson's disease.

Author: Michels K1, Dubaz O2, Hornthal E3, Bega D4
1Northwestern University Feinberg School of Medicine, United States.
2Northwestern Memorial Hospital, Department of Neurology, United States.
3Chicago Dance Therapy, United States.
4Northwestern University Feinberg School of Medicine, Department of Neurology, United States. Electronic address: danny.bega@nm.org.
Conference/Journal: Complement Ther Med.
Date published: 2018 Oct
Other: Volume ID: 40 , Pages: 248-252 , Special Notes: doi: 10.1016/j.ctim.2018.07.005. Epub 2018 Jul 7. , Word Count: 265

BACKGROUND: Previous studies in Parkinson's Disease (PD) have described benefits of dance for motor and non-motor outcomes, yet few studies specifically look at Dance Therapy (DT) as a specific psychotherapeutic model for PD. DT is the psychotherapeutic use of movement to improve physical, emotional, cognitive, and social integration and wellbeing.

OBJECTIVE: 1) Explore the safety and feasibility of a 10-week DT program for PD. 2) Collect pilot data on efficacy of DT.

DESIGN/METHODS: Prospective, randomized-controlled study in subjects with PD. 13 participants randomized 2:1 to DT (n = 9) or support group (n = 4). Assessments were completed 1-2 weeks prior to the first session and after the final session, and included attendance, Hoehn and Yahr Scale (H&Y), Unified Parkinson's Disease Rating Scale (MDS-UPDRS), Montreal Cognitive Assessment, Timed Up and Go, Berg Balance Scale, Beck Depression Inventory, Fatigue Severity Scale, Visual Analog Fatigue Scale, Parkinson's Disease Questionnaire-39, and an exit satisfaction survey.

RESULTS: All participants completed the study. The control group was older and had a higher mean baseline MDS-UPDRS III score (27.56 dance vs. 40.75 control) and H&Y score (2.11 dance vs. 2.50 control). 7 of 9 in DT and all control subjects attended at least 70% of classes. All participants in DT enjoyed the classes and most felt they were beneficial. The greatest improvement in motor measures was in MDS-UPDRS III (-4.12 (dance) vs. -1.75 (control)). Non-motor outcomes were explored as well.

CONCLUSIONS: DT is introduced as an enjoyable mind-body intervention for PD. Further studies powered for efficacy and with groups matched for disease severity are warranted.

Copyright © 2018 Elsevier Ltd. All rights reserved.

KEYWORDS: Dance therapy; Parkinson’s disease

PMID: 30219460 DOI: 10.1016/j.ctim.2018.07.005