李永杰,刘俏,李海瑞.舞蹈训练对帕金森病患者认知功能和情绪状态影响的Meta分析[J].中华物理医学与康复杂志,2021,43(9):837-843
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| 舞蹈训练对帕金森病患者认知功能和情绪状态影响的Meta分析 |
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| DOI：10.3760/cma.j.issn.0254-1424.2021.09.017 |
| 中文关键词: 舞蹈训练 帕金森病 Meta分析 认知功能 情绪 |
| 英文关键词: Dance training Parkinson′s disease Meta-analyses Cognition Emotions |
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| 中文摘要: |
| 目的 系统评价舞蹈训练对帕金森病患者认知功能和情绪状态的干预效果。 方法 系统检索1995年1月至2019年1月10日Pubmed、Embase、Cochrane Library、Web of science、Science direct、Ovid、中国知网、万方、维普电子数据库，收集舞蹈训练对帕金森病患者认知功能和情绪状态影响的随机对照试验相关文献，由2名评审员独立地根据纳入标准和排除标准进行文献筛选、资料提取和质量评估。采用Revman5.3版软件对所得数据进行统计学Meta分析。 结果 共纳入7篇文献167例患者资料，Meta分析结果显示，与对照组相比，舞蹈训练可以有效缓解帕金森病患者抑郁症状［SMD=-0.75,95%CI(-1.41,-0.10),P=0.02］，提高蒙特利尔认知测验 (MoCA) 评分［WMD=2.05,95%CI(0.87,3.23),P=0.0007］和额叶功能量表 (FAB) 评分［WMD=1.41,95%CI(0.49,2.33),P=0.003］。但尚不能证明舞蹈训练可以有效改善帕金森病患者的情感淡漠［SMD=-0.45,95%CI(-1.44,0.54),P=0.37］。 结论 舞蹈训练可以有效缓解帕金森病患者的抑郁症状及提高认知功能，但对情感淡漠的疗效仍需更多高质量的随机对照试验进一步研究。 |
| 英文摘要: |
| Objective To assess systematically the effect of dance training on the cognitive functioning and emotional state of people with Parkinson′s disease. Methods Randomized controlled trials (RCTs) of the effect of dance training on the cognition and emotional state of people with Parkinson′s disease were retrieved from the Pubmed, Embase, Cochrane Library, Web of Science, Science Direct, Ovid, CNKI, Wan fang and VIP databases. The period was from January 1995 to January 10, 2019. The literature was screened, collected and evaluated by two reviewers independently. The meta-analysis was conducted using version 5.3 of the Revman software. Results Seven RCTs involving 167 patients were discovered. According to the meta-analysis, dance training significantly relieved depression ［SMD=-0.75, 95%CI: -1.41 to -0.10］. It improved the average score on the Montreal Cognitive Assessment Scale ［WMD=2.05, 95%CI: 0.87 to 3.23］ and on the Frontal Assessment Battery ［WMD=1.41, 95%CI: 0.49 to 2.33］. However, dance training could not effectively improve apathy. Conclusions Current evidence shows that dance training can relieve depression and promote better cognitive functioning for people with Parkinson′s disease. |
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