Barnish Jean, Atkinson Rachel A, Barran Susannah M, Barnish Maxwell S
Retired Health Professional, London, UK.
Adult Speech and Language Therapy Department, St Helier Hospital, Epsom and St Helier University Hospitals NHS Trust, London, UK.
J Parkinsons Dis. 2016 Jun 3;6(3):473-84. doi: 10.3233/JPD-160837.
There is evidence that participation in performing arts brings psychosocial benefits in the general population and in recent years there has been substantial interest in the potential therapeutic benefit of performing arts, including singing, for people with chronic medical conditions including those of neurological aetiology.
To systematically review the existing body of evidence regarding the potential benefit of singing on clinical outcomes of people with PD.
Seven online bibliographic databases were systematically searched in January 2016 and supplementary searches were conducted. Full-text original peer-reviewed scientific papers that investigated the potential benefit of singing on at least one of speech, functional communication, cognitive status, motor function and quality of life in human participants with PD were eligible for inclusion.
449 unique records were identified, 25 full-text articles were screened and seven studies included in the review. All seven studies assessed the impact of singing on speech, five found partial evidence of benefit and two found no evidence of benefit. One study assessed each of functional communication and quality of life and no significant benefit was found. No included study assessed the impact of singing on motor function or cognitive status.
Singing may benefit the speech of people with PD, although evidence is not unequivocal. Further research is required to assess wider benefits including on functional communication, cognitive status, motor function and quality of life. Substantial methodological limitations were identified in the existing literature. Recommendations are made for advancing the state of the literature.
有证据表明，参与表演艺术能给普通人群带来心理社会效益，近年来，包括唱歌在内的表演艺术对患有慢性疾病（包括神经病因引起的疾病）的人群的潜在治疗益处引起了广泛关注。
系统回顾关于唱歌对帕金森病患者临床结局潜在益处的现有证据。
2016年1月对7个在线书目数据库进行了系统检索，并进行了补充检索。纳入标准为经过同行评审的全文原创科学论文，这些论文研究了唱歌对帕金森病患者的言语、功能沟通、认知状态、运动功能和生活质量中至少一项的潜在益处。
共识别出449条独特记录，筛选了25篇全文文章，7项研究纳入综述。所有7项研究均评估了唱歌对言语的影响，5项发现了部分有益证据，2项未发现有益证据。1项研究评估了功能沟通和生活质量，未发现显著益处。纳入研究中没有一项评估唱歌对运动功能或认知状态的影响。
唱歌可能对帕金森病患者的言语有益，尽管证据并不明确。需要进一步研究以评估更广泛的益处，包括对功能沟通、认知状态、运动功能和生活质量的影响。现有文献中存在重大方法学局限性。针对推进文献研究现状提出了建议。
