Vividness and Use of Imagery Related to Music and Movement in People with Parkinson's: A Mixed-methods Survey Study

Abstract

Parkinson's disease affects multiple aspects of movement, impacting significantly on everyday tasks. Music is used in interventions for people with Parkinson's, either to pace movements, or as an integral element of activities such as dance. This study explored self-reported vividness of two forms of imagery – motor imagery evoked by music and auditory (including musical) imagery – in people with Parkinson's, and whether and how they use these types of imagery in everyday life. Participants ( N = 199) completed: (i) vividness ratings of visual and kinesthetic music-evoked motor imagery, (ii) vividness ratings of auditory imagery, and (iii) ratings and open questions about their everyday use of these types of imagery. While most participants reported experiencing music-evoked motor imagery (with more vivid visual than kinesthetic motor imagery), <20% reported actively using music to support motor imagery in daily activities. In contrast, participants reported a broad range of contexts and uses for musical imagery (imagined music), from supporting movement (e.g., walking or exercise) to emotion regulation, and concentration. Correlational analyses associated vividness of music-evoked motor imagery with an urge to dance and musical training, while the use of musical imagery was associated with singing ability. A minority of participants reported not experiencing either motor or musical imagery, suggesting that interventions based on imagery may not be suitable for all. Nonetheless, even participants with more severe motor symptoms reported experiencing and using both types of imagery, indicating promise for their strategic use at different stages of Parkinson's. Therefore, musical and motor imagery have the potential to support rehabilitation strategies for Parkinson's, either separately or in combination.