McNeely M E, Duncan R P, Earhart G M
Program in Physical Therapy, Washington University in St. Louis School of Medicine, St. Louis, MO 63108, USA; Department of Neurology, Washington University in St. Louis School of Medicine, St. Louis, MO 63108, USA.
Program in Physical Therapy, Washington University in St. Louis School of Medicine, St. Louis, MO 63108, USA; Department of Anatomy & Neurobiology, Washington University in St. Louis School of Medicine, St. Louis, MO 63108, USA; Department of Neurology, Washington University in St. Louis School of Medicine, St. Louis, MO 63108, USA.
Maturitas. 2015 Dec;82(4):336-41. doi: 10.1016/j.maturitas.2015.08.002. Epub 2015 Aug 12.
Evidence indicates exercise is beneficial for motor and non-motor function in older adults and people with chronic diseases including Parkinson disease (PD). Dance may be a relevant form of exercise in PD and older adults due to social factors and accessibility. People with PD experience motor and non-motor symptoms, but treatments, interventions, and assessments often focus more on motor symptoms. Similar non-motor symptoms also occur in older adults. While it is well-known that dance may improve motor outcomes, it is less clear how dance affects non-motor symptoms. This review aims to describe the effects of dance interventions on non-motor symptoms in older adults and PD, highlights limitations of the literature, and identifies opportunities for future research. Overall, intervention parameters, study designs, and outcome measures differ widely, limiting comparisons across studies. Results are mixed in both populations, but evidence supports the potential for dance to improve mood, cognition, and quality of life in PD and healthy older adults. Participation and non-motor symptoms like sleep disturbances, pain, and fatigue have not been measured in older adults. Additional well-designed studies comparing dance and exercise interventions are needed to clarify the effects of dance on non-motor function and establish recommendations for these populations.
有证据表明，运动对老年人以及患有包括帕金森病（PD）在内的慢性疾病的人在运动和非运动功能方面有益。由于社会因素和可及性，舞蹈可能是适合帕金森病患者和老年人的一种运动形式。帕金森病患者会出现运动和非运动症状，但治疗、干预和评估往往更侧重于运动症状。类似的非运动症状在老年人中也会出现。虽然众所周知舞蹈可能改善运动结果，但舞蹈如何影响非运动症状尚不清楚。本综述旨在描述舞蹈干预对老年人和帕金森病患者非运动症状的影响，突出文献的局限性，并确定未来研究的机会。总体而言，干预参数、研究设计和结果测量差异很大，限制了跨研究的比较。在这两个人群中的结果喜忧参半，但有证据支持舞蹈有可能改善帕金森病患者和健康老年人的情绪、认知和生活质量。在老年人中尚未对参与情况以及睡眠障碍、疼痛和疲劳等非运动症状进行测量。需要更多精心设计的研究来比较舞蹈和运动干预，以阐明舞蹈对非运动功能的影响，并为这些人群制定建议。
