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Original Research Open Access

Comparative Effects of Music Therapy, Dance, and Physiotherapy on Emotional States in Parkinson’s Disease

  • 1Tallinn University, School of Natural and Health Sciences, Estonia
  • 2LTD Confido Medical Centre, Estonia
  • 3Music Therapy Centre, Estonia
+ Affiliations - Affiliations

Corresponding Author

Kirsti Pedak, kirsti.pedak@tlu.ee

Received Date: April 14, 2026

Accepted Date: May 11, 2026

Abstract

Parkinson's disease (PD) is a neurodegenerative disorder involving motor and non-motor symptoms that reduce quality of life. Non-motor symptoms, including depression, anxiety, fatigue, and sleep disturbances, are often underrecognized despite their significant impact on daily functioning. This study aimed to examine the effects of three group-based rehabilitation interventions on emotional well-being in patients with moderate PD.

Forty-eight participants (Hoehn-Yahr stages 2.0–3.0) were randomly assigned to music therapy, dance training, physiotherapy, or control groups. Emotional states were assessed using the Emotional State Questionnaire (EST-Q2) before and after an eight-week intervention consisting of twice-weekly 60-minute sessions. Data were analyzed using paired t-tests and one-way ANOVA.

Music therapy demonstrated the broadest benefits, improving depression, anxiety, panic disorder, social phobia, and insomnia. Physiotherapy was most effective in reducing anxiety, asthenia, and insomnia, while dance training improved depression, asthenia, and insomnia. Group-based rehabilitation represents an effective complementary approach for alleviating emotional symptoms in patients with PD.

Keywords

Parkinson’s Disease, Emotional State, Music Therapy, Physiotherapy, Dance

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