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舞蹈对帕金森病患者认知功能的重要性:系统评价与荟萃分析。

The importance of dance for the cognitive function of people with Parkinson's: A systematic review with meta-analysis.

机构信息

Postgraduate Program in Human Movement Sciences (PPGCMH), State University of Santa Catarina (UDESC), Brazil.

Postgraduate Program in Human Movement Sciences (PPGCMH), State University of Santa Catarina (UDESC), Brazil.

出版信息

J Bodyw Mov Ther. 2024 Oct;40:2091-2098. doi: 10.1016/j.jbmt.2024.10.058. Epub 2024 Oct 20.

DOI:10.1016/j.jbmt.2024.10.058
PMID:39593569
Abstract

OBJECTIVE

Investigate the effectiveness of dance intervention to provide evidence of its effects on cognition in people with Parkinson's.

METHODS

A study registered in PROSPERO (CRD42023474696), with searches carried out electronically in five databases (PubMed Central®, Embase, Web of Science, ScienceDirect, and Scopus Elsevier), over the last 10 years. The risk of bias was assessed using the Cochrane collaboration scale (RoB2 and ROBINS-I).

RESULTS

The studies presented ''low'' and ''moderate'' risks of bias. The instruments to assess cognitive function were heterogeneous. The dance modalities used were named dance training, dance-physiotherapy, Brazilian samba, dance, Sardinian folk dance, dance therapy, and tango. Eleven studies were included in the review and the meta-analysis showed high heterogeneity (I2 = 90%; p < 0.0001). The analysis with 6 studies that used the same cognitive screening instrument (MoCA) showed low heterogeneity (I2 = 0%; p = 0.41). The funnel plot presents the studies in a dispersed manner, which suggests publication bias.

摘要

目的

研究舞蹈干预的效果,为其对帕金森病患者认知的影响提供证据。

方法

一项在 PROSPERO(CRD42023474696)注册的研究,在过去 10 年中在五个数据库(PubMed Central®、Embase、Web of Science、ScienceDirect 和 Elsevier Scopus)中进行了电子检索。使用 Cochrane 协作量表(RoB2 和 ROBINS-I)评估偏倚风险。

结果

研究呈现出“低”和“中”的偏倚风险。评估认知功能的工具存在异质性。使用的舞蹈方式分别命名为舞蹈训练、舞蹈物理治疗、巴西桑巴舞、舞蹈、撒丁岛民间舞蹈、舞蹈治疗和探戈。综述共纳入 11 项研究,荟萃分析显示高度异质性(I2=90%;p<0.0001)。使用相同认知筛查工具(MoCA)的 6 项研究的分析显示低异质性(I2=0%;p=0.41)。漏斗图显示研究呈离散分布,提示存在发表偏倚。

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