Singing and Dancing With Neuromuscular Conditions: A Mixed-Methods Study

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Danielle Peers University of Alberta

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Lindsay Eales University of Alberta

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Kelvin Jones University of Alberta

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Aidan Toth University of Alberta

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Hernish Acharya University of Alberta

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Janice Richman–Eisenstat University of Alberta

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The purpose of this study was to assess the safety and meaningfulness of a 15-week recreational dance and singing program for people with neuromuscular conditions. Within a transformative mixed-methods design, pulmonary function tests, plethysmography through wearable technology (Hexoskin vests), individualized neuromuscular quality-of-life assessments (version 2.0), and semistructured interviews were used. The interviews were analyzed through inductive, semantic thematic analysis. Although the sample sizes were small (six people with neuromuscular conditions), the authors found no evidence of safety concerns. There was evidence of respiratory improvements and reported improvements in swallowing and speech. The most notable quality-of-life changes included improvements related to weakness, swallowing, relationships, and leisure. The participants shared that the program offered meaningful social connection and embodied skills and safe and pleasurable physical exertion. The authors learned that recreational singing and dancing programs could be a safe and deeply meaningful activity for those with neuromuscular conditions that impact respiration.

Peers, Eales, Jones, and Toth are with the Faculty of Kinesiology, Sport, and Recreation; Eisenstat, the Dept. of Pulmonary Medicine, Faculty of Medicine; and Acharya, Physical Medicine and Rehabilitation, Faculty of Medicine, University of Alberta, Edmonton, AB, Canada.

Peers (peers@ualberta.ca) is corresponding author.
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  • Aggerholm, K., & Moltke Martiny, K.M. (2017). Yes we can! A phenomenological study of a sports camp for young people with cerebral palsy. Adapted Physical Activity Quarterly, 34(4), 362381. PubMed ID: 28942669 https://doi.org/10.1123/apaq.2015-0135

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Anziska, Y., & Seniha, I. (2013). Exercise in neuromuscular disease. Muscle Nerve, 48(1), 320. PubMed ID: 23695822 https://doi.org/10.1002/mus.23771

  • Benjamin, A. (2002). Making an entrance: Theory and practice for disabled and non-disabled dancers. Routledge.

  • Biricocchi, C., Drake, J., & Svien, L. (2014). Balance outcomes following a tap dance program for a child with congenital myotonic muscular dystrophy. Pediatric Physical Therapy, 26(3), 360365. PubMed ID: 24979095 https://doi.org/10.1097/PEP.0000000000000064

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Block, B.A., & Johnson, P.V. (2011) The adapted dance process. Journal of Physical Education, Recreation & Dance, 82(2), 1623. https://doi.org/10.1080/07303084.2011.10598577

    • Search Google Scholar
    • Export Citation
  • Bonilha, A.G., Onofre, F., Vieira, M.L., Prado, M.Y., & Martinez, J.A. (2009). Effects of singing classes on pulmonary function and quality of life of COPD patients. International Journal of Chronic Obstructive Pulmonary Disease, 4, 18. PubMed ID: 19436683

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Bouffard, M. (2014). Farewell editorial. Adapted Physical Activity Quarterly, 31(1), 13. https://doi.org/10.1123/apaq.31.1.1

  • Braun, V., & Clarke, V. (2014). What can “thematic analysis” offer health and wellbeing researchers? International Journal of Qualitative Studies on Health and Well-being, 9(1), Article 26152. https://doi.org/10.3402/qhw.v9.26152

    • Search Google Scholar
    • Export Citation
  • Bunce, J. (2006). Dance movement therapy with people with Parkinson’s disease. In H. Payne (Ed.), Dance movement therapy: Theory, research and practice (2nd ed., pp. 7186). Routledge.

    • Search Google Scholar
    • Export Citation
  • Clark, I., & Harding, K. (2012). Psychosocial outcomes of active singing interventions for therapeutic purposes: A systematic review of the literature. Nordic Journal of Music Therapy, 21(1), 8098. https://doi.org/10.1080/08098131.2010.545136

    • Search Google Scholar
    • Export Citation
  • Clift, S., Nicol, J., Raisbeck, M., Whitmore, C., & Morrison, I. (2010) Group singing, wellbeing and health: A systematic mapping of research evidence. UNESCO Observatory, Faculty of Architecture, Building and Planning, 2(1). http://create.canterbury.ac.uk/8565/

    • Search Google Scholar
    • Export Citation
  • Cluphf, D., O’Connor, J., & Vanin, S. (2001). Effects of aerobic dance on the cardiovascular endurance of adults with intellectual disabilities. Adapted Physical Activity Quarterly, 18(1), 6071. https://doi.org/10.1123/apaq.18.1.60

    • Search Google Scholar
    • Export Citation
  • Creswell, J.W. (2003). Research design: Qualitative, quantitative, and mixed methods approaches (2nd ed.). SAGE.

  • DeBeck, L.D., Petersen, S.R., Jones, K.E., & Stickland, M.K. (2010). Heart rate variability and muscle sympathetic nerve activity response to acute stress: The effect of breathing. American Journal of Physiology-Regulatory, Integrative and Comparative Physiology, 299(1), R80R91. PubMed ID: 20410469 https://doi.org/10.1152/ajpregu.00246.2009

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Depauw, K., & Doll-Tepper, G. (2000). Toward progressive inclusion and acceptance: Myth or reality? The inclusion debate and bandwagon discourse. Adapted Physical Activity Quarterly, 17(2), 135143. https://doi.org/10.1123/apaq.17.2.135

    • Search Google Scholar
    • Export Citation
  • Di Benedetto, P., Cavazzon, M., Mondólo, F., Rugiu, G., Peratoner, A., & Biasutti, E. (2009). Voice and choral singing treatment: A new approach for speech and voice disorders in Parkinson’s disease. European Journal of Physical Rehabilitation Medicine, 45(1), 1319. PubMed ID: 18987565

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Eales, L., & Goodwin, D. (2015). “We all carry each-other sometimes”: Care-sharing as social justice practice in integrated dance. Leisure/Loisir, 39(2), 277298. https://doi.org/10.1080/14927713.2015.1086584

    • Search Google Scholar
    • Export Citation
  • Gappmaier, E. (2012). The Submaximal Clinical Exercise Tolerance Test (SXTT) to establish safe exercise prescription parameters for patients with chronic disease and disability. Cardiopulmonary Physical Therapy Journal, 23(2), 1929. PubMed ID: 22833706 https://doi.org/10.1097/01823246-201223020-00004

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Geisler, M., Eichelkraut, L., Miltner, W.H.R., & Weiss, T. (2020). An fMRI study on runner’s high and exercise-induced hypoalgesia after a 2-h-run in trained non-elite male athletes. Sport Sciences for Health, 16(1), 159167. https://doi.org/10.1007/s11332-019-00592-8

    • Search Google Scholar
    • Export Citation
  • Gibson, P.G., Abramson, M., Wood-Baker, R., Volmink, J., Hensley, M., & Costabel, U. (2008). Evidence-based respiratory medicine. John Wiley & Sons.

    • Search Google Scholar
    • Export Citation
  • Gross, N.J. (2005). Chronic obstructive pulmonary disease outcome measurements: What’s important? What’s useful? Proceedings of the American Thoracic Society, 2(4), 267271. https://doi.org/10.1513/pats.200504-036SR

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Hodge, N., & Runswick-Cole, K. (2013). “They never pass me the ball”: Exposing ableism through the leisure experiences of disabled children, young people and their families. Children’s Geographies, 11(3), 311325. https://doi.org/10.1080/14733285.2013.812275

    • Search Google Scholar
    • Export Citation
  • Jaffer, M.S.B., & Brazeau, P. (2012, June). Level the playing field: A natural progression from playground to podium for Canadians with disabilities. http://www.parl.gc.ca/Content/SEN/Committee/411/ridr/rep/rep07jun12-e.pdf

    • Search Google Scholar
    • Export Citation
  • LaDonna, K.A. (2011). A literature review of studies using qualitative research to explore chronic neuromuscular disease. Journal of Neuroscience Nursing, 43(3), 172182. https://doi.org/10.1097/JNN.0b013e3182135ac9

    • Search Google Scholar
    • Export Citation
  • Lanini, B., Misuri, G., Gigliotti, F., Iandelli, I., Pizzi, A., Romagnoli, I., & Scano, G. (2001). Perception of dyspnea in patients with neuromuscular disease. Chest, 120(2), 402408. PubMed ID: 11502636 https://doi.org/10.1378/chest.120.2.402

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Marks, R. (2005). Dance-based exercise and Tai Chi and their benefits for people with arthritis: A review, Health Education, 105(5), 374391. https://doi.org/10.1108/09654280510617196

    • Search Google Scholar
    • Export Citation
  • Markula, P. & Silk, M. (2011). Qualitative research for physical culture. Palgrave MacMillan.

  • Mingus, M. (2017, April 12). Access Intimacy, interdependence and disability Justice. Leaving Evidence. https://leavingevidence.wordpress.com/2017/04/12/access-intimacy-interdependence-and-disability-justice/

    • Search Google Scholar
    • Export Citation
  • Patterson, I., & Pegg, S. (2009). Serious leisure and people with intellectual disabilities: Benefits and opportunities. Leisure Studies, 28(4), 387402, https://doi.org/10.1080/02614360903071688

    • Search Google Scholar
    • Export Citation
  • Peers, D. (2018a). Sport and social movements by and for disability and deaf communities: Important differences in self-determination, politicisation, and activism. In I. Brittain & A. Beacom (Eds.), Palgrave handbook of paralympic studies (pp. 7197). Palgrave Macmillan.

    • Search Google Scholar
    • Export Citation
  • Peers, D. (2018b). Engaging axiology: Enabling meaningful transdisciplinary collaboration in adapted physical activity. Adapted Physical Activity Quarterly, 35(3), 267284. https://doi.org/10.1123/apaq.2017-0095

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Peers, D., Spencer-Cavaliere, N., & Eales, L. (2014). Say what you mean: Rethinking disability language in Adapted Physical Activity Quarterly. Adapted Physical Activity Quarterly, 31(3), 265282. PubMed ID: 25028477 https://doi.org/10.1123/apaq.2013-0091

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Reed, K.L. (2005). An annotated history of the concepts used in occupational therapy. In C. H. Christiansen, C.M. Baum, & J. Bass-Haugen (Eds.), Occupational therapy: Performance, participation, and well-being (3rd ed., pp. 567626). Slack.

    • Search Google Scholar
    • Export Citation
  • Rubin, H.J., & Rubin, I.S. (2012). The responsive interview as an extended conversation. In H. Rubin & I. Rubin (Eds.), Qualitative interviewing: The art of hearing data (2nd ed., pp. 108128). SAGE.

    • Search Google Scholar
    • Export Citation
  • Sadjadi, R., Vincent, K.A., Carr, A.J., Walburn, J., Brooks, V.L., Pandya, S., … Muscle Study Group (2011). Validation of the individualised neuromuscular quality of life for the USA with comparison of the impact of muscle disease on those living in USA versus UK. Health and Quality of Life Outcomes, 9(1), 114. https://doi.org/10.1186/1477-7525-9-114

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Sahlin, K.B., & Lexell, J. (2015). Narrative review: Impact of organized sports on activity, participation, and quality of life in people with neurologic disabilities. Journal of Injury, Function and Rehabilitation, 7(10), 10811088. https://doi.org/10.1016/j.pmrj.2015.03.019

    • Search Google Scholar
    • Export Citation
  • Scano, G., Innocenti-Bruni, G., & Stendardi, L. (2010). Do obstructive and restrictive lung diseases share common underlying mechanisms of breathlessness? Respiratory Medicine, 104(7), 925933. PubMed ID: 20303724 https://doi.org/10.1016/j.rmed.2010.02.019

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Solvang, P.K. (2018). Between art therapy and disability aesthetics: A sociological approach for understanding the intersection between art practice and disability discourse. Disability & Society, 33(2), 238253. https://doi.org/10.1080/09687599.2017.1392929

    • Search Google Scholar
    • Export Citation
  • Sparkes, A.C. (2014). Qualitative research methods in sport, exercise and health: From process to product. Routledge.

  • Spencer-Cavaliere N., & Watkinson E.J. (2010). Inclusion understood from the perspectives of children with disability. Adapted Physical Activity Quarterly, 27(4), 275293. PubMed ID: 20956835 https://doi.org/10.1123/apaq.27.4.275

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Takahashi, T., & Matsushita, H. (2006). Long-term effects of music therapy on elderly with moderate/severe dementia. Journal of Music Therapy, 43(4), 317333. PubMed ID: 17348758 https://doi.org/10.1093/jmt/43.4.317

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Tracy, S.J. (2010). Qualitative quality: Eight “big-tent” criteria for excellent qualitative research. Qualitative Inquiry, 16(10), 837851. https://doi.org/10.1177/1077800410383121

    • Search Google Scholar
    • Export Citation
  • Tsimaras, V.K., Kyriazis, D.A., Christoulas, K.I., Fotiadou, E.G., Kokaridas, D.G., & Angelopoulou, N.A. (2010). The effect of a traditional dance training program on the physical fitness of adults with hearing loss. Journal of Strength & Conditioning Research, 24(4), 10521058. PubMed ID: 20300019 https://doi.org/10.1519/JSC.0b013e3181ca501c

    • Search Google Scholar
    • Export Citation
  • United Nations. (2006). Convention on the rights of persons with disabilities. https://www.un.org/disabilities/documents/convention/convoptprot-e.pdf

    • Search Google Scholar
    • Export Citation
  • Van Andel, G.E., & Austin, D.R. (1984). Physical fitness and mental health: A review of the literature. Adapted Physical Activity Quarterly, 1(3), 207220. https://doi.org/10.1123/apaq.1.3.207

    • Search Google Scholar
    • Export Citation
  • van Leuteren, R., Fabius, T., de Jongh, F., van der Valk, P., Brusse-Keizer, M., & van der Palen, J. (2017). Detecting dynamic hyperinflation in COPD patients using a smart shirt: A pilot study. European Respiratory Journal, 50, PA2214. https://doi.org/10.1183/1393003.congress-2017.pa2214

    • Search Google Scholar
    • Export Citation
  • Vincent, K.A., Carr, A.J., Walburn, J., Scott, D.L., & Rose, M.R. (2007). Construction and validation of a quality of life questionnaire for neuromuscular disease (INQoL). Neurology, 68(13), 10511057. PubMed ID: 17389311 https://doi.org/10.1212/01.wnl.0000257819.47628.41

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Wiens, M.E., Reimer, M.A., & Guyn, H.L. (1999). Music therapy as a treatment method for improving respiratory muscle strength in patients with advanced multiple sclerosis: A pilot study. Rehabilitation Nursing, 24(2), 7480. PubMed ID: 10410058 https://doi.org/10.1002/j.2048-7940.1999.tb01840.x

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Yoon Irons, J., Kenny, D.T., McElrea, M., & Chang, A.B. (2012). Singing therapy for young people with cystic fibrosis: A randomized controlled pilot study. Music and Medicine, 4(3), 13645. https://doi.org/10.1177/1943862112452150

    • Search Google Scholar
    • Export Citation
  • Yoon Irons, J., Kuipers, K., & Petocz, P. (2013). Exploring the health benefits singing for young people with cystic fibrosis. International Journal of Therapy & Rehabilitation, 20(3), 144153. https://doi.org/10.12968/ijtr.2013.20.3.144

    • Search Google Scholar
    • Export Citation
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