Singing can help relieve symptoms and improve mood of Parkinson’s patients

Singing helps people with Parkinson’s disease to control their movements and walk more easily, according to new research. Scientists found that singing for an hour reduced shaking in Parkinson’s patients’ hands, arms and legs and made them steadier on their feet – although they don’t know why it has this effect

Image Source: Google
Image Source: Google

Recently, researchers from Iowa State University in Ames ran a pilot study to investigate the impact of singing on a small group of individuals with Parkinson’s disease.

The study was headed up by Elizabeth Stegemöller, an assistant professor of kinesiology at the university. The researchers presented their findings earlier this week at the Society for Neuroscience 2018 conference, held in San Diego, California.

Stegemöller has been investigating the benefits of singing therapy for people with Parkinson’s disease for some time. Her previous work has already shown that singing might improve respiratory control.

She also demonstrated that singing might work well as part of speech therapy, as well as improve patients’ ability to swallow.

Because singing demands tighter control over muscles in the mouth and throat, these previous findings make sense. However, the latest results identify a much wider range of potential benefits.

A one-hour group singing session reduced heart rate, blood pressure and cortisol levels in people with Parkinson’s disease.

Patients also reported feeling less anxious and sad after the singing class.

Neurological symptoms such as gait and finger tapping, which don’t always respond to medication, also improved.

The research focused on a therapeutic singing group; the group consisted of 17 people who had been attending for an average of 2.4 years. The researchers measured their heart rate, blood pressure, and cortisol levels before and after a session.

The participants also completed a questionnaire that rated levels of anxiety, sadness, anger, and happiness.

Although heart rate, blood pressure, and cortisol levels dropped across the board, in this small sample, the changes were not significant. There was also a noted drop in levels of anxiety and sadness following the sessions.

“We see the improvement every week when they leave singing group. It’s almost like they have a little pep in their step. We know they’re feeling better and their mood is elevated,” said Stegemöller

As for specific symptoms, the researchers measured statistically significant improvements in some motor symptoms that are often unaffected by drugs. In particular, upper extremity bradykinesia (slowness of movement), tremor, and walking were most improved.

Why might singing work?

The researchers wonder whether oxytocin might play a part. This hormone, which people sometimes refer to as the love hormone, is released during bonding. The scientists are currently checking blood samples for oxytocin.

As researcher Elizabeth Shirtcliff, an associate professor in human development family studies, explains, “Part of the reason cortisol is going down could be because the singing participants feel positive and less stress in the act of singing with others in the group. This suggests we can look at the bonding hormone, oxytocin.”

Alongside oxytocin, the scientists are also checking for levels of inflammation (a marker of disease progression) and neuroplasticity (how well the brain can compensate for damage caused by the disease).

They are also searching for answers in the heart. As Shirtcliff outlines, “We’re also looking at heart rate and heart rate variability, which can tell us how calm and physiologically relaxed the individual is after singing.”

Although the recent study was only a small-scale pilot study, it forms part of an ever-growing bank of evidence. Singing, it seems, could be a cost-effective, side effect-free, and enjoyable therapy for people with Parkinson’s disease.

Hopefully, it is only a matter of time before joining a choir enters clinical guidelines for the treatment of Parkinson’s disease.

Source: Medical News Today