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舞蹈疗法对中年及以上老年人运动认知双重任务表现的影响:系统评价和荟萃分析。

Effect of dance therapies on motor-cognitive dual-task performance in middle-aged and older adults: a systematic review and meta-analysis.

机构信息

Faculty of Sport Sciences, University of Extremadura, Cáceres, Spain.

Centre for Sport Studies Rey Juan Carlos University, Fuenlabrada, Spain.

出版信息

Disabil Rehabil. 2021 Nov;43(22):3147-3158. doi: 10.1080/09638288.2020.1735537. Epub 2020 Mar 17.

DOI:10.1080/09638288.2020.1735537
PMID:32180477
Abstract

PURPOSE

To systematically review the effectiveness of dance-based programs to improve motor-cognitive dual-task performance in middle-aged and older adults.

MATERIALS AND METHODS

Five scientific databases were selected to identify the articles included in this systematic review. Ninety-one articles were found in the electronic databases. Fourteen articles fulfilled all inclusion and exclusion criteria. The methodological quality of the studies was assessed with a modified version of Downs and Black checklist. PRISMA guidelines were followed in the data extraction process. The overall effect size of the improvements was calculated through a meta-analysis.

RESULTS

All the studies had an acceptable methodological quality. Dance-based interventions had a duration of 8-52 weeks, 1-3 sessions per week, with sessions lasting 40-90 min. According to the overall effect size, dance-based interventions significantly improved dual-task performance (-0.48 with a 95% confidence interval from -0.88 to -0.08).

CONCLUSIONS

Dance-based intervention programs may be effective at improving the performance on motor-cognitive dual-task in middle-aged and older adults. Apart from the effects on the cognitive Time Up and Go test, dance interventions may also improve speed walking with a cognitive task. All these conclusions must be taken with caution due to the heterogeneity and the small number of articles. Future research can be developed to increase the knowledge on these issues.Implications for rehabilitationInterventions based on dance as part of rehabilitation can improve the performance on TUG under dual-task condition in aging.Interventions based on dance can be effective to improve the development of some tasks of daily life by reducing time in a motor task under dual task condition in aging.Physical therapists, personal trainers and other clinicians can use different types of dance for improving dual-tasking among the adults.

摘要

目的

系统回顾舞蹈为基础的方案对改善中年和老年人运动认知双重任务表现的有效性。

材料和方法

选择了五个科学数据库来确定纳入本系统综述的文章。在电子数据库中发现了 91 篇文章。14 篇文章符合所有纳入和排除标准。研究的方法学质量使用 Downs 和 Black 清单的修改版本进行评估。在数据提取过程中遵循 PRISMA 指南。通过荟萃分析计算整体改善效果的大小。

结果

所有研究的方法学质量均为可接受。基于舞蹈的干预持续 8-52 周,每周 1-3 次,每次持续 40-90 分钟。根据总体效果大小,基于舞蹈的干预显著改善了双重任务表现(-0.48,95%置信区间为-0.88 至-0.08)。

结论

舞蹈干预方案可能对改善中年和老年人的运动认知双重任务表现有效。除了对认知时间到走测试的影响外,舞蹈干预还可能提高认知任务下的快走速度。由于异质性和文章数量较少,必须谨慎得出所有这些结论。未来的研究可以进一步开展,以增加对这些问题的认识。

康复意义

作为康复一部分的舞蹈干预可以改善老化条件下 TUG 的双重任务表现。基于舞蹈的干预可以通过减少认知任务下运动任务的时间来有效改善日常生活某些任务的发展。物理治疗师、私人教练和其他临床医生可以使用不同类型的舞蹈来提高成年人的双重任务能力。

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