Dance for life Dance for people with Parkinson s Disease

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Esmond Davidson
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1 Dance for life Dance for people with Parkinson s Disease Region Jönköping County Public Health departement Katarzyna Filipowicz Dance and movement therapist Ballet dancer Ida-Klara Johansson Occupational Therapist Contemporary dancer

2 Older people People living with drug and alcohol addicion Region Jönköping County Children and young people People with mental health conditions

3 Good public health Region Jönköping County is working to minimise differences in health between...citizens Public Health Health promotion

4 Elderly people & Culture Public Health Section of the Jönköping County Council has for many years worked to reach out with the culture of the county's population A complement to medical care can give good effects "With a joint force -for a rich life as a senior" Dance for people with Parkinson 2013

5 Culture with breadth and depth Cooperation Kulturhuset (Culture house) Spira & Public health Rehabilitation & environment Kulturhuset Spira in Jönköping is the whole county s cultural centre

6 Capturing Grace I can t walk but I can dance Producer/Director David Iverson

8 Key features of Parkinson s Disease (PD) Neurodegenerative disease. Interferes with movement. Risk of falling regularly. Multitasking is often difficult. Neuromuscular tension and pain is common. There are a range of medicines prescribed to ease symptoms. Many people also experience uncontrollable movement (dyskinesia).

9 Some of the more common symptoms: Tremor (uncontrolled shaking) Rigidity or stiffness in muscles Bradykinesia (slowness of movement) Festination (a hurried, shuffling walk) Lack of co-ordination Freezing Stooped posture The voice may become quieter Facial expression may lessen Depression

10 Background In 2001 Dance for PD USA started as an idea, was born as an experiment, and has emerged as an innovative global program. 100 communities in 14 countries. John Heginbotham and David Leventhal started leading monthly classes for about 6 people. Today: participant a week.

11 Where you can find dance for PD in the world

12 Dance for PD program is built on one fundamental premise Professionally-trained dancers are movement experts. Dancers know all about stretching and strengthening muscles, and about balance and rhythm. Dancers know about the power of dance to concentrate mind, body and emotion on movement. Teaching artists integrate movement from modern and theater dance, ballet, folk dance, tap, improvisation, and choreographic repertory.

The classes engage the participants minds and

13 The class is an aesthetic experience. Addressing such PD-specific concerns as balance, flexibility, coordination, isolation and depression. The classes engage the participants minds and bodies. Social environment that emphasizes dancing rather than therapy. Recapture grace.

15 Dance for people with Parkinsons Jönköping, Sweden

16 Target group Parkinsons Disease Mild to moderate symptoms Some autonomy in moving/gait/transition Aid e.g. wheelchair, walking stick is not an obstacle No age limit Caregiver or familymember is welcome to join Motivation to come

17 1 h/week -10 to15 dance classes per term Warm-up sitting down Standing behind a chair or at the barre Transition e.g. walking Choreography Improvisiation Group or pair exercises Cooling down

18 It s so nice to move the perspective from medical treatment to health maintenance. When I m here I feel fellowship and I dare to use my body without reflecting over how it looks like Lena Participant, Dance for people with Parkinsons, Jönköping

Music - A key note The interaction with the music/musician adds another important dimension that affects the physical, social and cognitive factors.

20 Music - A key note The interaction with the music/musician adds another important dimension that affects the physical, social and cognitive factors. Music creates community, creativity and emotions in the room. Musik is a personal experience that is manifest in the mind and therefore affects how we experience our body.

21 Live music for Parkinson dance class

22 Music helps us find the tempo, accents, characters and expressions of the movement Ingrid Participant, Dance for people with Parkinson s, Jönköping

23 The music cheers me up and allows me to go further. It s not like any other group I attend. I do think the music is parallell. There s an emotional dimension to it Participate Dance for Parkinsons s English National Ballet.

24 Focus areas of the intervention Physical Cognitive Psycho-social

25 Physical Motor-function

26 Motor-function Range of movement/stretching Strenght Balance Posture Motion, initiating movement Coordination

27 Tango and Parkinson Hackney & Earhart (2010) has been studying the effects on people with Parkinson s practicing Tango. Results Functional mobility Increased balance Lenghtening gait Decreased risk of fall

28 Results English National Ballet program Houston & Mcgill (2015) Investing study: English National Ballet, Dance fo Parkinson s Postural stability - dancing group showed stronger improvments in comparison to control group. Quantitative data Adding qualitative accounts - suggests that participants feel the dancing may be doing them som good in relation to balance and gait as well as body awarness.

29 Cognitive Non-motor function

30 Parkinsons Disease is not just a movement disorder Dance is a mental activity that connects mind and body

31 Cognitive function Memory Coordination Aesthetic/artistic expression Visuo-spatial Audio-tative Touch

33 Psycho-social function

34 Social interaction/community Acceptance Confidence Relationship

35 Dance as an important impact on health motor coordination and balance. auditory, visual & sensory stimluation musical experience, musicality & social interaction memory & motor learning emotional perception and expression emotional interaction Kattenroth et al. (2010)

36 Let s dance!

37 Let s dance!

38 Contacts Katarzyna Filipowicz Ida-Klara Johansson Find us on Facebook Dans för dig.med Parkinson Questions?

39 Thank you!

40 Referenser 1. Kultur en naturlig del av omvårdnaden. Omvårdnadsmagasinet 6, Region Jönköpings län 3. Impact of weekly dance class on the functional mobility and on the quality of live of individuals with Parkinson s disease. Heiberger et al Effect of dance on balance and gait in severe Parkinson Disease: A case study. Hackney M.E and Earhart G. M A study on the effect of Argentine Tango as a form of partnered dance for those with Parkinson disease and the healthy elderly. Hackney M. E et al Dance for Parkinson s : A new framework for research on its physical, mental, emotional and social benefits. Ashcley McGill, Sara Houston et.al English National Ballet, Dance for Parkinson s: An investigative study 2. A report on three-year mixed methods research study. Sara Houston and Ashcley McGill, (2015) 8. Kinetisk melodi- Parkinsons sjukdom och musikterapi. Oliver Sacks, Den enarmade pianisten Music for Dance. Anna Gillespie & Amanda Fogg Den kulturella hjärnan

DEPARTMENT OF DANCE AND CHOREOGRAPHY

Department of Dance and Choreography 1 DEPARTMENT OF DANCE AND CHOREOGRAPHY E. Gaynell Sherrod, Ed.D. Chair arts.vcu.edu/dance (http://arts.vcu.edu/dance) The mission of the Department of Dance and Choreography