A Healing Art: The Yin and Yang of Dance and Neurorehabilitation
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2 A Healing Art: The Yin and Yang of Dance and Neurorehabilitation Kelli Sharp Assistant Professor, Department of Dance Claire Trevor School of the Arts
3 Evolution of My Study of Movement Past Current
4
5 Overview Introduction Goals Key concepts Why dance as therapeutic tool? Healing components of Dance Dance as a healing art How can Dance help Science? Movement and Memory Physical Activity and Mood Summary Review of the main goals Bridging the gap 5
6 Injury Prevention Research Tools Dance as a Healing Art
7 Can Dance Help Neurorehabilitation? Dance Science
8 What Do You See?
9 Therapeutic Components of Dance Problem Solving Activation of Multiple Senses Non- Verbal Communication Dance Emotion Motivation Physical Contact
10 Can dance improve function in individuals with Alzheimer's Disease?
11 Manifestations of Alzheimer's disease Memory Loss Social Withdraw Irritability Sleep Disturbances Executive Function Deficits Distrust in others Aggression Disorientation Lack of Spatial Relationships Executive Function Deficits
12 Principle I: Physical Activity and Mood A few hypotheses: Thermogenic Monoamine Increase blood flow enhances metabolism Endorphins and Endocannabinoids 12
13 The brain s ability to reorganize itself by forming new neural connections. Source: brain- neuroplasticity- in- action/
14 Principle II: Functional Magnetic Resonance Imaging Right Left Healthy Controls Plan and execute movements and sense of touch Individuals with Injuries Sense of touch, left auditory processing Difference Sense of touch, planning and execution of left side Sharp et al. (in progress)
15 Principle III: Dance and Alzheimer's disease Duncan and Earhart, 2011 Hokkanen L, et al. 2008
16 So far.. The brain has the ability to reorganize Dance has many therapeutic components Relationship between activity and mood Previous studies demonstrate improvements in motor function and quality of life in patients with neurological disorders. 16
17 Key Components of Dance Sequencing Timing Spatial Relationship Relevancy to the Past Experience Can apply Principles of Motor learning and planning Physical Activity Task Specificity Practice 1. Create 15 sec phrase 2. Incorporating at least 3 of the key components of dance 3. Specific Setting A PHRASE: Sequence of movements 17
18 Our Basic Implementation Strategy Population Dance
19 Choreographed Phrases Choreographed Phrases Visual Feedback Visual Feedback Music Music Motor Learning Motor Learning
20 Motion Capture Data + Muscle Activation Patterns
21 Therapeutic Effects of Dance Movement Analysis - Motion Capture - Force Plates Depression - Beck s Scale Outcome Measures Neuro- plasticity - fmri - EEG Cognition - Mini Mental State Exam
22 Integration of Various Art Forms Choreographers and Dancers Musicians Visual Artists Dance as a therapeutic tool
23 Dance Can be a Valuable Tool for Neurorehabilitation Increase spatial Awareness Brain reorganization Cognition Depression Increase in independence Increase in quality of life
24 What Do You See NOW?
25 Overall Summary Dance Science Dance has many therapeutic components Dance can help patients with neurological disorders Integration and synergies crucial for advancement 25
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27 Acknowledgments and Collaborators Cramer Lab (Neurology) Steven C. Cramer Vu le Jeff Riley Erin Burke Jill Stewart Dance Department Shaun Boyle Mary Corey John Crawford Diane Diefenderfer Jennifer Fisher Chad Hall Loretta Livingston Molly Lynch Donald McKayle Lisa Naugle Alan Terricciano Tong Wang Sheron Wray Reinkensmeyer Lab (Engineering) David Reinkensmeyer Justin Rowe Hossein Mousavi Fady Barsoum Jamie Duarte The Ohio State University Stephen Page PMR Aileen Anderson Brian Cummings Mary Sipski Eric Gold Residents Dancers Sonul Gupta (UCLA) Anne- Marie Leiby (UCI) Anesthesiology David Luo Cathy Cahill Support NIH, AT A2 41 Trust Grant Medical Humanities Initiative
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