艺术疗法对帕金森病运动功能的有效性：一项系统评价和荟萃分析。
The effectiveness of art therapy on motor function in Parkinson's disease: a systematic review and meta-analysis.
作者信息
Liu Zexi, Hui Chen, Liu Shuhan, Chen Yujia, Zhang Yihan, Ye Wenliang
机构信息
Nanhai College of Arts and Technology, Haikou University of Economics, Haikou, China.
College of arts, Chonbuk National University, Jeonju, Republic of Korea.
出版信息
Front Psychol. 2025 Sep 4;16:1542405. doi: 10.3389/fpsyg.2025.1542405. eCollection 2025.
OBJECTIVE
This meta-analysis aimed to evaluate the effectiveness of art therapy interventions in improving motor function performance in patients with Parkinson's Disease (PD), with a focus on identifying the most effective modalities.
METHOD
Randomized controlled trials were identified through searches in PubMed, Embase, Web of Science, and Cochrane Library. Twenty-six studies were included, assessed for quality, and analyzed following PRISMA guidelines (PROSPERO: CRD42024611770). Subgroup analyses were performed for primary outcomes (UPDRS, TUG, Mini-BESTest), while secondary outcomes (Stride Length, FOG, 6MWT, and Gait Speed) were evaluated using forest and funnel plots to estimate pooled effects.
RESULTS
Art therapy significantly improved motor function, as evidenced by reductions in UPDRS III scores (SMD = -0.44, 95% CI [-0.61, -0.26], < 0.05), TUG scores (SMD = -0.25, 95% CI [-0.41, -0.10], < 0.05), and increases in Mini-BESTest scores (SMD = 0.41, 95% CI [0.10, 0.72], < 0.05). Among the interventions, dance therapy demonstrated the most significant effects on motor function (UPDRS III: SMD = -0.52, 95% CI [-0.78, -0.26], < 0.05; TUG: SMD = -0.37, 95% CI [-0.58, -0.17], < 0.05; Mini-BESTest: SMD = 0.56, 95% CI [0.25, 0.87], < 0.05). Secondary outcomes revealed small to moderate improvements in gait speed (SMD = 0.34, < 0.05), 6MWT (SMD = 0.41, < 0.05), FOG (SMD = -0.33, < 0.05), and stride length (SMD = 0.59, < 0.05). Although the findings were robust, high heterogeneity in certain outcomes highlights the need for standardized intervention protocols to ensure consistency and reproducibility.
CONCLUSION
This study underscores the clinical significance of art therapy in improving motor functions in PD patients. Among the interventions, dance therapy exhibited the most pronounced effects, highlighting its potential as a pivotal component in multidisciplinary neurorehabilitation programs.
SYSTEMATIC REVIEW REGISTRATION
https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024611770, identifier (CRD42024611770).
目的
本荟萃分析旨在评估艺术治疗干预对改善帕金森病（PD）患者运动功能表现的有效性，重点是确定最有效的治疗方式。
方法
通过检索PubMed、Embase、科学网和考克兰图书馆来识别随机对照试验。纳入了26项研究，评估其质量，并按照PRISMA指南（国际前瞻性系统评价注册平台：CRD42024611770）进行分析。对主要结局指标（统一帕金森病评定量表第三部分[UPDRS]、定时起立步行试验[TUG]、简短伯格平衡量表[Mini-BESTest]）进行亚组分析，而次要结局指标（步幅、冻结步态、6分钟步行试验[6MWT]和步速）则使用森林图和漏斗图进行评估，以估计合并效应。
结果
艺术治疗显著改善了运动功能，表现为UPDRS第三部分评分降低（标准化均数差[SMD]= -0.44，95%置信区间[-0.61, -0.26]，P<0.05）、TUG评分降低（SMD = -0.25，95%置信区间[-0.41, -0.10]，P<0.05）以及Mini-BESTest评分升高（SMD = 0.41，95%置信区间[0.10, 0.72]，P<0.05）。在这些干预措施中，舞蹈治疗对运动功能的影响最为显著（UPDRS第三部分：SMD = -0.52，95%置信区间[-0.78, -0.26]，P<0.05；TUG：SMD = -0.37，95%置信区间[-0.58, -0.17]，P<0.05；Mini-BESTest：SMD = 0.56，95%置信区间[0.25, 0.87]，P<0.05）。次要结局指标显示步速（SMD = 0.34，P<0.05）、6MWT（SMD = 0.41，P<0.05）、冻结步态（SMD = -0.33，P<0.05）和步幅（SMD = 0.59，P<0.05）有小到中度的改善。尽管研究结果较为可靠，但某些结局指标存在高度异质性，这凸显了制定标准化干预方案以确保一致性和可重复性的必要性。
结论
本研究强调了艺术治疗对改善PD患者运动功能的临床意义。在这些干预措施中，舞蹈治疗表现出最显著的效果，突出了其作为多学科神经康复项目关键组成部分的潜力。
系统评价注册
https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024611770，标识符（CRD42024611770）。
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