Frontiers in Psychology, Journal Year: 2025, Volume and Issue: 16

Published: Jan. 23, 2025

Dance provides therapeutic benefits for people with Parkinson's disease (PD) across motor and non-motor domains, including gait, mobility, mood, cognition (McNeely et al., 2015;Shanahan, 2015;Bek 2020;Carapellotti 2020;Emmanouilidis 2021). As a low-cost widely accessible activity, dance can be valuable adjunct to standard clinical treatment PD. Digital provision of PD has expanded significantly, accelerated by the COVID-19 pandemic (Bek 2021a;Kelly Leventhal, 2021;Morris 2021Morris , 2023)). Accessible digital platforms activities such as continue needed (Ellis Earhart, 2021;Kelly 2021) provide growing population (Dorsey 2018), those in rural remote communities without access in-person programs. This article considers key challenges potential solutions PD.Preliminary evidence indicates that online safe feasible individuals mild moderate PD, good rates attendance adherence no adverse events (Morris 2021(Morris 2023;;Walton 2022;Pinto 2023;Delabary 2024b). Advantages format noted include convenience not travelling ability practice more frequently 2021a;Ghanai Participants report enjoyment classes 2021;Walton 2022) desire alongside 2021a;Delabary 2024a), also exercise (Bennett 2023) singing therapy (Tamplin 2024) PD.Live participation been associated improvements functional anxiety, depression (Shanahan 2017;Walton 2023), affect (Ghanai 2021), quality life (Walton engaging live and/or recorded programs during self-reported multiple (e.g., balance, posture) nonmotor confidence) 2021a).Digital formats thus show promise effective approach However, literature is limited, small samples different modes delivery. research this field expanding, it important consider how environment might impact multidimensional activity (Dhami 2015;Christensen 2017;Bek 2022a) incorporating physical, cognitive, social, affective, creative components contribute outcomes The following section outlines elements differ between inperson contexts. possible address limitations optimise experience Table 1 summarizes solutions.Therapeutic may impacted Social interaction. extent nature social interaction altered absence group or partner 2022). Qualitative reports indicate participants value peer support, comparison 2022;Senter 2024), physical contact (Rocha 2017;Delabary 2024a) provided classes. Although from interactions compromised (Emmanouilidis meaningful engagement still achieved. For example, virtual coffee time after class opportunities discussion, questions, feedback (Delabary 2024a). Smaller regular could create sense community 2022b). large supported using "breakout" groups facilitate discussion providing an forum promote outside classes.Quality instruction feedback. effectiveness limited factors video/audio quality, viewing perspectives, instructors 2021a(Bek 2022b;;Delabary 2024a;Tamplin 2024). Feedback ensure movements are performed safely, necessary adaptations, learning. A qualitative review highlighted instructor-participant relationship (Senter In contrast, reduced instructor loss one-to-one support were cited disadvantages 2021a). These participants' motivation confidence engage well learning.Quality maintained through optimising aspects design production, slowing teaching pace repeating instructions Live critical enable receive To high-quality programs, volunteers assistants class. should have ask questions make suggestions class, which combined social/coffee 2022a;Delabary 2024a).Representation movement body. Dancers observe, imitate, mirror, coordinate others' (Blasing 2012;Bek 2020). processes brain's system learning (Hardwick 2018;Chye Interventions based on action observation imagery shown positive effects (Caligiore 2021b;Mezzarobba data suggest effectively implemented within 2022a). Additionally, awareness body element dance, training enhance (Hadley Body perception space 2024b), example seeing oneself screen having restricted area move.Self-report many observational use 2022b)). enhanced specific increase attention other dancers imagine sensations demonstrated (i.e., kinesthetic imagery).Music rhythm. Music integral beneficial PD.Rhythmic cueing gait (de Dreu 2011;Nombela 2013). promotes dopamine release basal ganglia (Salimpoor 2011), music extend beyond rhythm influence (Karageorghis 2020;Tamplin 2020Tamplin 2024)). evoke (Poliakoff potentially utilize internalized cue daily 2022a;Jola People enjoy accompanying expressed preference miss when dancing at home 2021a).In recent study examining feasibility one-on-one program worked select difficult tailor preferences choices accommodated series Instructors appropriate volume optimize audio settings their devices.Aesthetics creativity. differentiate forms 2017;Fontanesi DeSouza, 2021;Bek often feature communicative expressions gestures, storytelling, props. creativity escapism offered 2022a;Walton artistic diminished skin conductance measures indicated physiological arousal compared similar aerobic intensity (Fontanesi suggesting emotional response dance. aesthetic dimensions encouraged choreographic themes stories props practice.Instruction incorporate analogy metaphorical imagery, Further discussed above, there practical considerations designing Ensuring safety critical, particularly considering balance difficulties fall risk (Camicioli 2023). who attend stages progression needs. They infrastructures activity. It health professionals home-based training, greater severity postural instability. Checklists devised assist process (see Morris al advisable checklist before each session assess note procedures dealing events. Technical barriers relating hardware, software, connectivity required must considered both 2022b;;Walton 2022;Delabary 2024a).To accessibility alternative options accommodate abilities preferences. While most prefer interaction, others videos offer flexibility self-paced repeated practice, appreciate Pre-recorded DVDs telephone resources reliable internet suitable electronic device, these checks. choice accessing familiar guidance technology joining program. Involving co-design development increases relevance like (Quinn 2010;Morris Participant input programming understand preferences, needs, challenges. High levels co-designed reported patient already PD® https://danceforparkinsons.org/ usability 2021b).Finally, future capitalize artificial intelligence (AI) personalize therapies (Amjad possibility participants, instructors, healthcare performance computer vision machine techniques used measure changes adjust fit individuals' levels. individualized encouragement guidance. AI allow languages, cultures, geographical locations, translating culturally relevant themes.Current enjoyable preliminary findings achieved environment. reach although remain. so far small-scale studies self-report data, directly compared. domains stages, longer-term outcomes. meantime, help maintain

Language: Английский