Dance as an intervention for people with Parkinson's disease: A systematic review and meta-analysis
Recent studies suggest dance may be able to improve motor and non-motor disabilities in Parkinson's disease patients. A systematic review and meta-analysis of randomised controlled trials (RCT's) regarding the effectiveness of dance compared with no intervention and other exercise interven...
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Veröffentlicht in: | Neuroscience and biobehavioral reviews 2014-11, Vol.47, p.445-456 |
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description | Recent studies suggest dance may be able to improve motor and non-motor disabilities in Parkinson's disease patients. A systematic review and meta-analysis of randomised controlled trials (RCT's) regarding the effectiveness of dance compared with no intervention and other exercise interventions was performed. Five trials were included and methodological quality and mean or standardised mean differences were calculated. Dance significantly improved UPDRS motor scores (-10.73, CI -15.05 to -6.16; P=0.004), berg balance (0.72, CI 0.31 to 1.44; P=0.0006) and gait speed (0.14 m/s CI 0.02 to 0.26; P=0.02) when compared with no intervention. When compared with other exercise interventions significant improvements in berg balance (3.98, CI 1.52 to 6.44, P=0.002) and quality of life (PDQ-39) (-4.00, CI -7.13 to -0.87, P=0.01) were found. Dance demonstrates short term clinically meaningful benefits in Parkinson's disease. Future RCT's should be well designed and determine the long term effects of dance, which dose and type of dance is most effective and how dance compares to other exercise therapies. |
doi_str_mv | 10.1016/j.neubiorev.2014.09.009 |
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A systematic review and meta-analysis of randomised controlled trials (RCT's) regarding the effectiveness of dance compared with no intervention and other exercise interventions was performed. Five trials were included and methodological quality and mean or standardised mean differences were calculated. Dance significantly improved UPDRS motor scores (-10.73, CI -15.05 to -6.16; P=0.004), berg balance (0.72, CI 0.31 to 1.44; P=0.0006) and gait speed (0.14 m/s CI 0.02 to 0.26; P=0.02) when compared with no intervention. When compared with other exercise interventions significant improvements in berg balance (3.98, CI 1.52 to 6.44, P=0.002) and quality of life (PDQ-39) (-4.00, CI -7.13 to -0.87, P=0.01) were found. Dance demonstrates short term clinically meaningful benefits in Parkinson's disease. Future RCT's should be well designed and determine the long term effects of dance, which dose and type of dance is most effective and how dance compares to other exercise therapies.</description><identifier>ISSN: 0149-7634</identifier><identifier>EISSN: 1873-7528</identifier><identifier>DOI: 10.1016/j.neubiorev.2014.09.009</identifier><identifier>PMID: 25268548</identifier><language>eng</language><publisher>Kidlington: Elsevier</publisher><subject>Adult and adolescent clinical studies ; Behavioral psychophysiology ; Biological and medical sciences ; Dance Therapy ; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases ; Fundamental and applied biological sciences. Psychology ; Gait ; Humans ; Medical sciences ; Nervous system (semeiology, syndromes) ; Nervous system as a whole ; Neurology ; Organic mental disorders. Neuropsychology ; Parkinson Disease - rehabilitation ; Psychology. Psychoanalysis. Psychiatry ; Psychology. 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A systematic review and meta-analysis of randomised controlled trials (RCT's) regarding the effectiveness of dance compared with no intervention and other exercise interventions was performed. Five trials were included and methodological quality and mean or standardised mean differences were calculated. Dance significantly improved UPDRS motor scores (-10.73, CI -15.05 to -6.16; P=0.004), berg balance (0.72, CI 0.31 to 1.44; P=0.0006) and gait speed (0.14 m/s CI 0.02 to 0.26; P=0.02) when compared with no intervention. When compared with other exercise interventions significant improvements in berg balance (3.98, CI 1.52 to 6.44, P=0.002) and quality of life (PDQ-39) (-4.00, CI -7.13 to -0.87, P=0.01) were found. Dance demonstrates short term clinically meaningful benefits in Parkinson's disease. Future RCT's should be well designed and determine the long term effects of dance, which dose and type of dance is most effective and how dance compares to other exercise therapies.</description><subject>Adult and adolescent clinical studies</subject><subject>Behavioral psychophysiology</subject><subject>Biological and medical sciences</subject><subject>Dance Therapy</subject><subject>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Gait</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Nervous system as a whole</subject><subject>Neurology</subject><subject>Organic mental disorders. Neuropsychology</subject><subject>Parkinson Disease - rehabilitation</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychology. 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Psychiatry</topic><topic>Quality of Life</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SHARP, Kathryn</creatorcontrib><creatorcontrib>HEWITT, Jonathan</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Animal Behavior Abstracts</collection><collection>Neurosciences Abstracts</collection><jtitle>Neuroscience and biobehavioral reviews</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SHARP, Kathryn</au><au>HEWITT, Jonathan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dance as an intervention for people with Parkinson's disease: A systematic review and meta-analysis</atitle><jtitle>Neuroscience and biobehavioral reviews</jtitle><addtitle>Neurosci Biobehav Rev</addtitle><date>2014-11-01</date><risdate>2014</risdate><volume>47</volume><spage>445</spage><epage>456</epage><pages>445-456</pages><issn>0149-7634</issn><eissn>1873-7528</eissn><abstract>Recent studies suggest dance may be able to improve motor and non-motor disabilities in Parkinson's disease patients. 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subjects | Adult and adolescent clinical studies Behavioral psychophysiology Biological and medical sciences Dance Therapy Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases Fundamental and applied biological sciences. Psychology Gait Humans Medical sciences Nervous system (semeiology, syndromes) Nervous system as a whole Neurology Organic mental disorders. Neuropsychology Parkinson Disease - rehabilitation Psychology. Psychoanalysis. Psychiatry Psychology. Psychophysiology Psychopathology. Psychiatry Quality of Life Treatment Outcome |
title | Dance as an intervention for people with Parkinson's disease: A systematic review and meta-analysis |
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