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Petts L, McGill A. Disrupting the Obligation of Objective Knowledge in Dance Science Research. J Dance Med Sci 2024; 28:196-208. [PMID: 38676456 DOI: 10.1177/1089313x241245493] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/29/2024]
Abstract
BACKGROUND Through pressure from funding and governing bodies, an audit culture invades the rhetoric of the dance medicine and science research community, leading to undue focus on justifying and legitimizing the holistic benefits of dancing. This paper critiques this hierarchical value system which disproportionately favors objective, generalizable, and quantitative research approaches still dominant in dance medicine and science, existing since the founding of the International Association for Dance Medicine and Science (IADMS) in 1990. PURPOSE Whilst this may mean studies are generalizable when applied to broader contexts, objective outcomes lack granularity and do not automatically lead to appropriate, meaningful, inclusive, or accessible dance experiences for everyone. Subjective, idiographic, ethnographic, embodied, phenomenological, and transdisciplinary approaches to dance medicine and science research have great potential to broaden, deepen, and enrich the field. CONCLUSIONS This paper highlights the tensions between qualitative and quantitative methodologies, advocating that researchers can rigorously embrace their positionality to contribute toward ontological and epistemological clarity with any researcher bias, assumption, or expectation transparently disclosed. The writing draws on research examples from Dance for Health (DfH) as a part of dance science and medicine field of study, including but not limited to Dance for Parkinson's. This paper provides resourceful recommendations, encouraging researchers to remain imaginative and curious through application of arts-based, person-centered, collaborative mixed methods within their own studies.
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Affiliation(s)
- Louisa Petts
- Centre for Dance Research, Coventry University, Coventry, UK
| | - Ashley McGill
- Centre for Dance Research, University of Roehampton, London, UK
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Nogueira Haas A, Smith T, Peyré-Tartaruga LA, Brito Fortes M, Nagy F, Dos Santos Delabary M, Koutedakis Y, Wyon M. Can Dance Improve Turning in People With Parkinson's Disease? J Dance Med Sci 2024; 28:179-189. [PMID: 38587104 DOI: 10.1177/1089313x241242632] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/09/2024]
Abstract
Objective: To investigate the effects of a dance intervention on selected functional parameters during the 180° turning phase of the Timed Up & Go (TUG) test in people with Parkinson's Disease (PwPD). Methods: Fifteen adults clinically diagnosed with idiopathic PD were allocated into dance intervention (DIG; n = 7 ; age 73 ± 2 years) and control (CG; n = 8; age 64 ± 5 years) groups. The dance intervention lasted for 3 months (1 hour, twice a week). At baseline, all participants completed the Unified PD Rating Scale-part III, the International Physical Activity Questionnaire-short form, and the Hoehn & Yahr scale. Pre- and post-intervention, the primary outcomes were measured (number of steps and time to complete the 180° turning phase of the TUG test) at 2 speeds (comfortable walking and as quickly and safely speed) while using the Xsens® 3D motion suit. The secondary outcome (girdle dissociation) was assessed by calculating the difference between pelvis and affected shoulder orientation in the transverse plane (dissociation angles) at each data point during the TUG test's 180° turning phase. Results: At participant's comfortable walking speed, the functionality during the 180° turning remained unaffected following the dance intervention. However, at participant's fast speed, the dance intervention group significantly reduced the number of steps with a large effect size, and the total time taken to complete the 180° turning with a medium effect size. Post-intervention, most participants in the dance intervention group reduced the affected shoulder and pelvic girdle dissociation and turned more "en bloc." Conclusion: Dance can improve selected functional parameters during the 180° turning at fast speed in PwPD. The current results should be considered in rehabilitation programs.
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Affiliation(s)
- Aline Nogueira Haas
- Department of Physical Education, Physiotherapy and Dance Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
- Sport and Physical Activity Research Centre and School of Performing Arts, University of Wolverhampton, Walsall, UK
- Global Brain Health Institute, Trinity College Dublin, Ireland
| | - Tina Smith
- Sport and Physical Activity Research Centre and School of Performing Arts, University of Wolverhampton, Walsall, UK
| | - Leonardo Alexandre Peyré-Tartaruga
- Department of Physical Education, Physiotherapy and Dance Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Marlene Brito Fortes
- Sport and Physical Activity Research Centre and School of Performing Arts, University of Wolverhampton, Walsall, UK
| | - Fruzsina Nagy
- Sport and Physical Activity Research Centre and School of Performing Arts, University of Wolverhampton, Walsall, UK
| | - Marcela Dos Santos Delabary
- Department of Physical Education, Physiotherapy and Dance Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Yiannis Koutedakis
- Sport and Physical Activity Research Centre and School of Performing Arts, University of Wolverhampton, Walsall, UK
- Department of Sport and Exercise Sciences, University of Thessaly, Trikala, Greece
| | - Matthew Wyon
- Sport and Physical Activity Research Centre and School of Performing Arts, University of Wolverhampton, Walsall, UK
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Senter M, Clifford AM, O'Callaghan M, McCormack M, Ni Bhriain O. Experiences of people living with Parkinson's disease and key stakeholders in dance-based programs: a systematic review and meta-ethnography. Disabil Rehabil 2024:1-14. [PMID: 38459897 DOI: 10.1080/09638288.2024.2327499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2023] [Accepted: 03/02/2024] [Indexed: 03/11/2024]
Abstract
PURPOSE To identify and synthesize qualitative literature on the experiences of participants and key stakeholders in dance programs for people living with Parkinson's disease. Synthesizing the available literature can generate new insights into participant experience to inform current and future programs. MATERIALS AND METHODS Qualitative and mixed methods studies were identified via a systematic search of six databases: CINAHL, Web of Science, Scopus, SPORTDiscus, PsycInfo, and MEDLINE. Articles were synthesized using the meta-ethnographic method developed by Noblit and Hare (1988). Key concepts across studies were related via reciprocal translation, ultimately forming a line-of-argument synthesis. RESULTS 26 articles met the inclusion criteria. Four interrelated, overarching themes were developed: (1) dance communities provide peer support and insight into living with Parkinson's, (2) feeling safe, accepted, and included in the dance experience, (3) overcoming dance-based challenges contributes to sense of achievement, confidence, and connectedness, and (4) dance participation is an opportunity to re-imagine oneself. CONCLUSION Participant experience is shaped by the instructor-participant relationship, the social environment of classes, and class difficulty level. In order to support participant experience, classes should be safe, supportive, and have an appropriate challenge-skill balance. These qualities facilitate creative immersion and the potential for personal and collective change.
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Affiliation(s)
- Morgan Senter
- Irish World Academy of Music and Dance, Faculty of Arts, Humanities, and Social Sciences, University of Limerick, Co. Limerick, Ireland
| | - Amanda M Clifford
- School of Allied Health, Faculty of Education and Health Sciences, University of Limerick, Co. Limerick, Ireland
- Health Research Institute, University of Limerick, Co. Limerick, Ireland
- Ageing Research Centre, University of Limerick, Co. Limerick, Ireland
| | - Maureen O'Callaghan
- School of Allied Health, Faculty of Education and Health Sciences, University of Limerick, Co. Limerick, Ireland
| | - Megan McCormack
- School of Allied Health, Faculty of Education and Health Sciences, University of Limerick, Co. Limerick, Ireland
| | - Orfhlaith Ni Bhriain
- Irish World Academy of Music and Dance, Faculty of Arts, Humanities, and Social Sciences, University of Limerick, Co. Limerick, Ireland
- Health Research Institute, University of Limerick, Co. Limerick, Ireland
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Delabary MDS, Loch Sbeghen I, Teixeira da Silva EC, Guzzo Júnior CCE, Nogueira Haas A. Brazilian dance self-perceived impacts on quality of life of people with Parkinson's. Front Psychol 2024; 15:1356553. [PMID: 38449766 PMCID: PMC10914939 DOI: 10.3389/fpsyg.2024.1356553] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2023] [Accepted: 01/29/2024] [Indexed: 03/08/2024] Open
Abstract
Background Parkinson's disease (PD) causes several motor and non-motor symptoms, resulting in negative impacts on physical, mental, emotional, and social aspects of people with PD quality of life. Dance has been considered as a potential non-pharmacological intervention to improve people with PD motor and non-motor symptoms, thereby enhancing quality of life. Purpose To analyze the self-perceive impacts of Brazilian Dance on the quality of life (physical, mental, emotional, and social) of PwPD, both before and during the COVID-19 pandemic. Methods Fourteen participants from the "Dança & Parkinson" project were included in this qualitative study. Data collection instruments consisted of a profile and personal data sheet; assessment of accessibility to the online dance classes; Telephone Montreal Cognitive Assessment by phone call; and semi-structured interview conducted through ZOOM video call. The participants characterization data were calculated using mean, standard deviation, and percentages with the Excel Program version 2013. Qualitative data was analyzed using the Thematic Analysis technique in the Nvivo, version 8.0, qualitative analysis of text, sound, and video program. Results The participants reported facing various challenges in dealing with PD, which negatively impact their quality of life. However, their resilience, acceptance, and dedication to treatment play an important role in coping with the issues related to the disease. Brazilian dance, both in-person before the COVID-19 pandemic and online during the pandemic, led the participants to perceive improvements in physical, mental, emotional, and social aspects of quality of life. Conclusion The Brazilian dance appears to have a positive impact on the physical, mental, emotional, and social aspects of the participants' quality of life, both before and during the COVID-19 pandemic.
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Affiliation(s)
- Marcela dos Santos Delabary
- Department of Physical Education, Physiotherapy and Dance, Federal University of Rio Grande do Sul, Rio Grande do Sul, Brazil
| | - Isadora Loch Sbeghen
- Department of Physical Education, Physiotherapy and Dance, Federal University of Rio Grande do Sul, Rio Grande do Sul, Brazil
| | | | | | - Aline Nogueira Haas
- Department of Physical Education, Physiotherapy and Dance, Federal University of Rio Grande do Sul, Rio Grande do Sul, Brazil
- Atlantic Fellow for Equity in Brain, Global Brain Health Institute, Trinity College Dublin, Dublin, Ireland
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Norton E, Hemingway A, Ellis Hill C. The meaning and impact on well-being of bespoke dancing sessions for those living with Parkinson's. Int J Qual Stud Health Well-being 2023; 18:2245593. [PMID: 37559339 PMCID: PMC10416735 DOI: 10.1080/17482631.2023.2245593] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/15/2022] [Accepted: 08/02/2023] [Indexed: 08/11/2023] Open
Abstract
PURPOSE This paper presents qualitative research findings from the evaluation of a Parkinson's Dance well-being venture in the UK. METHODS Qualitative data was gathered to see how bespoke dancing sessions helped people with Parkinson's (PwP) to manage their conditions and improve their lives and prospects. Principles of a participatory approach were incorporated and methods included semi-structured interviewing, researchers participant observation and an elicitation-based activity. Nineteen PwP, six carers, four dance artists and seven helpers participated in the study. RESULTS Participating in Parkinson's Dance sessions meant that PwP could experience the possibilities to dance, develop a "can do" attitude, experience fun, enjoyment, social connection, exercise, movement to music, improvement and/or maintenance of their balance, suppleness, coordination and confidence with movement, symptoms being pushed back and ability to learn new things. CONCLUSIONS Our findings add to the evidence-base about the benefits of dance for people experiencing Parkinson's and through novel application of the Life-world based well-being framework of K. T. Galvin and Todres (2011) we propose a theoretical basis for Parkinson's Dance as a resource for well-being. There is scope to consider application of the well-being framework to other arts activities and as the basis of an arts and well-being evaluation tool.
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Affiliation(s)
- Elizabeth Norton
- Centre for Public Health EBC, Bournemouth University, Dorset, UK
| | - Ann Hemingway
- Public Health & Wellbeing, Bournemouth University, Bournemouth, UK
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Walton L, Domellöf ME, Åström ÅN, Elowson Å, Neely AS. Digital Dance for People With Parkinson's Disease During the COVID-19 Pandemic: A Feasibility Study. Front Neurol 2022; 12:743432. [PMID: 35185746 PMCID: PMC8850348 DOI: 10.3389/fneur.2021.743432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2021] [Accepted: 12/24/2021] [Indexed: 11/13/2022] Open
Abstract
Background Dance as a treatment to support physical, cognitive and emotional functioning, has gained increased acceptance as a healthcare intervention for people with Parkinson's Disease (PD). The impact of the COVID-19 pandemic has been far reaching with devastating effects for at-risk populations. To find alternative and safe treatment delivery options during the pandemic has been of utmost importance. The purpose of this mixed-methods study was to evaluate the feasibility and the experience of digital dance for people with PD (Dance for PD©) and to examine change in self-reported quality of life, psychological health, subjective cognitive complaints and mental fatigue. Methods 23 participants with PD (mean age 70) partook in 10-h weekly digital Dance for PD sessions. Feasibility outcome measures were assessed at post-test. Web-based questionnaires examining quality of life, subjective memory complaints, depression, anxiety and mental fatigue were administered at pre- and post-test. Moreover, nine participants partook in focus group discussions at post-test. Results The results showed an acceptable feasibility to home-based digital Dance for PD, where 86% of the dance classes were completed, only minor negative side effects were reported (i.e., sore joints), and all experienced the dance classes as motivating and safe to do at home. The majority also reported positive effects on mood and physical functioning. The results from the questionnaires showed significant improvements in depressive symptoms (p = 0.006) and quality of life (p < 0.001) at post-test. In the focus groups, participants indicated that digital dance was a beneficial and enjoyable activity with a strong added value during the COVID-19 pandemic. Nevertheless, they experienced that digital dance missed some important elements of live dance. Conclusions This study showed that digital Dance for PD is feasible and holds promise as a viable and safe method to keep people with PD dancing even when physical meetings are not possible. Beyond the pandemic, digital dance could be applied to a wide variety of patient groups including rural populations and patients for whom transportation may not be feasible for practical or financial reasons. Trial Registration Retrospectively registered at ClinicalTrials.gov on 25/06/2021 with the following registration number: NCT04942392.
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Affiliation(s)
- Lois Walton
- Department of Social and Psychological Studies, Karlstad University, Karlstad, Sweden
- *Correspondence: Lois Walton
| | | | | | - Åsa Elowson
- Balettakademien Stockholm, Stockholm, Sweden
- Kognitiva Teamet Rehab, Stockholm, Sweden
| | - Anna Stigsdotter Neely
- Department of Social and Psychological Studies, Karlstad University, Karlstad, Sweden
- Engineering Psychology, Luleå University of Technology, Luleå, Sweden
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How COVID-19 will boost remote exercise-based treatment in Parkinson's disease: a narrative review. NPJ Parkinsons Dis 2021; 7:25. [PMID: 33686074 PMCID: PMC7940641 DOI: 10.1038/s41531-021-00160-3] [Citation(s) in RCA: 46] [Impact Index Per Article: 15.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2020] [Accepted: 01/14/2021] [Indexed: 02/02/2023] Open
Abstract
The lack of physical exercise during the COVID-19 pandemic-related quarantine measures is challenging, especially for patients with Parkinson's disease (PD). Without regular exercise not only patients, but also nursing staff and physicians soon noticed a deterioration of motor and non-motor symptoms. Reduced functional mobility, increased falls, increased frailty, and decreased quality of life were identified as consequences of increased sedentary behavior. This work overviews the current literature on problems of supplying conventional physiotherapy and the potential of telerehabilitation, allied health services, and patient-initiated exercise for PD patients during the COVID-19 period. We discuss recent studies on approaches that can improve remote provision of exercise to patients, including telerehabilitation, motivational tools, apps, exergaming, and virtual reality (VR) exercise. Additionally, we provide a case report about a 69-year-old PD patient who took part in a 12-week guided climbing course for PD patients prior to the pandemic and found a solution to continue her climbing training independently with an outdoor rope ladder. This case can serve as a best practice example for non-instructed, creative, and patient-initiated exercise in the domestic environment in difficult times, as are the current. Overall, many recent studies on telemedicine, telerehabilitation, and patient-initiated exercises have been published, giving rise to optimism that facilitating remote exercise can help PD patients maintain physical mobility and emotional well-being, even in phases such as the COVID-19 pandemic. The pandemic itself may even boost the need to establish comprehensive and easy-to-do telerehabilitation programs.
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