Murillo-García Álvaro, Villafaina Santos, Adsuar José C, Gusi Narcis, Collado-Mateo Daniel
Faculty of Sport Science, University of Extremadura, Extremadura, Spain.
Facultad de Educación, Universidad Autónoma de Chile, Talca, Chile.
Evid Based Complement Alternat Med. 2018 Oct 1;2018:8709748. doi: 10.1155/2018/8709748. eCollection 2018.
The aim of this study was to perform a systematic review on the effectiveness of dance-based programs in patients with fibromyalgia, as well as calculate the overall effect size of the improvements, through a meta-analysis.
The Cochrane Library, Physiotherapy Evidence Database (PEDro), PubMed, TRIP, and Web of Science (WOS) were selected to identify the articles included in this systematic review and meta-analysis. A total of seven articles fulfilled all inclusion and exclusion criteria. PRISMA guidelines were followed in the data extraction process. The level of evidence was established following guidelines from the Dutch Institute for Healthcare Improvement (CBO).
The studies were all randomized controlled trials, but not double-blind. Duration of dance programs ranged from 12 to 24 weeks. Sessions lasted between 60 and 120 minutes and were performed 1-2 times per week. The overall effect size for pain was -1.64 with a 95% CI from -2.69 to -0.59 which can be interpreted as large. In addition, significant improvements were observed in quality of life, depression, impact of the disease, anxiety, and physical function.
Dance-based intervention programs can be an effective intervention for people suffering from fibromyalgia, leading to a significant reduction of the level of pain with an effect size that can be considered as large. However, findings and conclusions from this meta-analysis must be taken with caution due to the small number of articles and the large heterogeneity.
本研究旨在对以舞蹈为基础的项目对纤维肌痛患者的有效性进行系统评价，并通过荟萃分析计算改善情况的总体效应量。
选择Cochrane图书馆、物理治疗证据数据库（PEDro）、PubMed、TRIP和科学网（WOS）来识别纳入本系统评价和荟萃分析的文章。共有7篇文章符合所有纳入和排除标准。数据提取过程遵循PRISMA指南。证据水平根据荷兰医疗保健改进研究所（CBO）的指南确定。
这些研究均为随机对照试验，但非双盲试验。舞蹈项目的持续时间为12至24周。课程时长为60至120分钟，每周进行1 - 2次。疼痛的总体效应量为 -1.64，95%置信区间为 -2.69至 -0.59，可解释为效应较大。此外，在生活质量、抑郁、疾病影响、焦虑和身体功能方面也观察到了显著改善。
以舞蹈为基础的干预项目可能是纤维肌痛患者的一种有效干预措施，可显著降低疼痛程度，效应量可视为较大。然而，由于文章数量较少且异质性较大，本荟萃分析的结果和结论必须谨慎对待。
