A Novel Neurorehabilitation Model Designed to Examine the Neural Plasticity Involved in Disease

Parkinson's disease (PD) is a progressive neurodegenerative disorder that that is most often characterised for its motor impairments. However, people with PD (PwPD) often experience a range of mental health and non-motor issues alongside their physical symptoms. Exercise has shown to positively impact and improve PD motor symptoms, less research observations have been shown in PD mental health and non-motor symptoms. Dance is a great form of exercise which provides both aerobic and anaerobic movements. Dance is constantly changing providing a creative outlet, dance provides flexibility and balance/coordination, develops social skills thereby improving mental health, and lastly dance with music combination allows this form of exercise to be unique in that it encompasses a multisensory component that exercise alone cannot provide. My dissertation aims to understand how dance impacts PD motor, non-motor symptoms and if the changes are associated to specific brain related alterations. Using behavioral, motor and EEG approaches, I will present three separate experiments to test the effects of dance on people with PD by first studying the potential impacts of dance on short-term behavioral changes in PwPD and their overall Quality of Life (QoL) after a 12-week dance intervention. Second I will present a novel examination of the interaction of dance on both behavioural measures and electroencephalography (EEG) activity before and after the short-term (1.25 hour) course of a single dance class. The third study is a novel examination of the interaction of dance on the progression of both behavioural measures and non-motor symptoms over the long-term course of participating in multiple dance classes over a 3-year period of time. Finally, EEG activity changes over the long-term course of participating in multiple dance classes over a 3-year period of time is presented. The results of these studies strengthen the idea of dance being an alternative or additional therapy for PwPD and also provides putative neuroplastic changes in the diseased brain.