Comparison of externally and internally guided dance movement to address mobility, cognition, and psychosocial function in people with Parkinson’s disease and freezing of gait: a case series

Bibliographic Details
Title: Comparison of externally and internally guided dance movement to address mobility, cognition, and psychosocial function in people with Parkinson’s disease and freezing of gait: a case series
Authors: Amit Abraham, Ariel Hart, Ariyana Bozzorg, Suraj Pothineni, Steven L. Wolf, Kersey Schuh, Molly Caughlan, Jelani Parker, Amanda Blackwell, Megan Tharp Cianflona, Courtney Asker, Todd Prusin, Madeleine E. Hackney
Source: Frontiers in Aging Neuroscience, Vol 16 (2024)
Publisher Information: Frontiers Media S.A., 2024.
Publication Year: 2024
Collection: LCC:Neurosciences. Biological psychiatry. Neuropsychiatry
Subject Terms: Parkinson’s disease, freezing of gait, dance, exercise, internal guidance, cueing, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571
More Details: ObjectiveThe aim of this study is to explore the impact of internally guided (IG) versus externally guided (EG) adapted tango (AT) dance training (i.e., dancing the IG “Leader” role or the EG “Follower” role), on motor and non-motor functions in individuals with Parkinson’s disease and freezing of gait (PD-FOG). The “Leader” role, a proxy for IG movements, conveys direction, timing, and amplitude of steps with tactile cues. The “Follower” role, a proxy for EG movements, detects and responds to the leader’s tactile cues.Case descriptionSix participants were randomly assigned to the IG (“Leader”) or EG (“Follower”) roles for 20, 90-min AT lessons over 12 weeks. Participants were assessed for PD-specific and non-PD-specific functions before and twice after the end of the 12-week intervention, at 1-week and 1-month post-intervention.ResultsEG participants improved and/or maintained performance on more outcomes across all domains than IG participants. Five participants improved in PD motor symptoms, dynamic gait, global cognitive function, and the FOG Questionnaire immediately or 1 month after intervention. All participants expressed positive attitudes toward the intervention, including improvements in walking, balance, and endurance.ConclusionAT training in the follower role may benefit individuals with PD-FOG to a greater extent compared to the leader role.ImpactThis case series study could inform additional research with the goal of enhancing physical therapy or music-based therapy approaches for addressing PD-FOG.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1663-4365
Relation: https://www.frontiersin.org/articles/10.3389/fnagi.2024.1372894/full; https://doaj.org/toc/1663-4365
DOI: 10.3389/fnagi.2024.1372894
Access URL: https://doaj.org/article/f6608946ef2a400b8b53bb3c687b9954
Accession Number: edsdoj.f6608946ef2a400b8b53bb3c687b9954
Database: Directory of Open Access Journals
More Details
ISSN:16634365
DOI:10.3389/fnagi.2024.1372894
Published in:Frontiers in Aging Neuroscience
Language:English