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基于音乐的干预措施对帕金森病认知康复的有效性:随机对照临床试验的系统评价

Effectiveness of music-based interventions for cognitive rehabilitation in Parkinson's disease: a systematic review of randomized controlled clinical trials.

作者信息

Citon Leonardo Francisco, Hamdan Amer Cavalheiro

机构信息

Graduate Program in Psychology, Federal University of Paraná, Curitiba, Brazil.

Department of Psychology, Federal University of Paraná, Curitiba, PR, 80020-300, Brazil.

出版信息

Psicol Reflex Crit. 2023 Aug 10;36(1):20. doi: 10.1186/s41155-023-00259-x.

Abstract

BACKGROUND

Music-based interventions are promising for cognitive rehabilitation in Parkinson's disease; however, systematic reviews covering the topic are scarce.

OBJECTIVE

To analyze the effectiveness of music-based interventions for cognitive rehabilitation in PD.

METHOD

Systematic review study based on PRISMA criteria. The descriptors Parkinson's disease, Parkinson's disease, idiopathic Parkinson's disease, music-based interventions, music therapy, music training, auditory stimulation, music, rhythm, rhythmic, cognition, and cognitive were used. Five databases were searched PubMed/MEDLINE, PsycInfo, Scopus, Web of Science, and Cochrane in May 2022. Only randomized controlled trials with no limit on publication date or language were included. Risk of bias was assessed following Cochrane Collaboration criteria for development of systematic intervention reviews.

RESULTS

Nine hundred nineteen articles were found by the descriptors; 266 were excluded for being repeated; 650 for not meeting the inclusion criteria. The remaining three articles were included and analyzed. The interventions consisted of practices with emphasis on rhythm and were conducted in groups. Risks of important biases were observed, such as lack of blinding in the allocation of participants and in the assessment of outcomes, as well as incomplete data for some outcomes.

CONCLUSION

Overall, the results showed no evidence of efficacy of music-based interventions for cognitive outcomes in PD.

摘要

背景

基于音乐的干预措施在帕金森病的认知康复方面具有前景;然而,针对该主题的系统评价却很稀少。

目的

分析基于音乐的干预措施对帕金森病认知康复的有效性。

方法

基于PRISMA标准进行系统评价研究。使用了帕金森病、帕金森氏病、特发性帕金森病、基于音乐的干预措施、音乐疗法、音乐训练、听觉刺激、音乐、节奏、有节奏的、认知和认知等描述词。于2022年5月检索了五个数据库——PubMed/MEDLINE、PsycInfo、Scopus、科学网和Cochrane。仅纳入对发表日期或语言无限制的随机对照试验。按照Cochrane协作网制定系统干预评价的标准评估偏倚风险。

结果

通过描述词检索到919篇文章;266篇因重复被排除;650篇因不符合纳入标准被排除。其余三篇文章被纳入并进行分析。干预措施包括强调节奏的练习,并以小组形式进行。观察到存在重要偏倚风险,如在参与者分配和结局评估中缺乏盲法,以及一些结局的数据不完整。

结论

总体而言,结果显示没有证据表明基于音乐的干预措施对帕金森病的认知结局有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9403/10415237/0c7b1b6e97b7/41155_2023_259_Fig1_HTML.jpg

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