Parkinson’s disease (PD) is a neurodegenerative disease that has a fast progression of motor dysfunction within the first 5 years of diagnosis, showing an annual motor rate of decline of the Movement Disorder Society Unified Parkinson’s Disease Rating Scale (MDS-UPDRS) between 5.2 and 8.9 points. We aimed to determine both motor and non-motor PD symptom progression while participating in dance classes once per week over a period of three years. Longitudinal data was assessed for a total of 32 people with PD using MDS-UPDRS scores. Daily motor rate of decline was zero (slope = 0.000146) in PD-Dancers, indicating no motor impairment, whereas the PD-Reference group showed the expected motor decline across three years (p < 0.01). Similarly, non-motor aspects of daily living, motor experiences of daily living, and motor complications showed no significant decline. A significant group (PD-Dancers and PD-Reference) by days interaction showed that PD who train once per week have less motor impairment (M = 18.75) than PD-References who do not train (M = 24.61) over time (p < 0.05). Training is effective at slowing both motor and non-motor PD symptoms over three years as shown in decreased scores of the MDS-UPDRS.
Depression affects 280 million people globally and is considered a prodromal feature for increasingly prevalent neurodegenerative conditions including Parkinson's disease (PD). With age-related neurodegeneration on the rise, it's important to consider non-invasive, inexpensive interventions such as dance. Dance has emerged as a complementary treatment that may support adaptive neuroplasticity while diminishing motor and non-motor symptoms including depression. Although dance has been shown to impact brain structures and functions with improvements in motor and psychological symptoms, the neural mechanisms underlying depression/mood remain elusive. Our observational study tracks the relationship between depression scores and functional neuroimaging measures for subgenual cingulate gyrus (SCG). While learning choreography over an 8-month period, 34 dancers [23 people with PD] completed GDS questionnaires before and after their community dance classes. Seventeen of these dancers had BOLD fMRI scans conducted using learning-related protocols to examine underlying neural mechanisms for moving to music over 4 times points of learning. A significant decrease in depression scores correlated with a reduced BOLD signal from SCG, a putative node in the neural network of depression. Conclusions: This is the first study to clearly find a correlation with a neural substrate involved in mood changes as a function of dance for PD. Not only do the results contribute to understanding neural mechanisms involved in adaptive plasticity with a learning task, but they also uncover reduced activity within SCG during longitudinal therapeutic dance interventions. These results are especially illuminating since SCG is a controversial target in deep brain stimulation (DBS) used in the treatment of major depressive disorder (MDD).
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