Patterson Kara K, Wong Jennifer S, Prout Erik C, Brooks Dina
Department of Physical Therapy, University of Toronto, 160-500 University Ave, Toronto, ON, M5G 1V7, Canada.
Toronto Rehabilitation Institute, University Health Network, 550 University Ave, Toronto, ON, M5G 2A2, Canada.
Heliyon. 2018 Mar 29;4(3):e00584. doi: 10.1016/j.heliyon.2018.e00584. eCollection 2018 Mar.
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.
进行一项系统评价，以研究舞蹈干预对帕金森病以外的神经系统疾病成人患者平衡、步态和功能移动性结果的影响。
对相关数据库进行系统检索。由两位独立作者进行数据提取和方法学评估。
纳入9项研究（4项无对照组的前后对照研究、3例病例报告和2项对照研究），方法学质量评估结果从差到好不等。研究组包括中风、多发性硬化症、脊髓损伤和亨廷顿舞蹈症。舞蹈干预在频率、类型和持续时间上各不相同，只有1项研究报告了强度。研究脱落率在20%-44%之间，舞蹈课程的参与率在88%-100%之间。只有3项研究提到了不良事件，其中没有不良事件发生。结果总结显示，时空步态参数、伯格平衡量表评分、计时起立行走测试和6分钟步行测试有显著变化，这些变化与之前对帕金森病患者舞蹈干预的综述中报告的变化相似或更大。
有新证据支持将舞蹈作为神经系统疾病成人患者的一种可行干预措施。有必要通过随机对照试验，以更大的样本量进一步研究舞蹈干预的效果，并更好地报告干预措施、参与者耐受性和不良事件。
