Assessment Of Heterogeneity Meta
We used the I2 statistic to quantify the degree of heterogeneity in the results , with a cut-off of 50% and above considered as substantial heterogeneity. We pooled data and performed meta-analysis where appropriate, using a random-effect model in the RevMan 5.4 software . We reported our results using mean difference and risk ratio for continuous and dichotomous outcomes respectively with their 95% confidence intervals . We performed certainty of evidence using the GRADE approach for all the outcomes and highlighted some major outcomes using one Summary of findings table for each comparison . Further details on our methodology, including how we addressed heterogeneity, undertook meta-analysis and performed GRADE certainty-of-evidence rating are available in Additional File .
We performed our meta-analysis by entering all data into the Review Manager software version 5.4, where the effect size calculations were automatically performed, using the inverse variance approach with the following core formula in calculating weighted average: \ }_}^)}\), and with additional incorporation of the random effect model using DerSimonian and Laird method , which includes the following additional formula to calculate the prediction interval that takes into account of the variance between studies: \ .
Tango Versus Stretching Or Flexibility Exercises
There were no significant differences between groups in all outcomes estimates under this comparison, including disease severity , balance , Freezing of gait questionnaire score, six-minute walk test, forward velocity and quality of life . The certainty of evidence is low to very low for all outcomes included in this comparison, due to either serious or very serious concerns on the risk-of-bias of the included study, which resulted in a downgrade of one or two levels respectively, and imprecision .
Will Dancing Help With My Parkinson’s
If you have Parkinsons, dance has been shown to have many benefits. Basic dance techniques can improve your posture, core strength and coordination.
Weve heard from many people with Parkinsons who have found dancing therapeutic. Others have told us about how it has given them confidence to move more freely, and a sense of freedom from some of the physical and mental aspects of the condition.
The more physically active you are, the easier it is to live well with Parkinsons. This includes forms of dance, such as ballet, tap dance and seated dance.
Music is also increasingly used by therapists and exercise professionals to improve walking, balance and other activities related to gait. Studies even show that music has an effect on cognition and movement.
Lucille visits Northern Ballet in Leeds with her husband Melvyn, who has Parkinsons.
Melvyn was diagnosed in 2011, and has lots of different symptoms including unsteadiness of movement, anxiety and speech problems
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Benefits Of Dance In General
There are many different types of dancing. Some is more social, such as line dancing, folk dancing or ballroom dancing. Dance fitness, such as Zumba, is another type of dance that is aimed specifically at building functional fitness. There are also dance therapy programs, often aimed at specific types of health issues.
According to a literature review done by researchers out of the University of Hawaii in 2017, dance has some specific health benefits, including:2
- improves muscular strength and endurance
- promotes better balance
- improves other aspects of functional fitness
This review also showed significant positive changes in cognitive ability. There was a 21-year study of senior citizens, 75 and older, funded by the National Institute on Aging. It was conducted by the Albert Einstein College of Medicine in New York City and published in the New England Journal of Medicine in 2003.6 The study looked at a number of leisure activities, but found that dancing was the only one to offer significant protection from the risk of dementia.
Plus, let’s not forget that dancing to music that resonates with you can just be plain fun, no matter your age or gender.
Confidence To Move More Freely And Eases Stiffness
Each session is specific for people affected by Parkinsons, and is very cleverly thought out by the teachers. A lot of the dances start off seated, and we will all use our facial muscles and arms to really loosen up before everyone stands. You can see the difference it makes, as it gives people the confidence to move more freely and eases stiffness.
“Well always do it to music, like the Nutcracker, which gives you a feel good factor too. And it gives both of us the chance to do something we can do together, and genuinely enjoy.
If youre not sure, you should definitely give it a go.
Lucille Visits Northern Ballet In Leeds With Her Husband Melvyn Who Has Parkinsons
Melvyn was diagnosed in 2011, and has lots of different symptoms including unsteadiness of movement, anxiety and speech problems.
We joined the Northern Ballet Dance for Parkinsons class in 2018, after a friend recommended it. At the time, Melvyn was quite housebound and was difficult for him to get out. But, we went, and were very glad we did.
We enjoyed the first class, although we didnt stay for too long afterwards for a chat, as Melvyns anxiety was quite bad. But now we like to socialise after the class as often as we can.
Each session is specific for people affected by Parkinsons, and is very cleverly thought out by the teachers. A lot of the dances start off seated, and we will all use our facial muscles and arms to really loosen up before everyone stands. You can see the difference it makes, as it gives people the confidence to move more freely and eases stiffness. Well always do it to music, like the Nutcracker, which gives you a feel good factor too. And it gives both of us the chance to do something we can do together, and genuinely enjoy.
If youre not sure, you should definitely give it a go.
Rachel Glass Bsc Msc Speech
Rachel Glass is a registered Speech-Language Pathologist who graduated with a Master of Arts in Communicative Disorders and Sci-ences, specialty area: Speech-Language Pathology from the State Uni-versity of New York at Buffalo. She also holds an Honours Bachelor of Arts in Speech and Language Sciences from Brock University. In addi-tion to Ontario, Rachel is registered to practice in the United States, where she spent the first year of her career working with the pediatric population in homes, schools, and other community-based settings. Her clinical experience involves assessing and treating clients of all ages with a variety of communicative goals.
Most recently, she provided family-centred intervention to children age 0-5 with receptive and/or expressive language disorders, as well as with a variety of articulation, pragmatic, and fluency disorders. Rachel is passionate about working closely with teachers, family members, and other allied professionals, so as to maximize generalization of therapy targets in a variety of contexts. She takes pride in working towards goals that are realistic, functional, and above all else, individualized to fit the clientâs specific needs.
Rachel provides speech and language therapy services in St.Catharines, Stoney Creek, and Hamilton.
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Ulyana Bila Ba Msc Speech
Ulyana Bila is a registered Speech-Language Pathologist with a Masterâs of Science Degree in Speech-Language Pathology from the University of British Columbia. She also graduated with an Honours Bachelor of Science Degree with Distinction from the University of Toronto, specializing in Linguistics and Psychology. Ulyana has provided speech and language services in a variety of clinical settings, including hospital setting, rehabilitation setting and public schools. She has experience treating toddlers , pre-schoolers, school aged students, and adults encompassing a broad range of communication disorders, including but not limited to: early intervention for receptive and expressive language delays, articulation/phonological disorders, motor speech disorders, pragmatic/social skills for autism spectrum and reading/listening comprehension..
Ulyana is a fluent, native speaker of Ukrainian and an intermediate speaker of Russian. Her multicultural background enhances her sensitivity for others and supports her in meeting the diverse communication needs of people she services.
Ulyana provides speech therapy services in Toronto, Etobicoke and Mississauga.
Comparison : Dance Versus Physiotherapy
Irish Dance vs. physiotherapy
Based on one study in this comparison , dancers appeared to have lower severity of disease in the motor examination subscale of the MDS-UPDRS subscale 3 , improved balance as measured by the Berg Balance Scale and better ratings in the Freezing of Gait Questionnaire . However, there were no significant differences in the risks of fall of any cause between groups either during the time of intervention or during the entire study period , as well as the quality of life .
The certainty of evidence is low for all outcomes included in this comparison, due to serious concerns on the risk-of-bias of the included study and imprecision .
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A Positive Effect On Depression
One of the main reasons people dance is to modify their emotional state typically, they strive to feel more joy and happiness and to reduce stress and anxiety. Since its inception dance therapy, similar to somatic psychotherapies, has emphasized the reciprocal interaction between body and mind, and the ability to regulate emotions via changes in body postures and movements.
The exploration of new movements can evoke novel perceptions and feelings. It may also facilitate seeing a wider range of possibilities in a given situation. Some new or old movement patterns may evoke repressed material and enhance better understanding of oneself and ones environment and history.
One of the most compelling studies supporting this idea examined complex improvised movements, and identified unique sets of movement components that can elicit the feelings of happiness, sadness, fear or anger. The associations between emotions and specific motor components have been used in the past for diagnosis or emotion recognition. This study goes further and proposes specific techniques for modifying emotions.
A recent systematic review of research on dance/movement therapy specifically found it to be effective in the treatment of adults with depression.
Jaclyn Jamboro Bsc Hons Cda Member Of Cdaac
Jaclyn is a recent graduate from the Communicative Disorders Assistant program at Georgian College where her academic efforts have resulted in a place on the Deanâs List. Previous to this, Jaclyn graduated from the University of Toronto with an Honours Bachelor of Science. She majored in Psychology and Linguistics.
She has experience working with school-aged children both in person and virtually. Jaclyn has worked extensively on targets pertaining to expressive and receptive language as well as articulation.
Jaclyn also has experience working with the adult population as she previously volunteered with Toronto Rehab, E.W Bickle Centre. Here she assisted the Augmentative and Alternative Communication clinic, providing support for adults with aphasia who require AAC high-tech and/or low-tech devices to communicate.
Jaclyn provides speech threapy services in North York.
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Hanie Tsoi Ba Cda Member Of Cdaac
Stephanie has an Honours Bachelors of Arts in Psychology from University of Waterloo. She also completed a Post-Graduate Certificate in Infant and Early Child Mental Health at Seneca College and Communicative Disorders Assistant at Durham College. She has 2 years of experience working with verbal and non-verbal children, youth and adults with various speech and language concerns in centers as well as 1:1 sessions.
Stephanie holds certificates in Psychological First Aid, Triple P Group Stepping Stones, Triple P Group Teen, CPR and First Aid. She is very passionate about providing evidence-based practice to aid her client reach their speech and language goals, and educating caregivers to facilitate and participating in their speech and language development and rehabilitation. She is currently working towards becoming an Speech and Language Pathologist.
Stephanie is fluent in English, Cantonese and Mandarin.
Stephanie provides Speech therapy services in the Scarborough, Markham and Richmond Hill region.
Jillian Lavadan Ba Hons Cda Member Of Cdaac
Jillian is a Communicative Disorders Assistant who completed her post graduate certificate at Georgian College. She completed her un-dergraduate degree in sociology at Nipissing University, where she specialized in qualitative research. She has been working in the speech and language field for 8 years. Jillian has a wide range of experience working with children with articulation and language delays, fluency and stuttering, literacy, ASD and global delays. She has worked with chil-dren who are non verbal and require low-tech or high-tech devices to aide in communication.
Jillian also works extensively with adults in the areas of accent re-duction, voice therapy, cognitive communication, acquired brain injury, augmentative and alternative communication, and ASD. Jillian continu-ously participates in professional development to stay up to date in best practices and new research. She takes the time to individualize treat-ment for her clients to make it both engaging and functional. She works alongside family members, community members and other support networks to support clients as best as possible.
Jillian provides speech therapy in Mississauga and Brampton are-as.
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Christine Black Msc Speech
Christine has an Honourâs degree in Arts and Sciences from McMaster University and a Master of Sciences in Speech-Language Pathology from McMaster University. She is a graduate of the first North American problem-based learning Speech-Language Pathology program. Christine collaborates with clients, families, teachers, and oth-er health professionals to help further client outcomes. She works pri-marily in the pediatric population with preschool and school-aged chil-dren. Christine has experience working with various populations includ-ing those with Down Syndrome, Autism Spectrum Disorder, Childhood Apraxia of Speech, as well as cleft lip and palate.
Christine is currently enrolled in a program to achieve her Individual Authorizer status so she can provide select Augmentative and Alterna-tive Communication supports and devices for clients. She also provides accent modification therapy to improve intelligibity for corporate clients. Christine believes in providing holistic and family-centred care to give clients the best possible support and outcomes.
Christine provides teletherapy speech and language services throughout Ontario.
Sharon Chaudhry Bsc Msc Speech
Sharon graduated with a BS from Utah State University and MS from Longwood University in Virginia. She is Certified and registered with the College of Audiologists and Speech Language Pathologist of Ontario and the Ontario Association of Speech-Language Pathologists and Audiologist . In the United States she has acquired the Certificate of Clinical Competence for Speech Language Pathologists from the American Speech Language and Hearing Association .
Sharon has vast experience working with children with varying disabilities as a speech assistant since 2005 and as a speech language therapist since 2012. Her diverse experience in the school system includes working with children from Preschool to 21 with Autism, ADHD, Intellectual Disability, Hearing Impaired, Multiple Disabilities, Early Childhood Special Education, Head Start .
Sharonâs pediatric assessment and treatment experiences include articulation, language, social language, stuttering, AAC , phonological and phonemic awareness to support reading skills, accent reduction .
Sharon has diverse experience in the therapeutic rehabilitation sector working with patients from 18 years to geriatric with eating and swallowing disorders, traumatic brain injury, stroke, Parkinsonâs, and neurological disorders. The adult assessment and treatment experiences include managing dysphasia diet and strategies, oral motor, cognition, , language, stuttering, and AAC.
Sharon provides teletherapy services throughout Ontario.
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Dance Can Help Slow Progression Of Parkinson’s Research Finds
New research is offering hope to at least 6 million people across the globe living with Parkinson’s disease, a progressive neurological disorder caused by a lack of dopamine, which is needed to help nerves communicate. There is no cure, but a specific course of music and movement can help slow progression of the disease.
Up until his late 50s, Manny Torrijos wasn’t much of a dancer. But in the 13 years since he was diagnosed with Parkinson’s disease, dance has become part of his identity. He can be found three times a week at a program called Dance for Parkinson’s Disease.
“It’s not just a dance,” Torrijos told CBS News chief medical correspondent Dr. Jon LaPook. “It’s spiritual.”
The neurological disease can cause tremors, trouble walking and talking and, sometimes, cognitive loss. The dance classes have been just the boost that Torrijos has needed.
More than 10,000 people participate in the classes across 26 countries. The movements are designed to stimulate physical and cognitive ability.
“We do try to bring in really tangible, real life activities and gestures, so that when people leave the studio, they have a deeper understanding of how they can function in the world,” said David Leventhal, who has been teaching the class at the Mark Morris Dance Group in Brooklyn for 20 years. “One of our participants said, ‘Music is like a red carpet that rolls out in front of me and allows me to move in ways I can’t otherwise move.'”
New Possibilities For Feeling And Perceiving
It is clear that dance has a powerful effect on the human body and psyche.
DMT from its inception emphasized that the body is inseparable from, and in constant reciprocal interaction with, the mind. As such, sensations, perceptions, emotions and thinking affect our body and the way we move. By observing the body we can deduce mental states.
Conversely, our posture and our movements have the power to transform our mental states, to evoke repressed memories, to release spontaneity and creativity, to reorganize our brains. New ways of moving and dancing may produce new ways of feeling and perceiving the world.
This is one of the most exciting and profound aspects of DMT and it is shocking that the body, movement and dance have been almost entirely ignored by mainstream psychotherapy. It is time to change that!
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Making It More Accessible
Leventhal, who gave up performing five years ago to devote all of his time to the project, has been making the program more widely available and providing opportunities for practice between classes. The flagship Dance for PD program in New York has developed three DVDs, which have been distributed to 4,000 people worldwide, and last year began live streaming classes from Brooklyn and Toronto.
Mark Morris Dance Group, together with the New York creative agency SS+K, has also created Moving Through Glass, custom software for use on the Google Glass platform to help Parkinsons patients navigate the world outside the dance studio. The application enables users wearing the device a head-mounted display in the form of a pair of eyeglasses to play modules in which Mark Morris dancers give prompts, taking them through home exercises to help with specific problems, like regaining balance or unfreezing the limbs. The app is being evaluated at three locations around the country, including Stanford, where Bronte-Stewart has recruited dance class participants to try it out.
Dance for PD, meanwhile, is becoming a widely accepted form of Parkinsons therapy. Stanford recently added a second class that meets on Monday afternoons.