Dance for the rehabilitation of balance and gait in adults with neurological conditions other than Parkinson's disease: A systematic review.

Dance for the rehabilitation of balance and gait in adults with neurological conditions other than Parkinson's disease: A systematic review.
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DOI:
10.1016/j.heliyon.2018.e00584
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发表时间:
2018-03
期刊:
影响因子:
4
通讯作者:
Brooks D
Brooks D
中科院分区:
综合性期刊4区
文献类型:
--
作者:
Patterson KK;Wong JS;Prout EC;Brooks D

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进行系统评价,研究舞蹈干预对患有帕金森病以外神经系统疾病的成年人的平衡、步态和功能活动能力的影响。对相关数据库进行了系统检索。数据提取和方法学评估由两位独立作者进行。纳入了 9 项研究(4 项无对照组的事前研究、3 项病例报告和 2 项对照研究),方法学质量评估结果从差到好。研究小组包括中风、多发性硬化症、脊髓损伤和亨廷顿舞蹈病。舞蹈干预的频率、类型和持续时间各不相同,只有一项研究报告了强度。辍学率从 20% 到 44% 不等,舞蹈班的参加率为 88% 到 100%。只有 3 项研究提到了不良事件,但实际上没有。结果总结显示,时空步态参数、伯格平衡量表分数、计时起身行走测试和六分钟步行测试发生了显着变化,这些变化类似于或大于先前在帕金森病患者舞蹈回顾中报告的变化。越来越多的证据支持使用舞蹈作为患有神经系统疾病的成年人的可行干预措施。有必要使用更大的样本量,通过随机对照试验进一步研究舞蹈的影响,并更好地报告干预措施、参与者的耐受性和不良事件。
To conduct a systematic review that examined the effect of dance interventions on balance, gait and functional mobility outcomes in adults with neurological conditions other than Parkinson's disease. A systematic search of relevant databases was conducted. Data extraction and methodological appraisal were performed by two independent authors. Nine studies were included (4 pre-post studies with no control group, 3 case reports, and 2 controlled studies) and results of the methodological quality assessment ranged from poor to good. Study groups included stroke, multiple sclerosis, spinal cord injury, and Huntington's disease. Dance interventions varied in frequency, type and duration, and only 1 study reported intensity. Study dropout rates ranged from 20–44%, and 88–100% of dance classes were attended. Only 3 studies mentioned adverse events, of which there were none. A summary of results revealed significant changes in spatiotemporal gait parameters, Berg Balance Scale scores, Timed Up and Go test and six-minute walk test that were similar to or greater than those previously reported in a review of dance for individuals with Parkinson's disease. There is emerging evidence to support the use of dance as a feasible intervention for adults with neurological conditions. Further investigation of the effects of dance with randomized controlled trials using larger sample sizes and better reporting of the intervention, participant tolerance, and adverse events is warranted.