Dance or movement therapy is rhythmic body movement. Its use in therapy promotes spontaneous movement expression that can allow people to enact thoughts and feelings and reduce tension. Dance/movement therapy is the psychotherapeutic use of movement as a process that furthers the physical and psychological integration of individuals with cancer. Dance and movement therapy have been studied for their effects on anxiety, depression, and fatigue in patients with cancer.
Bradt, J., Goodill, S. W., & Dileo, C. (2011). Dance/movement therapy for improving psychological and physical outcomes in cancer patients. Cochrane Database of Systematic Reviews, CD007103.
To compare the effects of dance/movement therapy to standard care and other interventions for patients with cancer.
Databases searched were Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, CINAHL, PsycINFO, LILACS, Science Citation Index, CANCERLIT, International Bibliography of Theatre and Dance, ProQuest Digital Dissertations, ClinicalTrials.gov, and Current Controlled Trials National Research Register.
An extensive listing of specific search keywords per database was provided.
Studies were included in the review if they were
The exclusion criteria were not specified.
In total, 15 references were retrieved.
Criteria for quality evaluation from the Cochrane Handbook for Systematic Reviews was applied. Studies were deemed to be of very low quality.
One study examined the effect of movement therapy on fatigue. Analysis showed a stardardized mean difference (SMD) of 0.89 (95% confidence interval [CI] [0.14, 1.63]). No strong positive findings were found for body image in patients with breast cancer in mood or distress. One study showed a moderate significant effect on quality of life (SMD = 0.89; 95% CI [0.21, 1.57]).
Findings suggested that dance therapy may be beneficial in women with breast cancer to improve fatigue and quality of life. However, the quality of the evidence was very low, and only two small studies were found.
Exercise has been shown to be effective in reducing fatigue in several types of patients with cancer. Dance/movement therapy can be seen as another type of exercise that can be beneficial.
Bradt, J., Shim, M., & Goodill, S.W. (2015). Dance/movement therapy for improving psychological and physical outcomes in cancer patients. Cochrane Database of Systematic Reviews, 2015(1).
Two studies examined effects on depression. These were rated as having a very low quality of evidence using the GRADES system. The pooled effect of two studies showed no effect for depression. Two studies that reported anxiety showed no statistically significant effect on anxiety. Pooled results from two studies showed no support for an effect on fatigue. One study showed greater vigor with dance compared to standard care (SMD = 1.44, p = 0.0004). One study showed no significant effect for pain.
No conclusions could be drawn regarding effect of dance or movement therapy.
The quality of the evidence was very low, and two of the three trials showed a moderate risk of bias rating.
The findings of research regarding the effects of dance or movement therapy are inconclusive because of the few available studies of low quality. Additional, well-designed research to determine any potential benefits of dance versus other types of exercise and movement therapy is needed. The impact of movement as a creative art therapy is uncertain.
Ho, R.T., Fong, T.C., Cheung, I.K., Yip, P.S., & Luk, M.Y. (2016). Effects of a short-term dance movement therapy program on symptoms and stress in patients with breast cancer undergoing radiotherapy: A randomized, controlled, single-blind trial. Journal of Pain and Symptom Management, 51, 824–831.
To investigate the effectiveness of dance movement therapy on treatment-related symptoms
The program consisted of six 1.5-hour sessions of dance movement therapy twice weekly for three weeks during radiotherapy. Therapy involved use of stretching, movement to exercise upper extremities, improvisational dance, and expressive movement. Participants were encouraged to share experience and communicate and to relate movement to personal experiences of breast cancer and treatment. Patients were randomized to the intervention or a wait-list control group.
All patients showed decline in fatigue scores over time with no difference between groups. Sleep disturbance declined in the study group and increased slightly in the control group, but differences were not significant. Anxiety and depression remained stable in both groups. Pain severity and pain interference declined in the dance group and increase in the control group (p < 0.05). The size of effect for pain was moderate (d = 0.35). Perceived stress declined in the dance group compared to controls (p < 0.05). The program had a high completion rate.
Participation in this group dance movement therapy was associated with decline in pain severity and interference.
The dance movement therapy program used here combined rhythmic and expressive movement with group sharing and support. The contribution of each of these components cannot be differentiated, but results showed positive benefits in terms of pain and perceived stress. There were a number of study limitations; however, the program completion rate was high, and there were no adverse effects, suggesting that this type of intervention can be practical to provide during active radiotherapy treatment.
Sturm, I., Baak, J., Storek, B., Traore, A., & Thuss-Patience, P. (2014). Effect of dance on cancer-related fatigue and quality of life. Supportive Care in Cancer, 22, 2241–2249.
To evaluate the effect of dance on relieving fatigue in patients with cancer undergoing active cancer treatment
This study consisted of two groups, one with supportive consultation, fatigue counseling, nutrition counseling, psychooncology, and 10 60-minute dance classes for five weeks, and the other with everything except the dance class.
Nonrandomized intervention
Fatigue was measured at baseline and at the end of the study for both groups. There was significant reduction in fatigue in the dance group while fatigue essentially was unchanged in the control group. The study also demonstrated improved scores on the social and emotional functioning scales and in physical performance in the dance group.
Dance could be an appropriate, multidimensional approach for the treatment of cancer-related fatigue.
To encourage exercise or movement, this study offers a less monotonous approach compared to conventional fitness programs addressing cancer-related fatigue. Replication and a randomized study is needed to establish effectiveness.