Faculty of Nursing and Physiotherapy, University of Cádiz, 11009, Cadiz, Spain; IntegraSalud (Functional Rehabilitation Center), 11500, Puerto de Santa Maria, Spain.
PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021, Poitiers, France.
Complement Ther Clin Pract. 2022 Nov;49:101662. doi: 10.1016/j.ctcp.2022.101662. Epub 2022 Aug 28.
Stroke is the leading cause of non-traumatic disability in adults, with balance and gait disturbances representing the main limitations of body functions. Dance therapy (DT) has shown positive effects in older adults and in patients with neurological pathologies. This systematic review aims to examine the feasibility, acceptability and effects of DT in stroke rehabilitation, specifically on functional gains of gait and balance.
A systematic search was carried out for articles published in the MEDLINE, PEDro, Web of Science, Scopus and CINHAL in February 2021 and updated in April 2021.
Eight studies were included (2 clinical cases, 5 case series and 1 randomized controlled trial), 7 of them in patients with chronic stroke and only 1 in subacute stroke phase. The most widely used dance modality was tango and ballet, with sessions ranging from 30 to 110 min. DT seems to show positive effects on post-stroke body functions and activities such as gait and balance. Reported dropout rates are inconsistent, no adverse effects were reported, and participant satisfaction was high.
Given the heterogeneity and uneven quality of the included studies, strong conclusions cannot be put forward on the effectiveness of DT in post-stroke body function and activities. Nevertheless, DT seems to be safe and acceptable therapy for patients, and no adverse effects have been reported. More studies with a high level of evidence and feasibility are needed to determine the patient profile, the characteristics of the intervention, the participation rate and the role of the rehabilitation professional most likely to generate optimal benefit.
中风是成年人非外伤性残疾的主要原因，平衡和步态障碍是身体功能的主要限制。舞蹈疗法（DT）已在老年人和神经病理患者中显示出积极的效果。本系统评价旨在研究中风康复中舞蹈疗法的可行性、可接受性和效果，特别是对步态和平衡功能的恢复。
系统检索了 2021 年 2 月和 2021 年 4 月在 MEDLINE、PEDro、Web of Science、Scopus 和 CINHAL 上发表的文章。
共纳入 8 项研究（2 项临床病例报告，5 项病例系列研究和 1 项随机对照试验），其中 7 项为慢性中风患者，仅有 1 项为亚急性期。最广泛使用的舞蹈模式是探戈和芭蕾舞，疗程从 30 分钟到 110 分钟不等。DT 似乎对中风后身体功能和活动（如步态和平衡）有积极影响。报告的辍学率不一致，没有报告不良反应，参与者满意度高。
鉴于纳入研究的异质性和质量参差不齐，不能对 DT 在中风后身体功能和活动方面的有效性提出明确的结论。然而，DT 似乎是一种安全且可接受的治疗方法，没有不良反应。需要更多具有高证据水平和可行性的研究来确定最有可能产生最佳效益的患者特征、干预措施的特点、参与率和康复专业人员的角色。
