帕金森病患者舞蹈的质量评价和系统综述。

IF 2.6 3区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES
PLoS ONE Pub Date : 2024-12-31 eCollection Date: 2024-01-01 DOI:10.1371/journal.pone.0311003
Camila Pinto, Rafaela Simon Myra, Alexandre Severo do Pinho, Francisca Pereira, Guido Orgs, Aline Souza Pagnussat
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引用次数: 0

摘要

目的:确定(1)以舞蹈为基础的帕金森病患者(PD)干预的系统评价的质量;(2)基于世界卫生组织(WHO)的国际功能、残疾和健康分类(ICF)的舞蹈干预效果的标准证据。方法:数据源包括MEDLINE、PUBMED、Embase、Scopus、CENTRAL (Cochrane Library)、CINAHL、PEDro、SPORTDiscus、APA PsycNet (APA PsycINFO)、LILACS、SciELO、AMED。成对的独立审稿人使用covid - ence软件筛选符合条件的研究的标题、摘要和全文。标准包括:系统评价设计;PD患者;以舞蹈为基础的干预旨在改变与IFC域(身体功能、活动和参与)相匹配的PD关键症状。独立审稿人提取了所有纳入的系统评价的特征信息,并使用评估系统评价的测量工具(AMSTAR 2)对质量进行了评价。随机对照试验及其偏倚风险在每个评价中被确定,并用于进行更新的两两荟萃分析。结果:在筛选的571篇文献中,55篇综述符合纳入标准。对38条评论(69%)结果的总体信心被评为“极低”,9条(9%)为“低”,1条(2%)为“中等”,而55条评论中有7条(13%)被评为“高”。对于ICF的基本组成部分,如运动症状严重程度(身体功能)、抑郁症状(身体功能)、平衡(身体功能和活动)和功能机动性(活动),舞蹈联合药物常规护理优于单独的药物常规护理,但对步态距离(活动)和生活质量(参与)则没有效果。在提高平衡能力方面,舞蹈也优于多模式运动。结论:临床医生和PD患者可以参考本文,总结高质量的综述和支持舞蹈作为辅助康复的整体证据。这一总括性综述不仅强调了舞蹈的治疗潜力,而且还加强了将基于艺术的方法应用于神经系统疾病患者的医疗保健实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Quality assessment and umbrella review of systematic reviews about dance for people with Parkinson's disease.

Objective(s): To determine (1) the quality of systematic reviews about dance-based intervention in individuals with Parkinson's disease (PD) and (2) standard evidence for dance-based intervention efficacy based on the categories of The International Classification of Functioning, Disability, and Health (ICF) from the World Health Organization's (WHO).

Methods: The data source included MEDLINE, PUBMED, Embase, Scopus, CENTRAL (Cochrane Library), CINAHL, PEDro, SPORTDiscus, APA PsycNet (APA PsycINFO), LILACS, SciELO, and AMED. Pairs of independent reviewers screened titles, abstracts, and full texts of eligible studies by using the software Covidence. Criteria included: systematic review designs; individuals with PD; dance-based interventions aimed to change critical PD symptoms matched to IFC domains (body functions, activities, and participation). Independent reviewers extracted information regarding the characteristics of all systematic reviews included and appraised quality using A MeaSurement Tool to Assess Systematic Reviews (AMSTAR 2). Randomized controlled trials and their risk of bias were identified within each review and were used to perform an updated pairwise meta-analysis.

Results: Of the 571 manuscripts screened, 55 reviews met the inclusion criteria. The overall confidence in the results of 38 reviews (69%) was rated as 'critically low,' nine (9%) as 'low,' one (2%) as 'moderate,' while seven of 55 reviews (13%) were rated as 'high'. Dance associated with pharmacological usual care is better than pharmacological usual care alone for essential components of ICF, such as motor symptoms severity (body function), depressive symptoms (body function), balance (body function and activity), and functional mobility (activity), but not for gait distance (activity) and quality of life (participation). Dance is also superior to multimodal exercise to improve balance.

Conclusions: Clinicians and people with PD can refer to this paper for a summary of high-quality reviews and the overall evidence supporting dance as an adjunct rehabilitation. This umbrella review not only underscores the therapeutic potential of dance but also reinforces the use of arts-based approaches into healthcare practices for people with neurological conditions.

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来源期刊
PLoS ONE
PLoS ONE 生物-生物学
CiteScore
6.20
自引率
5.40%
发文量
14242
审稿时长
3.7 months
期刊介绍: PLOS ONE is an international, peer-reviewed, open-access, online publication. PLOS ONE welcomes reports on primary research from any scientific discipline. It provides: * Open-access—freely accessible online, authors retain copyright * Fast publication times * Peer review by expert, practicing researchers * Post-publication tools to indicate quality and impact * Community-based dialogue on articles * Worldwide media coverage
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