Verbal Auditory Cueing of Improvisational Dance: A Proposed Method for Training Agency in Parkinson's Disease

Glenna Batson, Christina E Hugenschmidt, Christina T Soriano, Glenna Batson, Christina E Hugenschmidt, Christina T Soriano

Abstract

Dance is a non-pharmacological intervention that helps maintain functional independence and quality of life in people with Parkinson's disease (PPD). Results from controlled studies on group-delivered dance for people with mild-to-moderate stage Parkinson's have shown statistically and clinically significant improvements in gait, balance, and psychosocial factors. Tested interventions include non-partnered dance forms (ballet and modern dance) and partnered (tango). In all of these dance forms, specific movement patterns initially are learned through repetition and performed in time-to-music. Once the basic steps are mastered, students may be encouraged to improvise on the learned steps as they perform them in rhythm with the music. Here, we summarize a method of teaching improvisational dance that advances previous reported benefits of dance for people with Parkinson's disease (PD). The method relies primarily on improvisational verbal auditory cueing with less emphasis on directed movement instruction. This method builds on the idea that daily living requires flexible, adaptive responses to real-life challenges. In PD, movement disorders not only limit mobility but also impair spontaneity of thought and action. Dance improvisation demands open and immediate interpretation of verbally delivered movement cues, potentially fostering the formation of spontaneous movement strategies. Here, we present an introduction to a proposed method, detailing its methodological specifics, and pointing to future directions. The viewpoint advances an embodied cognitive approach that has eco-validity in helping PPD meet the changing demands of daily living.

Keywords: Parkinson’s; agency; balance; cognition; dance; function; improvisation; spontaneity.

References

    1. LaMothe KL. Why We Dance: A Philosophy of Bodily Becoming. New York: Columbia University Press; (2015).
    1. Hirsch MA, Farley BG. Exercise and neuroplasticity in persons living with Parkinson’s disease. Eur J Phys Rehabil Med (2009) 45(2):215–29.
    1. Jankovic J. Parkinson’s disease: clinical features and diagnosis. J Neurol Neurosurg Psychiatry (2008) 79(4):368–76.10.1136/jnnp.2007.131045
    1. Bloem BR, Grimbergen YA, Cramer M, Willemsen M, Zwinderman AH. Prospective assessment of falls in Parkinson’s disease. J Neurol (2001) 248(11):950–8.10.1007/s004150170047
    1. Schrag A, Jahanshahi M, Quinn N. What contributes to quality of life in patients with Parkinson’s disease? J Neurol Neurosurg Psychiatry (2000) 69(3):308–12.10.1136/jnnp.69.3.308
    1. Earhart GM. Dance as therapy for individuals with Parkinson disease. Eur J Phys Rehabil Med (2009) 45(2):231–8.
    1. Hackney ME, Kantorovich S, Earhart GM. A study of the effects of Argentine tango as a form of partnered dance for those with Parkinson disease and the healthy elderly. Am J Dance Ther (2007) 29(2):109–27.10.1007/s10465-007-9039-2
    1. Hui E, Chui BT, Woo J. Effects of dance on physical and psychological well-­being in older persons. Arch Gerontol Geriatr (2009) 49(1):e45–50.10.1016/j.archger.2008.08.006
    1. Shanahan J, Morris ME, Bhriain ON, Saunders J, Clifford AM. Dance for people with Parkinson disease: what is the evidence telling us? Arch Phys Med Rehabil (2015) 96(1):141–53.10.1016/j.apmr.2014.08.017
    1. Sharp K, Hewitt J. Dance as an intervention for people with Parkinson’s disease: a systematic review and meta-analysis. Neurosci Biobehav Rev (2014) 47:445–56.10.1016/j.neubiorev.2014.09.009
    1. Westheimer O. Why dance for Parkinson’s disease? Top Geriatr Rehabil (2008) 24(2):127–40.10.1097/
    1. Goodwin VA, Richards SH, Taylor RS, Taylor AH, Campbell JL. The effectiveness of exercise interventions for people with Parkinson’s disease: a systematic review and meta-analysis. Mov Disord (2008) 23(5):631–40.10.1002/mds.21922
    1. Petzinger GM, Fisher BE, McEwen S, Beeler JA, Walsh JP, Jakowec MW. Exercise-enhanced neuroplasticity targeting motor and cognitive circuitry in Parkinson’s disease. Lancet Neurol (2013) 12(7):716–26.10.1016/S1474-4422(13)70123-6
    1. Sterling P. Homeostasis vs allostasis: implications for brain function and mental disorders. JAMA psychiatry (2014) 71(10):1192–3.10.1001/jamapsychiatry.2014.1043
    1. Conradsson D, Lofgren N, Stahle A, Hagstromer M, Franzen E. A novel conceptual framework for balance training in Parkinson’s disease-study protocol for a randomised controlled trial. BMC Neurol (2012) 12:111.10.1186/1471-2377-12-111
    1. Stevens C, McKechnie S. Thinking in action: thought made visible in contemporary dance. Cogn Process (2005) 6(4):243–52.10.1007/s10339-005-0014-x
    1. Bresnehan A. Improvisational artistry in live dance performance as embodied and extended agency. Dance Res J (2014) 46(1):85–94.10.1017/S0149767714000035
    1. Hornsby J. Actions. London: Routledge & Kegan Paul; (1980).
    1. Frith C. The self in action: lessons from delusions of control. Conscious Cogn (2005) 14(4):752–70.10.1016/j.concog.2005.04.002
    1. Slatman J. Multiple dimensions of embodiment in medical practices. Med Health Care Philos (2014) 17(4):549–57.10.1007/s11019-014-9544-2
    1. Fraleigh S. Dance and the Lived Body: A Descriptive Aesthetics. Pittsburgh, PA: University of Pittsburgh Press; (1987).
    1. Noland C. Agency and Embodiment: Performing Gestures/Producing Culture. Cambridge, MA: Harvard University Press; (2009).
    1. Goldman D. I Want to Be Ready: Improvised Dance as a Practice of Freedom. Ann Arbor, MI: University of Michigan Press; (2010).
    1. Crossan M. Improvisation in action. Organ Sci (1998) 9(5):593–9.10.1287/orsc.9.5.593
    1. Mirvis P. Practice improvisation. Organ Sci (1998) 9(5):586–92.10.1287/orsc.9.5.586
    1. Montuori A. The complexity of improvisation and the improvisation of complexity: social science, art and creativity. Hum Relations (2003) 56(2):237–55.10.1177/0018726703056002893
    1. Pressing J. Cognitive processes in improvisation. In: Crozier WR, Chapman AJ, editors. Cognitive Processes and the Perception of Art. Amsterdam: Elsevier; (1984). p. 345–64.
    1. Sawyer R. Improvisation and the creative process: Dewey, Collingwood, and the aesthetics of spontaneity. J Aesthet Art Crit (2000) 58(2):149–61.10.2307/432094
    1. Lockford L, Pelias R. Bodily poeticizing in theatrical improvisation: a typology of performative knowledge. Theatre Top (2004) 14(2):431–43.10.1353/tt.2004.0020
    1. Nieuwboer A, Kwakkel G, Rochester L, Jones D, van Wegen E, Willems AM, et al. Cueing training in the home improves gait-related mobility in Parkinson’s disease: the RESCUE trial. J Neurol Neurosurg Psychiatry (2007) 78(2):134–40.10.1136/jnnp.200X.097923
    1. Batson G, Migliarese S, Soriano C, Burdette JH, Laurienti PJ. Effects of improvisational dance on balance in Parkinson’s disease: a two-phase fMRI case study. Phys Occup Ther Geriatr (2014) 32(3):188–97.10.3109/02703181.2014.927946
    1. Marchant D, Sylvester JL, Earhart GM. Effects of a short duration, high dose contact improvisation dance workshop on Parkinson disease: a pilot study. Complement Ther Med (2010) 18(5):184–90.10.1016/j.ctim.2010.07.004
    1. Steen M, Hayasaka S, Joyce K, Laurienti P. Assessing the consistency of community structure in complex networks. Phys Rev E Stat Nonlin Soft Matter Phys (2011) 84(1 Pt 2):016111.10.1103/PhysRevE.84.016111
    1. Redgrave P, Rodriguez M, Smith Y, Rodriguez-Oroz MC, Lehericy S, Bergman H, et al. Goal-directed and habitual control in the basal ganglia: implications for Parkinson’s disease. Nat Rev Neurosci (2010) 11(11):760–72.10.1038/nrn2915
    1. Ashby FG, Turner BO, Horvitz JC. Cortical and basal ganglia contributions to habit learning and automaticity. Trends Cogn Sci (2010) 14(5):208–15.10.1016/j.tics.2010.02.001
    1. Kelly VE, Eusterbrock AJ, Shumway-Cook A. A review of dual-task walking deficits in people with Parkinson’s disease: motor and cognitive contributions, mechanisms, and clinical implications. Parkinsons Dis (2012) 2012:918719.10.1155/2012/918719
    1. Coubard OA, Duretz S, Lefebvre V, Lapalus P, Ferrufino L. Practice of contemporary dance improves cognitive flexibility in aging. Front Aging Neurosci (2011) 3:13.10.3389/fnagi.2011.00013
    1. Wu HG, Miyamoto YR, Gonzalez Castro LN, Olveczky BP, Smith MA. Temporal structure of motor variability is dynamically regulated and predicts motor learning ability. Nat Neurosci (2014) 17(2):312–21.10.1038/nn.3616
    1. Limb CJ, Braun AR. Neural substrates of spontaneous musical performance: an FMRI study of jazz improvisation. PLoS One (2008) 3(2):e1679.10.1371/journal.pone.0001679
    1. Liu S, Chow HM, Xu Y, Erkkinen MG, Swett KE, Eagle MW, et al. Neural correlates of lyrical improvisation: an FMRI study of freestyle rap. Sci Rep (2012) 2:834.10.1038/srep00834
    1. Pinho AL, de Manzano O, Fransson P, Eriksson H, Ullen F. Connecting to create: expertise in musical improvisation is associated with increased functional connectivity between premotor and prefrontal areas. J Neurosci (2014) 34(18):6156–63.10.1523/JNEUROSCI.4769-13.2014
    1. Varela FJ, Thompson E, Rosch E. The Embodied Mind. Cognitive Science and Human Experience. Cambridge, MA: The MIT Press; (1991).
    1. Clark A. Being There: Putting Brain, Body and World Together. Cambridge, MA: MIT Press; (1997).
    1. Gallagher S, Zahavi D. The Phenomenological Mind. New York: Routledge; (2012).
    1. Nilsson MH, Iwarsson S. Home and health in people ageing with Parkinson’s disease: study protocol for a prospective longitudinal cohort survey study. BMC Neurol (2013) 13:142.10.1186/1471-2377-13-142
    1. Dounskaia N, Ketcham CJ, Leis BC, Stelmach GE. Disruptions in joint control during drawing arm movements in Parkinson’s disease. Exp Brain Res (2005) 164(3):311–22.10.1007/s00221-005-2251-8
    1. Hackney ME, Earhart GM. Health-related quality of life and alternative forms of exercise in Parkinson disease. Parkinsonism Relat Disord (2009) 15(9):644–8.10.1016/j.parkreldis.2009.03.003

Source: PubMed

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