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舞蹈练习对帕金森病患者的功能性移动能力、运动症状和生活质量的影响:系统评价与荟萃分析。

Effects of dance practice on functional mobility, motor symptoms and quality of life in people with Parkinson's disease: a systematic review with meta-analysis.

机构信息

Physical Education School, Federal University of Rio Grande do Sul, Street Felizardo, 750-Jardim Botânico, Porto Alegre, Rio Grande Do Sul, CEP 90690-200, Brazil.

Federal Foundation School of Medical Sciences of Porto Alegre, Street Sarmento Leite, 245 Centro Histórico, Porto Alegre, Rio Grande Do Sul, CEP 90050-170, Brazil.

出版信息

Aging Clin Exp Res. 2018 Jul;30(7):727-735. doi: 10.1007/s40520-017-0836-2. Epub 2017 Oct 4.

DOI:10.1007/s40520-017-0836-2
PMID:28980176
Abstract

BACKGROUND

Patients with Parkinson's Disease (PD) undergo motor injuries, which decrease their quality of life (QL). Dance, added to drug therapy, can help treating these patients AIMS: To conduct a systematic review with meta-analysis with the aim to analyze the effects of dance classes in comparison to other interventions or to the absence of intervention, in randomized clinical trials (RCTs), on functional mobility, motor symptoms and QL of PD patients METHODS: The search was conducted in MEDLINE, LILACS, SciELO, Cochrane and PsycINFO (last searched in August 2017). RCTs analyzing dance effects in comparison to other physical training types or to no intervention, on functional mobility, motor symptoms and QL of PD patients were selected. The outcomes assessed were motor symptoms with Unified PD Rating Scale III (UPDRSIII), functional mobility with Timed Up and Go Test (TUG), endurance with 6 min walking test (6MWT), freezing of gait with Freezing of Gait Questionnaire (FOG_Q), walking velocity with GAITRite and QL with PD Questionnaire (PDQ39). Two reviewers independently extracted methodological quality and studies data. Results are presented as weighted mean differences.

RESULTS

Five RCTs were included, totaling 159 patients. Dance promoted significant improvements on UPDRSIII, and a decrease in TUG time when compared to other types of exercise. In comparison to the absence of intervention, dance practice also showed significant improvements in motor scores.

CONCLUSION

Dance can improve motor parameters of the disease and patients' functional mobility.

摘要

背景

帕金森病(PD)患者会出现运动损伤,降低生活质量(QL)。在药物治疗的基础上增加舞蹈治疗可以帮助治疗这些患者。

目的

进行系统评价和荟萃分析,分析舞蹈课程与其他干预措施或不干预相比,在随机临床试验(RCT)中对 PD 患者的功能移动性、运动症状和 QL 的影响。

方法

在 MEDLINE、LILACS、SciELO、Cochrane 和 PsycINFO(2017 年 8 月最后一次检索)中进行了搜索。选择分析舞蹈效果的 RCT,与其他类型的身体训练或不干预相比,在功能移动性、运动症状和 PD 患者的 QL 方面。评估的结果是用统一帕金森病评定量表 III(UPDRSIII)评估运动症状,用计时起立行走测试(TUG)评估功能移动性,用 6 分钟步行测试(6MWT)评估耐力,用冻结步态问卷(FOG_Q)评估冻结步态,用步态速度计(GAITRite)评估行走速度,用帕金森病问卷(PDQ39)评估 QL。两名评审员独立提取方法学质量和研究数据。结果以加权均数差表示。

结果

共纳入 5 项 RCT,共 159 例患者。与其他类型的运动相比,舞蹈治疗可显著改善 UPDRSIII 评分,降低 TUG 时间。与不干预相比,舞蹈练习也可显著改善运动评分。

结论

舞蹈可以改善疾病的运动参数和患者的功能移动性。

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