{"id":47968,"date":"2017-07-19T14:33:08","date_gmt":"2017-07-19T21:33:08","guid":{"rendered":"http:\/\/in.nau.edu\/news\/?p=47968"},"modified":"2017-08-14T11:03:59","modified_gmt":"2017-08-14T18:03:59","slug":"parkinsons-choir","status":"publish","type":"post","link":"https:\/\/in.nau.edu\/news\/parkinsons-choir\/","title":{"rendered":"Tremors and tenors: NAU faculty, students help create a choir for people with Parkinson&#8217;s"},"content":{"rendered":"<p>Story by <strong>Heidi Toth\u00a0<\/strong><br \/>\n<em>NAU Communications<\/em><\/p>\n<p>Video reported by <strong>Corderro McMurry<\/strong> and produced by <strong>Erik Sather<\/strong><br \/>\n<em>NAU-TV<\/em><\/p>\n<hr \/>\n<p>There are no spectators at a Mountain Tremors choir practice. There are only singers\u2014loud singers who\u00a0will call out the insecurely tone-deaf visitor who comes expecting to just sit and observe.<\/p>\n<p>Of course, the purpose of this choir is to sit up straight, control breathing, follow the director\u2019s instructions and sing with as much volume as the diaphragm will allow; singing on key is optional. Singing with gusto, you see, is literally keeping at bay the deleterious effects of Parkinson\u2019s disease, an incurable neurological disease that, over time, erodes a person\u2019s ability to move, speak, think and emote.<\/p>\n<p>The disease is what ties together this little choir, comprised half of Flagstaff residents with the disease and half faculty and students from Northern Arizona University\u2019s <a href=\"http:\/\/nau.edu\/chhs\/csd\/\">Department of Communication Sciences and Disorders<\/a> (CSD) and <a href=\"https:\/\/nau.edu\/cal\/music\/welcome\/\">School of Music<\/a>. Well, that and a love of singing.<\/p>\n<p>\u201cSince all skeletal muscles are affected, singing is a recommended exercise for people with Parkinson\u2019s,\u201d said Gordon Holt, who\u2019s been a member of the choir since it began two years ago. \u201cThe other reason I\u2019m involved is because I love music. This choir is so much fun. Every time it\u2019s always fun.\u201d<\/p>\n<p><strong>Fe Murray<\/strong>, a professor of speech-language pathology, started the choir two years ago, when now-choir regular Linda Webb, a member of the Parkinson Support Group at The Peaks Senior Living Community, asked CSD clinic director <strong>Kim Farinella<\/strong> about creating a Parkinson\u2019s choirs in Flagstaff. Farinella asked Murray if she was interested in facilitating it.<\/p>\n<p>Murray, a bilingual speech-language pathologist who has spent years working with people to overcome speech and communication disorders and help people reduce their accents while speaking English, said yes. She has witnessed over and over how isolating not being able to communicate can be, and while Parkinson\u2019s isn\u2019t a communication disorder per se, sufferers are held back in their communication because participating in their community is a struggle.<\/p>\n<p>\u201cThe goals of the choir are to develop a community of people with neurological impairments, their families, caregivers and friends, around music,\u201d she said. \u201cFor those with Parkinson\u2019s in particular, I have seen an improvement in social engagement, as well as a maintenance of vocal ability. We have a small core group of loyal members who may not have much in common outside of their diagnosis, yet music provides a common ground, something they can all relate to, a shared joyful experience.\u201d<\/p>\n<p>Plus, who doesn\u2019t want to rock along to classic Eagles, groove to Elvis Presley and dance to Diana Ross?<\/p>\n<p><center><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/oaC5s0xSZbE?ecver=1\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><center><\/center><\/center>&nbsp;<\/p>\n<h3><strong>The therapeutic case for singing loud<\/strong><\/h3>\n<p><strong>Valerie Carter<\/strong>, a professor of <a href=\"https:\/\/nau.edu\/chhs\/physical-therapy\/\">physical therapy<\/a> at NAU, said Parkinson\u2019s is a disease of the basal ganglia, a part of the brain that affects movement, cognition, motivation, emotions and speech. In Parkinson\u2019s, the basal ganglia isn\u2019t getting enough dopamine to function at the normal level, essentially acting as a dimmer switch to the person\u2019s mental and physical activity.<\/p>\n<p>The result is the known Parkinson\u2019s symptoms: slow, quiet, often monotonal speech, little facial movement, slow and small steps, stooped posture and slower brain activity. Although research shows that exercising these muscle groups can slow and possibly reverse symptoms, the lack of motivation the dimmer switch causes means many people on Parkinson\u2019s simply don\u2019t have the motivation to take action themselves.<\/p>\n<p>That means singing in the shower or the car may not help that much, but a choir that includes weekly practice, learning words and patterns, pausing when the music does, harmonizing with other members and then performing instead of others can hit all of the notes to hold off Parkinson\u2019s symptoms.<\/p>\n<p>\u201cYour muscles are working, your brain is working with learning new things and your voice is getting louder because you have to practice it,\u201d Carter said. \u201cThat\u2019s why choir is so great. You need to sing loud. You need to sing on pitch, hopefully. You need to listen, you need to pause. Those are all things people with Parkinson\u2019s struggle with, but if they practice they can actually outperform healthy control individuals.\u201d<\/p>\n<p>Parkinson\u2019s researchers throughout the world are studying how certain activities can slow the disease and provide a better quality of life, but Carter found in her work much of the research focused on one aspect\u2014voice training or physical exercise or mental cognition\u2014while she has worked to combine treatments to address multiple symptoms. Choir is great for that, as is <a href=\"http:\/\/knau.org\/post\/nau-pilot-study-looks-benefits-boxing-parkinson-s-disease#stream\/0\">boxing<\/a>, which requires quick, powerful movements side to side and backwards and forwards, along with an awareness and responsiveness to surroundings, and the tango, which requires dancers to move in rhythm with a partner and take large steps backwards.<\/p>\n<p>\u201cWhen you add the beat of the tango music, or music in general, there\u2019s just an ease of movement,\u201d she said. \u201cTango itself calls for stepping forward and backward.\u201d<\/p>\n<p>Carter has been to a number of practices and performances for the Mountain Tremors to buoy up her research and because of an especial love for people with Parkinson\u2019s. Part of it is because \u201cthey\u2019re so darn fun to work with\u201d\u2014a statement with which anyone who\u2019s experienced the Mountain Tremors would agree. But she\u2019s been motivated in other ways; her mother, Charlotte Hull, died recently, 30 years after being diagnosed with Parkinson\u2019s. Her mother was a member of the Mountain Tremors, Carter\u2019s poster child for her research and the reason her research goal is nothing short of stamping out the late stages of Parkinson\u2019s disease.<\/p>\n<p><a href=\"http:\/\/in.nau.edu\/news\/wordpresst\/uploads\/sites\/153\/wp-content\/uploads\/2017\/07\/Carter-quote.png\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-47977\" src=\"http:\/\/in.nau.edu\/news\/wordpresst\/uploads\/sites\/153\/wp-content\/uploads\/2017\/07\/Carter-quote.png\" alt=\"Carter quote\" width=\"600\" height=\"150\" srcset=\"https:\/\/in.nau.edu\/wp-content\/uploads\/sites\/402\/2017\/07\/Carter-quote.png 768w, https:\/\/in.nau.edu\/wp-content\/uploads\/sites\/402\/2017\/07\/Carter-quote-300x75.png 300w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/a><\/p>\n<p>The choir fulfills a different need for its members as well. Parkinson\u2019s can be a lonely disease, said <strong>Emily Sakievich<\/strong>, a CSD master\u2019s student who joined the choir in its third semester. Voice and touch are two main ways humans use to communicate, and Parkinson\u2019s \u201cliterally freezes your body and voice.\u201d<\/p>\n<p>\u201cI can\u2019t begin to imagine what that feels like,\u201d she said. \u201cAlthough I do think about singing as a form of therapy, I don\u2019t necessarily look at the members of the choir clinically; they\u2019re my friends and it\u2019s so uplifting for me to be around their fun positivity.<\/p>\n<p>Holt feels the same way. As a doctor, he knows the importance of activity to slow the disease\u2019s progression, but he just loves being in the choir and loves singing. He was in his church choir for decades when living in Phoenix and has a list of favorite songs ranging from musicals to opera to folk. He has a log dating back to the start of the choir, with lists of all the songs they\u2019ve performed, what CSD students were part of the choir and who directed them.<\/p>\n<p>But don\u2019t ask him his favorite song.<\/p>\n<p>\u201cOh gosh, there\u2019s been so many fun ones,\u201d he said. \u201cI can\u2019t say my favorite song. I just like so many of them.\u201d<\/p>\n<h3><strong>University involvement<\/strong><\/h3>\n<p>Sakievich was one of the first students to join. Her clinical interest was secondary to her human interest in the choir.<\/p>\n<p>\u201cI have always known I want to find ways to make music part of my clinical practice, so it was an opportunity I couldn\u2019t miss,\u201d she said. \u201cI was also very curious; my grandfather sang in choirs and small groups his whole life and the last few years of life he stopping singing. He said it was because his voice wasn\u2019t the same as it was before he was diagnosed with Parkinson\u2019s disease.\u201d<\/p>\n<p>About a dozen other CSD students have participated in the choir. They help choir members focus on posture, breath control, vocal quality, loudness and articulation, which provides experience for the students with a population they may not normally see.<\/p>\n<figure id=\"attachment_47980\" aria-describedby=\"caption-attachment-47980\" style=\"width: 290px\" class=\"wp-caption alignleft\"><a href=\"http:\/\/in.nau.edu\/news\/wordpresst\/uploads\/sites\/153\/wp-content\/uploads\/2017\/07\/MT-2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-47980\" src=\"http:\/\/in.nau.edu\/news\/wordpresst\/uploads\/sites\/153\/wp-content\/uploads\/2017\/07\/MT-2-290x300.jpg\" alt=\"Mountain Tremors\" width=\"290\" height=\"300\" srcset=\"https:\/\/in.nau.edu\/wp-content\/uploads\/sites\/402\/2017\/07\/MT-2-290x300.jpg 290w, https:\/\/in.nau.edu\/wp-content\/uploads\/sites\/402\/2017\/07\/MT-2-768x795.jpg 768w, https:\/\/in.nau.edu\/wp-content\/uploads\/sites\/402\/2017\/07\/MT-2.jpg 869w\" sizes=\"auto, (max-width: 290px) 100vw, 290px\" \/><\/a><figcaption id=\"caption-attachment-47980\" class=\"wp-caption-text\">NAU students Lorenzo Slavin, accompanist, and Leon Lucero, director, perform with the Mountain Tremors.<\/figcaption><\/figure>\n<p>\u201cThis experience will prepare our students for possible future practice with adults and helps them to see them as people first, which will help the students be more empathetic and effective clinicians in the future,\u201d Murray said.<\/p>\n<p>She also reached out to <strong>Edith Copley<\/strong>, NAU\u2019s director of choral studies, who in turn reached out to music students and have sent a number of directors and accompanists. Both <strong>Leon Lucero<\/strong>, this year\u2019s director, and <strong>Lorenzo Slavin<\/strong>, the accompanist, are finishing their time with the choir after the summer. The upcoming concert will be their fourth.<\/p>\n<p>For Lucero, a music education major, it\u2019s been a great learning experience but also a great experience overall.<\/p>\n<p>\u201cThe best part of the experience is working with people who just love to sing,\u201d Lucero said. \u201cThey come into rehearsals eager to be there, and they leave the same way, always super excited for next week.\u201d<\/p>\n<p>While music education is generally considered more at the K-12 level, the general process he goes through with the Mountain Tremors\u2014picking songs the choir will enjoy singing and be able to learn, teaching non-musicians about following a director and learning by rote instead of reading music, catching tricky areas quickly and walking the singers through it\u2014will be useful in his future classrooms.<\/p>\n<p>\u201cI plan to teach choir for the rest of my life, and I\u2019ll encounter many levels of singers along the way,\u201d he said. \u201cBeing able <a href=\"http:\/\/in.nau.edu\/news\/wordpresst\/uploads\/sites\/153\/wp-content\/uploads\/2017\/07\/Thought-bubble-template-2.png\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-47979 alignright\" src=\"http:\/\/in.nau.edu\/news\/wordpresst\/uploads\/sites\/153\/wp-content\/uploads\/2017\/07\/Thought-bubble-template-2.png\" alt=\"Leon Lucero quote\" width=\"288\" height=\"288\" srcset=\"https:\/\/in.nau.edu\/wp-content\/uploads\/sites\/402\/2017\/07\/Thought-bubble-template-2.png 288w, https:\/\/in.nau.edu\/wp-content\/uploads\/sites\/402\/2017\/07\/Thought-bubble-template-2-150x150.png 150w\" sizes=\"auto, (max-width: 288px) 100vw, 288px\" \/><\/a>to work with a group of individuals who aren\u2019t \u2018musicians\u2019 prepares me for the day I walk into a rehearsal and nobody can read music.\u201d<\/p>\n<h3><strong>What&#8217;s next<\/strong><\/h3>\n<p>&nbsp;<\/p>\n<p>The Mountain Tremors will reconvene in the fall. Anyone with Parkinson\u2019s or other neurological conditions is welcome to join, as are family, friends and caregivers. Contact <a href=\"mailto:fe.murray@nau.edu\">Fe Murray<\/a> for more information.<\/p>\n<p>Valerie Carter\u2019s physical therapy students run a tango class for people with Parkinson\u2019s disease. Contact <a href=\"mailto:valerie.carter@nau.edu\">Valerie Carter<\/a> for additional information.<\/p>\n","protected":false},"excerpt":{"rendered":"<p><a class=\"search-results-excerpt-link\" href=\"https:\/\/in.nau.edu\/news\/parkinsons-choir\/\">Story by Heidi Toth\u00a0 NAU Communications Video reported by Corderro McMurry and produced by Erik Sather NAU-TV There are no spectators at a Mountain Tremors choir practice. There are only singers\u2014loud singers who\u00a0will call out the insecurely tone-deaf visitor who comes expecting to just sit and observe. Of course, the purpose of this choir is&hellip;<\/a><\/p>\n","protected":false},"author":59,"featured_media":48019,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4],"tags":[540,1726,1727],"class_list":["post-47968","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-campus-community","tag-communication-sciences-and-disorders","tag-department-of-physical-therapy","tag-parkinsons"],"acf":[],"_links":{"self":[{"href":"https:\/\/in.nau.edu\/news\/wp-json\/wp\/v2\/posts\/47968","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/in.nau.edu\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/in.nau.edu\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/in.nau.edu\/news\/wp-json\/wp\/v2\/users\/59"}],"replies":[{"embeddable":true,"href":"https:\/\/in.nau.edu\/news\/wp-json\/wp\/v2\/comments?post=47968"}],"version-history":[{"count":0,"href":"https:\/\/in.nau.edu\/news\/wp-json\/wp\/v2\/posts\/47968\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/in.nau.edu\/news\/wp-json\/wp\/v2\/media\/48019"}],"wp:attachment":[{"href":"https:\/\/in.nau.edu\/news\/wp-json\/wp\/v2\/media?parent=47968"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/in.nau.edu\/news\/wp-json\/wp\/v2\/categories?post=47968"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/in.nau.edu\/news\/wp-json\/wp\/v2\/tags?post=47968"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}