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舞蹈节奏改善帕金森病患者的运动症状:一项随机临床试验。

Dance Rhythms Improve Motor Symptoms in Individuals with Parkinson's Disease: A Randomized Clinical Trial.

机构信息

Santa Catarina State University, Florianópolis, SC, Brazil; Brazilian Parkinson's Disease Rehabilitation Initiative - BpaRkI, Santa Catarina State University, Florianópolis, SC, Brazil;, Email:

Santa Catarina State University, Florianópolis, SC, Brazil; Brazilian Parkinson's Disease Rehabilitation Initiative - BpaRkI, Santa Catarina State University, Florianópolis, SC, Brazil.

出版信息

J Dance Med Sci. 2022 Mar 15;26(1):1-6. doi: 10.12678/1089-313X.031522a. Epub 2021 Dec 5.

Abstract

Evidence-based practices involving dance modalities found in binary (two-beat rhythm) or quaternary (four-beat rhythm) show that dance positively influences the motor aspects of disease.
Aim: This randomized clinical trial aimed to analyze the effect of two dance rhythm (binary and quaternary) on the balance, gait, and mobility in individuals with Parkinson's disease (PD).
Methods: Thirty-one individuals with PD were randomized into the binary group (n = 18) and the quaternary group (n = 13). Both groups participated in different dance rhythms lasting 12 weeks, twice a week, for 45 minutes.
Results: The binary group showed a significant difference in balance (p = 0.003), freezing of gait (p = 0.007), as well as in the motor aspects of MDS-Unified Parkinson's Disease Rating Scale (MDS-UPDRS), with emphasis on the total values with a score change of 3.23. In the quaternary group, significant differences were found in balance (p = 0.021) with a score change of -2.54 and in the motor aspects of the MDS-UPDRS Part III where the total values stood out with a change of 3.54.
Discussion: When comparing the possible effects of binary and quaternary rhythms on the motor symptoms of individuals with PD, it was demonstrated that binary rhythm improved balance, freezing gait, and UPDRSIII. As for the quaternary rhythm, the benefits were in balance and the UPDRSIII.
Conclusion: The binary and the quaternary rhythm dance protocols positively influenced the motor symptoms of individuals with PD after 12 weeks of intervention.

摘要

基于证据的实践涉及二元(二拍节奏)或四元(四拍节奏)的舞蹈模式,表明舞蹈对疾病的运动方面有积极影响。
目的:本随机临床试验旨在分析两种舞蹈节奏(二元和四元)对帕金森病(PD)患者平衡、步态和活动能力的影响。
方法:31 名 PD 患者随机分为二元组(n = 18)和四元组(n = 13)。两组均参加不同的舞蹈节奏,持续 12 周,每周 2 次,每次 45 分钟。
结果:二元组在平衡(p = 0.003)、步态冻结(p = 0.007)以及 MDS-统一帕金森病评定量表(MDS-UPDRS)的运动方面均有显著差异,总分值变化为 3.23。在四元组中,平衡(p = 0.021)有显著差异,评分变化为-2.54,MDS-UPDRS 第 III 部分的运动方面总分值变化为 3.54。
讨论:比较二元和四元节奏对 PD 患者运动症状的可能影响,表明二元节奏改善了平衡、步态冻结和 UPDRSIII。对于四元节奏,其益处在于平衡和 UPDRSIII。
结论:二元和四元节奏舞蹈方案在 12 周干预后对 PD 患者的运动症状有积极影响。

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