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舞蹈干预对脑瘫患者活动和参与能力的疗效——系统评价和荟萃分析。

The efficacy of dance interventions for the activity and participation of individuals with cerebral palsy - a systematic review and meta-analysis.

机构信息

Development and Disability Over the Lifespan, Healthy Brain and Mind Research Centre, Australian Catholic University, Australia.

School of Behavioural and Health Sciences, Australian Catholic University, Australia.

出版信息

Disabil Rehabil. 2024 Apr;46(8):1485-1501. doi: 10.1080/09638288.2023.2200259. Epub 2023 Apr 25.

Abstract

PURPOSE

The aim of this review was to examine the efficacy of dance interventions for individuals with cerebral palsy (CP), measured at any level of the International Classification of Functioning, Disability and Health (ICF).

METHODS

A systematic review and meta-analysis was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). A comprehensive search of peer-reviewed articles was performed using six electronic databases.

RESULTS

Fourteen studies were included in this review, nine of which were also included in the meta-analysis. The meta-analyses yielded a large overall effect for cognitive, motor, and social-emotional function outcomes, with a high degree of heterogeneity between outcome effects, attributable to differences in study design.

CONCLUSION

Although recent studies provide support for the acceptance and efficacy of dance interventions for people with CP, the systematic review revealed significant limitations in study design (only 2 randomised control trials). High-quality research that measures outcomes across all dimensions of the ICF, and particularly at the level of participation, are needed to improve the level of empirical support for dance-based interventions.

摘要

目的

本综述旨在考察舞蹈干预对脑瘫(CP)患者的疗效,评估标准为国际功能、残疾和健康分类(ICF)的任意水平。

方法

采用系统综述和荟萃分析方法,依据系统综述和荟萃分析优先报告条目(PRISMA)进行报告。通过六个电子数据库全面检索同行评审文献。

结果

本综述共纳入 14 项研究,其中 9 项研究也纳入荟萃分析。荟萃分析显示,在认知、运动和社会情感功能方面的总体效果较大,但由于研究设计的差异,结果效应存在高度异质性。

结论

尽管最近的研究支持将舞蹈干预应用于 CP 患者,但系统综述显示,研究设计存在显著局限性(仅有 2 项随机对照试验)。需要开展高质量的研究,在 ICF 的所有维度(特别是参与层面)上衡量结果,以提高基于舞蹈的干预措施的实证支持水平。

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