West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China.
Department of Anorectal Surgery, Changhai Hospital of Shanghai, Shanghai, China.
Clin Rehabil. 2021 Jul;35(7):937-951. doi: 10.1177/0269215521990526. Epub 2021 Feb 1.
To conduct a systematic review evaluating the effects of music-based movement therapy on motor function, balance, gait, mental health, and quality of life among individuals with Parkinson's disease.
A systematic search of PubMed, Embase, Cochrane Library, Web of Science, PsycINFO, CINAHL, and Physiotherapy Evidence Database was carried out to identify eligible papers published up to December 10, 2020.
Literature selection, data extraction, and methodological quality assessment were independently performed by two investigators. Publication bias was determined by funnel plot and Egger's regression test. "Trim and fill" analysis was performed to adjust any potential publication bias.
Seventeen studies involving 598 participants were included in this meta-analysis. Music-based movement therapy significantly improved motor function (Unified Parkinson's Disease Rating Scale motor subscale, MD = -5.44, = 0.002; Timed Up and Go Test, MD = -1.02, = 0.001), balance (Berg Balance Scale, MD = 2.02, < 0.001; Mini-Balance Evaluation Systems Test, MD = 2.95, = 0.001), freezing of gait (MD = -2.35, = 0.039), walking velocity (MD = 0.18, < 0.001), and mental health (SMD = -0.38, = 0.003). However, no significant effects were observed on gait cadence, stride length, and quality of life.
The findings of this study show that music-based movement therapy is an effective treatment approach for improving motor function, balance, freezing of gait, walking velocity, and mental health for patients with Parkinson's disease.
系统评价音乐运动疗法对帕金森病患者运动功能、平衡、步态、心理健康和生活质量的影响。
系统检索了 PubMed、Embase、Cochrane 图书馆、Web of Science、PsycINFO、CINAHL 和 Physiotherapy Evidence Database，以确定截至 2020 年 12 月 10 日发表的合格文献。
两位研究者独立进行文献选择、数据提取和方法学质量评估。使用漏斗图和 Egger 回归检验来确定发表偏倚。采用“修剪和填充”分析来调整任何潜在的发表偏倚。
纳入了这项荟萃分析的 17 项研究共涉及 598 名参与者。音乐运动疗法显著改善了运动功能（统一帕金森病评定量表运动子量表，MD=-5.44， = 0.002；计时起立行走测试，MD=-1.02， = 0.001）、平衡（伯格平衡量表，MD=2.02， < 0.001；简易平衡评估系统测试，MD=2.95， = 0.001）、冻结步态（MD=-2.35， = 0.039）、步行速度（MD=0.18， < 0.001）和心理健康（SMD=-0.38， = 0.003）。然而，步态频率、步长和生活质量没有显著影响。
本研究结果表明，音乐运动疗法是改善帕金森病患者运动功能、平衡、冻结步态、步行速度和心理健康的有效治疗方法。
