Forte Roberta, Tocci Nicoletta, De Vito Giuseppe
Department of Human Movement and Sports Sciences, University of Rome Foro Italico, 00135 Rome, Italy.
Department of Biomedical Sciences, University of Padova, 35131 Padova, Italy.
Brain Sci. 2021 May 22;11(6):685. doi: 10.3390/brainsci11060685.
Difficulties in walking, controlling balance, and performing activities of daily living are common problems encountered by individuals affected by Parkinson disease. Scientific evidence suggests that exercise performed with music or auditory or rhythmical cues facilitates movement and improves balance, gait, mobility, and activities of daily living (ADL) performance in patients with PD. The aim of this umbrella review was to summarize available high-quality evidence from systematic reviews and meta-analyses on the effectiveness of rhythmically cued exercise to improve gait, mobility, and ADL performance in individuals with PD. PubMed, Cochrane, and Embase databases were searched from January 2010 to October 2020 for systematic reviews and meta-analyses which had to be (1) written in English, (2) include studies on populations of males and females with PD of any age, (3) analyze outcomes related to gait, mobility, and ADL, and (4) apply exercise interventions with music or auditory or rhythmical cues. Two independent authors screened potentially eligible studies and assessed the methodological quality of the studies using the AMSTAR 2 tool. Four studies, two systematic reviews and meta-analyses, one a systematic review, and one a meta-analysis, were selected. Overall results indicated positive effects for gait and mobility of the use of rhythmic auditory cueing with exercise and suggested that it should be incorporated into a regular rehabilitation program for patients affected by PD. Nonetheless, more primary level research is needed to address the identified gaps regarding the application of this method to physical exercise interventions.
行走困难、控制平衡困难以及日常生活活动受限是帕金森病患者常见的问题。科学证据表明，在音乐或听觉或节奏提示下进行锻炼，有助于帕金森病患者的运动，改善平衡、步态、活动能力以及日常生活活动（ADL）表现。本综述的目的是总结系统评价和荟萃分析中关于有节奏提示锻炼对改善帕金森病患者步态、活动能力和ADL表现有效性的现有高质量证据。检索了PubMed、Cochrane和Embase数据库，时间跨度为2010年1月至2020年10月，以查找系统评价和荟萃分析，这些研究必须满足以下条件：（1）用英文撰写；（2）纳入任何年龄的帕金森病男性和女性人群的研究；（3）分析与步态、活动能力和ADL相关的结果；（4）应用有音乐或听觉或节奏提示的运动干预措施。两位独立作者筛选了可能符合条件的研究，并使用AMSTAR 2工具评估了研究的方法学质量。共选择了四项研究，两项系统评价和荟萃分析，一项系统评价，一项荟萃分析。总体结果表明，有节奏的听觉提示与锻炼相结合对步态和活动能力有积极影响，并建议将其纳入帕金森病患者的常规康复计划。尽管如此，仍需要更多的初级研究来填补在将该方法应用于体育锻炼干预方面所发现的空白。
