Reward network modulation while learning movements to music during weekly multisensory training program for people with Parkinson's disease: mood effects over 7-yrs

Dance is an art form and simultaneously a form of exercise that provides pleasure to individuals who practise it regularly with subsequent improvements to motor and non-motor symptoms in people with Parkinsons disease (PD). Recent evidence suggests that dance promotes neuroplasticity and correlates with improvements of depression scores in individuals with PD. However, no neuroplasticity studies using fMRI and EEG have been conducted on people with Parkinsons disease (PwPD) who attend community dance programs. Thus, we present an observational examination across 7-years that explores the effects of non-motor symptoms of anxiety and depression. The study utilized multimodal recordings from functional MRI (fMRI), electroencephalogram (EEG) and measured affective state using the expanded version of the Positive and Negative Affect Schedule (PANAS-X) questionnaire. fMRI was performed at four time points in the first year (September, December, January, and May) where participants visualized/imagined the choreography they had learned in the dance studio while listening to the recording of the music in the MRI. Resting state EEG was recorded immediately before and after the dance class when the dancers volunteered over the 7 years. In addition, mood was monitored using the PANAS-X in conjunction with the EEG sessions. The PANAS-X was sorted by generalized anxiety disorder (positive and negative affect) symptoms, and major depressive disorder (positive and negative affect) symptoms, along with standard general negative affect (GNA) and general positive affect (GPA). This analysis reveals significant improvements in both symptoms after dance and across time. fMRI results show significant BOLD signal changes in the nucleus accumbens and anterior cingulate cortex, along with trends in other regions in the reward pathway such as the ventral tegmental area and the orbitofrontal cortex. rsEEG results show significant increases in alpha peak values after dance, in both EO and EC conditions. The findings support the idea that dance is a multimodal form of neurorehabilitation with beneficial effects on both motor and non-motor symptoms, including anxiety and depression.