School of Education, Beijing Dance Academy, Beijing, 100081, China.
School of Humanities, Beijing Dance Academy, Beijing, 100081, China.
Complement Ther Clin Pract. 2022 May;47:101565. doi: 10.1016/j.ctcp.2022.101565. Epub 2022 Feb 23.
Autism spectrum disorder (ASD) is a neurodevelopment disorder, marked by deficits in social communication and social interaction as well as by a restricted, repetitive patterns of behaviors, interests and activities. There is an increasing interest in the use of dance as part of rehabilitation for individuals with ASD. However, it is not clear how dance can influence on ASD symptoms. And few studies have measured and compared the outcomes of multiple studies. This study was aimed to provide a more comprehensive perspective of the efficacy of dance practice on ASD symptoms by conducting a systematic review with meta-analysis.
The electronic databases PubMed, EBSCO, MEDLINE, Cochrane and PsycINFO were searched for relevant studies reporting on the effects of dance on ASD symptoms. Only randomized controlled trials (RCTs) and non-randomized controlled studies were included in this review. Two review authors independently performed literature search, data extraction, and study quality assessment. Effect sizes for ASD symptoms were expressed as standardized mean differences (SMD) with 95% confidence intervals.
Seven eligible studies were included for meta-analysis. Dance interventions varied in frequency (1-2 sessions/week), time (40 - 90 min), duration (7 - 17 weeks) and type. As compared to control groups, dance practice showed significant alleviation of overall symptoms of ASD (-1.48 points, CI -2.55 to - 0.42 points, p = 0.006, I = 75%) and improvement in social interaction (0.88, CI 0.46 to 1.30, p < 0.0001, I = 0%), but no significant effect on empathy (0.09, CI - 0.25 to 0.42, p = 0.61, I = 2%).
Dance probably alleviate the negative symptoms and social deficits of individuals with ASD. However, little difference is found in empathy. Further research and studies are needed to determine the optimal dose and if dance results in greater benefits than other types of physical activity.
自闭症谱系障碍（ASD）是一种神经发育障碍，其特征是社交沟通和社交互动方面存在缺陷，以及行为、兴趣和活动受限、重复。越来越多的人对将舞蹈作为 ASD 个体康复的一部分感兴趣。然而，目前尚不清楚舞蹈如何影响 ASD 症状。并且很少有研究测量和比较多项研究的结果。本研究旨在通过系统评价和荟萃分析，提供更全面的视角来了解舞蹈练习对 ASD 症状的疗效。
检索电子数据库 PubMed、EBSCO、MEDLINE、Cochrane 和 PsycINFO，以查找报告舞蹈对 ASD 症状影响的相关研究。本综述仅纳入随机对照试验（RCT）和非随机对照研究。两位综述作者独立进行文献检索、数据提取和研究质量评估。ASD 症状的效应大小表示为标准化均数差（SMD）及其 95%置信区间。
纳入 7 项符合条件的研究进行荟萃分析。舞蹈干预的频率（1-2 次/周）、时间（40-90 分钟）、时长（7-17 周）和类型各不相同。与对照组相比，舞蹈练习可显著减轻 ASD 的总体症状（-1.48 分，CI -2.55 至 -0.42 分，p = 0.006，I² = 75%）和改善社会互动（0.88，CI 0.46 至 1.30，p<0.0001，I² = 0%），但对同理心没有显著影响（0.09，CI -0.25 至 0.42，p = 0.61，I² = 2%）。
舞蹈可能减轻 ASD 个体的负面症状和社会缺陷。然而，同理心方面的差异较小。需要进一步研究和试验来确定最佳剂量，以及舞蹈是否比其他类型的身体活动带来更大的益处。
