Dance movement therapy (DMT) is the use of body movement and dance to support many physical and mental functions in the body. Over time, dance therapy has emerged as a specific therapeutic tool. Here we explore how and why dance therapy is a promising approach for improving the health and wellbeing of children.
What is DMT?
Dance movement therapy (DMT) is a psychotherapeutic tool which uses dance to build a connection between the mind and body and enables healing. DMT is considered to be both an art and a science, combining the intuitive desire and the need to move the physical body, with the expression of emotion as part of our psychological selves. As a healing tool, dance has been used since ancient times across many cultures and communities, but took root as a western therapeutic method in the 1940s.1
According to the UK Association for Dance Movement Psychotherapy (ADMPUK), DMT or dance movement psychotherapy (DMP) is defined as “a relational process in which client/s and therapist engage creatively using body movement and dance to assist the integration of emotional, cognitive, physical, social and spiritual aspects of self”.2 Practitioners of DMT can practice with adults and children of all ages and for a range of physical and emotional states.2
Types of DMT for children
There are many types of dance movement therapy for children. Here are a few examples, but this list is not exhaustive and DMT can be adapted for various ages, populations, or situations:
| Type of DMT | Description |
| Group DMT | This is done with children and involves activities such as dance, free movement, and play which allows them to be creative, role-play, release energy, and develop motor skills. This type of DMT is particularly beneficial for children who have emotional difficulties, suffer from trauma, have an Autism Spectrum Disorder (ASD) diagnosis, have learning difficulties, and for refugee children.3 |
| Tele-dance psychotherapy | Conducting DMT remotely or virtually. This was used more frequently during the COVID-19 pandemic when isolating restrictions were put in place. |
| Combined DMT & Cognitive Behavioural Therapy (CBT) | An integrative approach that puts together the principles of both forms of therapy for additional benefits. Research into this technique is still in its infancy.4 |
| Paediatric medical DMT | A psychotherapeutic approach that connects mind, body and emotion and “supports the patient and the whole family enabling them to express thoughts and feelings about their medical experience using many dance, movement, music, play, and mindfulness techniques”.5 |
| DMT in schools | This is how DMT can be used in schools, following a typical DMT format: Opening circle: simple activities such as name games and later asking children to express how they feel through a movement or gestureWarm-up: including the creation of a Chacian circle to set up space for connecting to the body through movements (marching, circling, stretching, tapping, free dance). Deep pressure stimulation or deep pressure self-touch can be used to ground and prepare Main activities: examples include joining hands, leaning back and lifting one leg, pressing palms together, or pulling and pushing motions in group circlesArtistic summary or evaluation: for example, making movements from child to child to create group choreographyClosing: rocking gently, travelling around the room, among other activities, followed by guided relaxation and grounding6 |
How can DMT help children?
- Decreasing depression and anxiety: Evidence-based research found that DMT can decrease levels of anxiety and depression in populations of various ages, including children7
- Promoting executive function: Executive functions refers to a set of mental skills that enable us to self-regulate, plan, pay attention, have memory, and be flexible in our thinking and ability to carry out different tasks. In one study, children in primary school (9-11 years old) took part in an 8-week aerobic dance schedule. Compared to the control group (the group not participating in the program), children who carried out aerobic dance activity showed improvements in executive function, such as cognitive flexibility and working memory8
- Distress and pain management: One of the largest studies of paediatric DMT treatment looked at 100 paediatric cancer patients and over 1000 treatments. It found that DMT can be used to treat psychological distress and to help with pain management in children living with cancer9
- Support in schools: There is a rising number of schools that are employing dance movement therapists to help children. In a school setting, DMT could be used to help children express thoughts and emotions, find self-soothing strategies, and release stress and tension. DMT in schools could also help children build self-awareness, self-esteem and self-confidence, and develop communication and social interaction skills6
- Children diagnosed with ASD: Studies have shown that DMT can be beneficial for children with ASD, both physically and mentally.10 The intervention can improve the social and emotional well-being of children with ASD, whether their preferred modes of communication are verbal or non-verbal.11 In one study, robots were used to play music in a dance freeze game. This study showed that children with ASD were more attentive to and engaged with dancing when dancing with the robot.12 Mixed interventions of DMT with music treatment can also enhance social communication in children with autism, when both the child and parent are involved.13 Collectively, research shows that the physical, coordinated and expressive nature of dance can help improve communication skills and social development in autistic children14
- Pulmonary disease: A systematic review study analysed the literature related to the impact of dance interventions on patients with non-infectious forms of pulmonary disease.15 They found that for children and adolescents with asthma, dance was the most enjoyable activity. Evidence also suggests that physical and mental health benefits are realised through dance movement in children with disabilities
DMT and the COVID-19 pandemic
The COVID-19 pandemic had a significant impact on the world, particularly on the well-being of children and young people. They had to adapt to online schooling and became isolated from loved ones and activities that support their development (such as sports and creative arts). The social distancing restrictions meant access to therapeutic support was also limited during this time. Clinics began to change the therapies they offered, including DMT, to virtual platforms which helped support children and young people during this difficult time.16
Recent studies, focused on the COVID-19 pandemic, have shown that dancing movement methods and acting created an outlet for children from disadvantaged backgrounds who suffer from behavioural disorders. Dancing and acting helped children improve their self-esteem, self-awareness, and levels of attention. Children also became less aggressive and impulsive, as the dance helped them reach a state of catharsis.17
FAQ’s
What are the benefits of dance movement therapy for children?
Dance movement therapy (or DMT) can help children have fun, build physical strength and coordination, and build mental flexibility and emotional regulation. Dance movement therapy can help children express and communicate better with others.
How can dance movement therapy help children learn to regulate emotions?
Dance movement therapy provides an outlet for emotion through physical movement. The physical and mental release of tension, stress, and emotion from dance movements can help with emotional expression and regulation.
Is dance movement therapy evidence-based?
Research into the benefits of dance movement therapy is emerging, and only limited research has explored and shown the benefits. However, these studies offer promising results for using dance movement therapy to improve physical and mental well-being, as well as communication and social connectedness.
Why is dance movement therapy good for children with autism?
Dance movement therapy involves specific movement patterns which are purposeful and are linked to sensation and feeling. These movements can help children with ASD develop motor skills, build social engagement and communication skills, and support mental well-being.
Summary
Dance movement therapy (DMT) is a therapeutic tool which uses body movements and dance to support many physical and mental functions. DMT offered to children can produce many physical and psychological health benefits, from improving mood and reducing anxiety, stress and pain, to enhancing social and communication skills. Further research is necessary to improve our understanding of the precise therapeutic mechanisms of DMT and related dance interventions, as well as how combining DMT with other forms of therapy (such as CBT) or in other settings (such as medical clinics) can be beneficial.
References
- Chaiklin S. We dance from the moment our feet touch the earth. In: Chaiklin S, Wengrower H, editors. The art and science of dance/movement therapy: Life is dance. Routledge; 2016. pp. 35–44. Available from: https://books.google.co.uk/books?hl=en&lr=&id=ldpzCgAAQBAJ&oi=fnd&pg=PP1&ots=6ZRAUoS-k8&sig=Y92BGaRi3wudfEOc90LLQJfCu3M&redir_esc=y#v=onepage&q&f=false.
- Association for Dance Movement Psychotherapy [ADMPUK] (2013). What is Dance Movement Psychotherapy?. Bath, Eng:ADMPUK. Available from: https://admp.org.uk/what-is-dance-movement-psychotherapy/.
- Shuper-Engelhard E, Vulcan M. Dance Movement Therapy with Children: Practical Aspects of Remote Group Work. Children (Basel). 2022 Jun 11;9(6):870. doi: 10.3390/children9060870. PMID: 35740807; PMCID: PMC9222027. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9222027/.
- Weitz N, Opre A. Combining Dance/Movement Therapy with Cognitive Behavioral Therapy in Treatment of Children with Anxiety Disorders: Factors Explaining Therapists' Attitudes. Am J Dance Ther. 2022;44(2):186-209. doi: 10.1007/s10465-022-09369-y. Epub 2022 Sep 14. PMID: 36124161; PMCID: PMC9472729. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9472729/.
- Tortora S. Children Are Born to Dance! Pediatric Medical Dance/Movement Therapy: The View from Integrative Pediatric Oncology. Children (Basel). 2019 Jan 21;6(1):14. doi: 10.3390/children6010014. PMID: 30669668; PMCID: PMC6352017. Available from: https://www.mdpi.com/2227-9067/6/1/14#B11-children-06-00014.
- Moula Z, Powell J, Brocklehurst S, Karkou V. Feasibility, acceptability, and effectiveness of school-based dance movement psychotherapy for children with emotional and behavioral difficulties. Front Psychol. 2022 Aug 22;13:883334. doi: 10.3389/fpsyg.2022.883334. PMID: 36072049; PMCID: PMC9443698. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/36072049/.
- Koch SC, Riege RFF, Tisborn K, Biondo J, Martin L, Beelmann A. Effects of Dance Movement Therapy and Dance on Health-Related Psychological Outcomes. A Meta-Analysis Update. Front Psychol. 2019 Aug 20;10:1806. doi: 10.3389/fpsyg.2019.01806. PMID: 31481910; PMCID: PMC6710484. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6710484/.
- Zinelabidine K, Elghoul Y, Jouira G, Sahli S. The Effect of an 8-Week Aerobic Dance Program on Executive Function in Children. Percept Mot Skills. 2022 Feb;129(1):153-175. doi: 10.1177/00315125211058001. Epub 2021 Dec 29. PMID: 34964395. Available from: https://journals.sagepub.com/doi/10.1177/00315125211058001?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed.
- Bryl K, Tortora S, Whitley J, Kim SD, Raghunathan NJ, Mao JJ, Chimonas S. Utilization, Delivery, and Outcomes of Dance/Movement Therapy for Pediatric Oncology Patients and their Caregivers: A Retrospective Chart Review. Curr Oncol. 2023 Jul 6;30(7):6497-6507. doi: 10.3390/curroncol30070477. PMID: 37504337; PMCID: PMC10378356. Available from: https://www.mdpi.com/1718-7729/30/7/477.
- Moo JT, Ho RT. Benefits and challenges of tele-dance movement psychotherapy with children with autism and their parents. Digit Health. 2023 May 9;9:20552076231171233. doi: 10.1177/20552076231171233. PMID: 37188081; PMCID: PMC10176596. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/37188081/.
- Aithal S, Karkou V, Makris S, Karaminis T, Powell J. A Dance Movement Psychotherapy Intervention for the Wellbeing of Children With an Autism Spectrum Disorder: A Pilot Intervention Study. Front Psychol. 2021 Jul 19;12:588418. doi: 10.3389/fpsyg.2021.588418. PMID: 34349692; PMCID: PMC8326518. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/34349692/.
- Barnes JA, Park CH, Howard A, Jeon M. Child-Robot Interaction in a Musical Dance Game: An Exploratory Comparison Study between Typically Developing Children and Children with Autism. Int J Hum Comput Interact. 2021;37(3):249-266. doi: 10.1080/10447318.2020.1819667. Epub 2020 Sep 14. PMID: 33767571; PMCID: PMC7985886. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/33767571/.
- Ren H, Ren G, Zhan Y, Jia Z. Examining the efficacy of dance movement and music mixed treatment on social communication impairment in children with autism - Based on family parent-child situation. Front Psychol. 2022 Aug 8;13:937564. doi: 10.3389/fpsyg.2022.937564. PMID: 36003115; PMCID: PMC9393719. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/36003115/.
- Morris P, Hope E, Foulsham T, Mills JP. Dancing out for a voice; a narrative review of the literature exploring autism, physical activity, and dance. J Bodyw Mov Ther. 2023 Jan;33:202-215. doi: 10.1016/j.jbmt.2022.09.016. Epub 2022 Sep 28. PMID: 36775520. Available from: https://www.bodyworkmovementtherapies.com/article/S1360-8592(22)00125-5/fulltext.
- Niranjan V, Tarantino G, Kumar J, Stokes D, O'Connor R, O'Regan A. The Impact of Dance Interventions on Patients with Noninfectious Pulmonary Diseases: A Systematic Review. Int J Environ Res Public Health. 2022 Sep 5;19(17):11115. doi: 10.3390/ijerph191711115. PMID: 36078841; PMCID: PMC9518039. Available from: https://www.mdpi.com/1660-4601/19/17/11115.
- Grasser LR, Javanbakht A. Virtual Arts and Movement Therapies for Youth in the Era of COVID-19. J Am Acad Child Adolesc Psychiatry. 2021 Nov;60(11):1334-1336. doi: 10.1016/j.jaac.2021.06.017. Epub 2021 Jul 8. PMID: 34246787; PMCID: PMC8436030. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/34246787/.
- Tache-Codreanu DL, Tache-Codreanu A. Acting and Dancing during the COVID-19 Pandemic as Art Therapy for the Rehabilitation of Children with Behavioural Disorders Living in Socially Disadvantaged Environments. Children (Basel). 2024 Apr 12;11(4):461. doi: 10.3390/children11040461. PMID: 38671678; PMCID: PMC11049469. Available from:https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/38671678/.

