Dance as an intervention for people with Parkinson's disease: A systematic review and meta-analysis
Dance as an intervention for people with Parkinson's disease: A systematic review and meta-analysis
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DOI：
10.1016/j.neubiorev.2014.09.009
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发表时间：
2014-11
影响因子：
8.2
通讯作者：
Kathryn Sharp;J. Hewitt
中科院分区：
文献类型：
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作者：
Kathryn Sharp;J. Hewitt
最近的研究表明，舞蹈可能能够改善帕金森病患者的运动和非运动障碍。对随机对照试验（RCT）进行了系统回顾和荟萃分析，比较了舞蹈与无干预和其他运动干预的有效性。纳入5项试验，计算方法学质量和均数或标准化均数差异。与不干预相比，舞蹈显著改善了UPDRS运动评分（- 10.73,CI - 15.05至- 6.16；P= 0.004）、berg平衡（0.72,CI 0.31至1.44；P= 0.0006）和步态速度（0.14 m/s CI 0.02至0.26；P= 0.02）。与其他运动干预相比，发现berg平衡（3.98,CI 1.52 ~ 6.44，P= 0.002）和生活质量（PDQ-39） （- 4.00, CI - 7.13 ~ - 0.87，P= 0.01）有显著改善。舞蹈对帕金森病有短期的临床意义。未来的随机对照试验应该精心设计，并确定舞蹈的长期影响，哪种剂量和类型的舞蹈最有效，以及舞蹈与其他运动疗法相比如何。
Recent studies suggest dance may be able to improve motor and non-motor disabilities in Parkinson's disease patients. A systematic review and meta-analysis of randomised controlled trials (RCT's) regarding the effectiveness of dance compared with no intervention and other exercise interventions was performed. Five trials were included and methodological quality and mean or standardised mean differences were calculated. Dance significantly improved UPDRS motor scores (−10.73, CI −15.05 to −6.16;P= 0.004), berg balance (0.72, CI 0.31 to 1.44;P= 0.0006) and gait speed (0.14 m/s CI 0.02 to 0.26;P= 0.02) when compared with no intervention. When compared with other exercise interventions significant improvements in berg balance (3.98, CI 1.52 to 6.44,P= 0.002) and quality of life (PDQ-39) (−4.00, CI −7.13 to −0.87,P= 0.01) were found. Dance demonstrates short term clinically meaningful benefits in Parkinson's disease. Future RCT's should be well designed and determine the long term effects of dance, which dose and type of dance is most effective and how dance compares to other exercise therapies.