Reviewgold2021

Evidence of disease severity, cognitive and physical outcomes of dance interventions for persons with Parkinson’s Disease: a systematic review and meta-analysis

Sophia Rasheeqa Ismail · Shaun Wen Huey Lee · Dafna Merom · Puteri Sofia Nadira Megat Kamaruddin · Min San Chong · Terence Ing Wei Ong +1 more

41 citations0/0 files storedBMC Geriatrics

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Diversity and Impact of Dance Parkinson's Disease Mechanisms and Treatments Balance, Gait, and Falls Prevention

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.

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References

1986Meta-analysis in clinical trials 2011The Cochrane Collaboration's tool for assessing risk of bias in randomised trials 2008Chapter 9: Analysing Data and Undertaking Meta-Analyses 2011Chapter 12: Interpreting results and drawing conclusions 2009Effects of dance on movement control in Parkinson’s disease: A comparison of Argentine tango and American ballroom 2011Randomized Controlled Trial of Community-Based Dancing to Modify Disease Progression in Parkinson Disease 2015Tango for treatment of motor and non-motor manifestations in Parkinson's disease: A randomized control study 2009Health-related quality of life and alternative forms of exercise in Parkinson disease

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