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舞蹈在中风康复中的作用:功能和认知影响的范围综述

The Role of Dance in Stroke Rehabilitation: A Scoping Review of Functional and Cognitive Effects.

作者信息

Lombardo Roberta, Triolo Gabriele, Ivaldi Daniela, Quartarone Angelo, Lo Buono Viviana

机构信息

IRCCS Centro Neurolesi "Bonino-Pulejo", 98124 Messina, Italy.

出版信息

J Clin Med. 2025 Aug 14;14(16):5742. doi: 10.3390/jcm14165742.

Abstract

Stroke remains a leading cause of long-term disability globally, frequently resulting in persistent motor and cognitive impairments. Rehabilitation is critical for promoting recovery, and dance-based interventions have emerged as a promising complementary approach. This scoping review aimed to examine the recent literature on the application of dance in stroke rehabilitation, with a particular focus on its effects on motor function (including balance and gait), cognitive performance, and quality of life. : A comprehensive literature search was conducted across four electronic databases, PubMed, Embase, Web of Science, and Scopus, between January and March 2025. Studies were eligible for inclusion if they involved adult participants with a history of stroke, implemented dance-based rehabilitation interventions, and reported outcomes related to motor function, cognition, or psychosocial well-being. The review process adhered to the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines. Of the 778 records initially identified, four studies met the inclusion criteria: two randomized controlled trials, one interventional study, and one feasibility study. Overall, dance-based interventions were associated with improvements in dynamic balance, gait coordination, and general mobility. Furthermore, the interventions demonstrated high levels of adherence and participant satisfaction. : Dance-based rehabilitation may offer meaningful motor benefits for individuals recovering from stroke, particularly in improving balance, gait, and overall mobility. However, the heterogeneity of intervention protocols and the limited assessment of cognitive and psychosocial outcomes underscore significant gaps in the current literature. To establish the efficacy and underlying mechanisms of dance-based approaches, future research should prioritize high-quality randomized controlled trials employing standardized intervention designs and comprehensive outcome measures, including cognitive and quality-of-life domains.

摘要

中风仍然是全球长期残疾的主要原因,常常导致持续性的运动和认知障碍。康复对于促进恢复至关重要,而基于舞蹈的干预措施已成为一种有前景的辅助方法。本范围综述旨在研究近期关于舞蹈在中风康复中应用的文献,特别关注其对运动功能(包括平衡和步态)、认知表现和生活质量的影响。2025年1月至3月期间,在四个电子数据库(PubMed、Embase、Web of Science和Scopus)中进行了全面的文献检索。如果研究涉及有中风病史的成年参与者、实施了基于舞蹈的康复干预措施,并报告了与运动功能、认知或心理社会福祉相关的结果,则符合纳入标准。综述过程遵循PRISMA-ScR(系统评价和Meta分析扩展的范围综述首选报告项目)指南。在最初识别的778条记录中,四项研究符合纳入标准:两项随机对照试验、一项干预性研究和一项可行性研究。总体而言,基于舞蹈的干预措施与动态平衡、步态协调性和总体活动能力的改善相关。此外,这些干预措施显示出高依从性和参与者满意度。基于舞蹈的康复可能为从中风恢复的个体带来有意义的运动益处,特别是在改善平衡、步态和总体活动能力方面。然而,干预方案的异质性以及对认知和心理社会结果的有限评估突出了当前文献中的重大差距。为了确定基于舞蹈的方法的疗效和潜在机制,未来的研究应优先开展高质量的随机对照试验,采用标准化的干预设计和全面的结果测量,包括认知和生活质量领域。

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