Wang Di, Cui Wen J, Hou Zhen H, Gao Ying
Department of Sports Science, Zhejiang University, Hangzhou, China.
Department of Physical Education, Zhejiang International Studies University, Hangzhou, China.
Front Aging Neurosci. 2023 Jul 17;15:1215495. doi: 10.3389/fnagi.2023.1215495. eCollection 2023.
Exercise has been reported as an effective intervention for Parkinson's disease. However, there is still debate on the what kinds of exercises prior to choosing. This study aimed to compare and rank the different exercises that effectively enhance postural balance in Parkinson's disease patients by quantifying the information gleaned from randomized controlled trials (RCTs).
We conducted a comprehensive database search, including PubMed, Cochrane Library, Embase, Web of Science, and PsycINFO. The included studies were evaluated for methodological quality by the Cochrane Risk of Bias tool.
The RCTs were collected between the earliest available date and March 2023. Sixty RCTs were included and the total sample size used in the study was 3,537. Thirty-five studies were defined as low risk of bias, twenty-one studies as medium risk of bias, and four studies as high risk of bias. The network meta-analysis results showed that exergaming exercise can significantly improve patients' Timed-Up-and-Go time (SUCRA = 91.5%). Dance can significantly enhance patients' Berg Balance Scale (surface under the cumulative ranking curve, SUCRA = 81.3%), and rhythmical auditory exercise can significantly improve patients' Mini-Balance Evaluation Systems Test score (SUCRA = 95.6%).
Compared with other exercises, exergaming exercise, Dance, and rhythmical auditory exercise showed superior efficacy in improving postural balance among Parkinson's disease patients.
https://www.crd.york.ac.uk/prospero/, identifier: CRD42023411918.
据报道，运动是帕金森病的一种有效干预措施。然而，在选择运动类型方面仍存在争议。本研究旨在通过量化从随机对照试验（RCT）中收集的信息，对能有效改善帕金森病患者姿势平衡的不同运动进行比较和排序。
我们进行了全面的数据库检索，包括PubMed、Cochrane图书馆、Embase、科学网和PsycINFO。纳入的研究通过Cochrane偏倚风险工具评估方法学质量。
RCT收集时间为最早可用日期至2023年3月。共纳入60项RCT，研究使用的总样本量为3537例。35项研究被定义为低偏倚风险，21项研究为中度偏倚风险，4项研究为高偏倚风险。网络荟萃分析结果显示，体感游戏运动可显著改善患者的起立行走时间（累积排序曲线下面积，SUCRA = 91.5%）。舞蹈可显著提高患者的伯格平衡量表得分（SUCRA = 81.3%），而节奏听觉运动可显著改善患者的简易平衡评估系统测试得分（SUCRA = 95.6%）。
与其他运动相比，体感游戏运动、舞蹈和节奏听觉运动在改善帕金森病患者姿势平衡方面显示出更优的疗效。
