Ismail, Sophia Rasheeqa and Lee, Shaun Wen Huey and Merom, Dafna and Kamaruddin, Puteri Sofia Nadira Megat and San Chong, Min and Ong, Terence and Lai, Nai Ming (2021) Evidence of disease severity, cognitive and physical outcomes of dance interventions for persons with Parkinson's Disease: a systematic review and meta-analysis. BMC Geriatrics, 21 (1). ISSN 1471-2318, DOI https://doi.org/10.1186/s12877-021-02446-w.
Full text not available from this repository.Abstract
Background Patients with Parkinson's Disease (PD) usually experience worsening of both motor and non-motor symptoms. Dancing has been postulated to help patients with Parkinson's via several mechanisms that lead to improved physical, cognitive and social functions. Methods This systematic review was conducted following Cochrane methodology and reported following the PRISMA guideline. Four databases (up to June 2021) were searched for RCTs comparing dance to standard or other physical therapy for improvements in disease severity, quality of life, cognitive and physical outcomes as well as adverse events in patients with PD. We synthesised data using RevMan and included certainty-of-evidence rating (GRADE) for major outcomes. Results A total of 20 RCTs (N = 723) articles that evaluated Tango, Ballroom, Irish, Waltz-Foxtrot, Folk, Turo, mixed dances and a PD-tailored dance were included. Dancers (versus non-dancers) had better motor experience (MDS-UPDRS 3) (MD -6.01, 95 % CI -9.97 to -3.84; n = 148; 5 RCTs) and improved balance (MiniBest Test) (MD 4.47, 95 % CI 2.29 to 6.66; n = 95; 3 RCTs), with no consistent differences on gait, agility and cognitive outcomes. Small samples and methodological limitations resulted in low-certainty-evidence across outcomes. Conclusions Apart from a suggestion that dance intervention modestly reduced motor disease severity and improved certain aspects of balance, there is insufficient evidence on all other outcomes, such as agility and motor function, cognitive, mood and social outcomes, quality of life as well as adverse events including the risk of fall. As evidence is insufficient to inform practice, evidence of benefits on motor disease severity and balance needs to be considered in the context of user-perception of benefit versus harm and acceptability in the development of practice guideline recommendations.
| Item Type: | Article |
|---|---|
| Funders: | Taylor's University Ageing Flagship Research Grant, Malaysia |
| Uncontrolled Keywords: | Argentine tango; Therapy; Health; Trial; Epidemiology; Exercise; Program; Balance; People |
| Subjects: | H Social Sciences > HQ The family. Marriage. Woman R Medicine > RC Internal medicine |
| Divisions: | Faculty of Medicine |
| Depositing User: | Ms Zaharah Ramly |
| Date Deposited: | 06 Apr 2022 04:00 |
| Last Modified: | 06 Apr 2022 04:00 |
| URI: | http://eprints.um.edu.my/id/eprint/28691 |
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