Do dance style and intervention duration matter in improving balance among people with Parkinson’s disease? A systematic review with meta-analysis

Simpkins, Caroline; Yang, Feng

doi:10.1016/j.parkreldis.2022.105231

Cited by 8 publications

(4 citation statements)

References 52 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our study supports the benefits of both physiotherapy treatments in terms of motor symptom severity, but this effect does not achieve clinical improvement. The effectiveness of mind-body exercise on motor symptoms in PD has been recognized in many studies (Lai et al, 2022; Simpkins & Yang, 2023; Suárez-Iglesias et al, 2022), as it enhances awareness and improves mind-body coordination through concentration and a sequence of various controlled movement exercises (Kwok et al, 2016). NiBS is an emerging and safe form of physical therapy that is thought to modulate brain plasticity and be effective in improving motor symptoms (Madrid & Benninger, 2021; Zhang et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

Effect of Physiotherapy Interventions on Motor Symptoms in People With Parkinson’s Disease: A Systematic Review and Meta-Analysis

Yang

Wang

Gao

et al. 2023

Biological Research For Nursing

View full text Add to dashboard Cite

Objective To evaluate the effectiveness of different types of physiotherapy interventions in people with Parkinson’s disease (PD). Design Systematic review and meta-analysis of randomized controlled trials (RCTs). Methods Five databases (PubMed, Embase, Cochrane Library, CINAHL and Web of Science Core Collection) were searched for relevant RCTs published from database inception to July 14, 2022. Reviewers independently screened the literature, extracted data, and assessed the literature quality according to the Cochrane Collaboration Risk of Bias Tool and PEDro Scale. This meta-analysis was conducted using RevMan 5.4.1 and reported in compliance with the PRISMA statement. Results Forty-two RCTs with 2,530 participants were included. Across all types of physiotherapy, strength training, mind-body exercise, aerobic exercise, and non-invasive brain stimulation (NiBS) were effective in improving motor symptoms as measured by the (Movement Disorders Society-) Unified PD Scale, whereas balance and gait training (BGT) and acupuncture were not. The pooled results showed that the change in mind-body exercise (MD = −5.36, 95% CI [−7.97 to −2.74], p < .01, I2 = 68%) and NiBS (MD = −4.59, 95% CI [−8.59 to −0.59], p = .02, I2 = 78%) reached clinical threshold, indicating clinically meaningful improvements. Considering the effectiveness of the interventions on motor symptoms, balance, gait and functional mobility, mind-body exercise was recommended the most. Conclusions Exercise appears to be a better form of physiotherapy than NiBS and acupuncture for improving motor function. Mind-body exercise showed beneficial effects on motor symptoms, balance, gait and functional mobility in people with PD, and is worthy of being promoted.

show abstract

Section: Discussionmentioning

confidence: 99%

Effect of Physiotherapy Interventions on Motor Symptoms in People With Parkinson’s Disease: A Systematic Review and Meta-Analysis

Yang

Wang

Gao

et al. 2023

Biological Research For Nursing

View full text Add to dashboard Cite

show abstract

“…Granacher et al ( 139 ) suggest the program should exceed 8 weeks, while Merom et al ( 138 ) argue that, if the aim is to prevent falls, programs should facilitate approximately 56 h of dancing (accrued weekly over a long period, or more intensively for a shorter duration) that includes high balance challenging exercises. For people with Parkinson’s disease, program duration of 12+ weeks (60 or 90 min per class) may be optimal ( 140 ). Shorter durations may be effective if mental health outcomes are the focus.…”

Section: Discussionmentioning

confidence: 99%

“It doesn’t feel like exercise”: a realist process evaluation of factors that support long-term attendance at dance classes designed for healthy ageing

Haynes,

Tiedemann,

Hewton

et al. 2023

Front. Public Health

View full text Add to dashboard Cite

IntroductionDance can positively impact older people’s health and wellbeing across cultures and socioeconomic groups, countering age-related physical, sensorimotor and cognitive decline.Background/objectivesThe RIPE (Really Is Possible for Everyone) Dance program aims to improve older people’s physical, mental, cognitive and social wellbeing by integrating engaging dance sequences with evidence-based fall prevention exercises. We sought to identify what mechanisms support observed long-term participation in this program, including by people living with challenging health conditions.MethodsFollowing a realist evaluation approach, we co-developed and tested program theories iteratively with participant interviewees (n = 20), dance teachers (n = 2) and via observation of a dance class. Initial data were dual-coded and emergent findings were interrogated by the research team. Findings were organised to express Program activities + Context + Mechanism = Process outcomes configurations.ResultsWe identified four program theories comprising 14 mechanisms which explained long-term attendance: 1. RIPE Dance benefits my body and mind (trust in the program, belief in health benefits), 2. RIPE Dance helps me feel good about myself (self-efficacy, pride in achievement, psychological safety, defying expectations, feeling valued), 3. RIPE Dance creates camaraderie (social connection, mutual support, rapport with the teacher), and 4. RIPE Dance is uplifting (raised spirits, fun, synchrony, musical reactivity).ConclusionThe RIPE Dance program provides effective and enjoyable ‘exercise in disguise’ for older people with diverse mobility profiles.Significance/implicationsThis research confirms that participation in dance can contribute significantly to healthy, happy ageing. Findings detail program activities that were most strongly associated with process outcomes, offering guidance for further program development, implementation and scaling up.

show abstract

“…Disease progression is associated with limited mobility, increased risk of falls, and decreased quality of life ( Hariz and Forsgren, 2011 ). Impaired balance is a common symptom that increases the risk of falls in people with PD ( Simpkins and Yang, 2023 ). As PD progresses, the processing of vestibular, visual, and proprioceptive signals that maintain body balance changes ( Samoudi et al, 2015 ).…”

Section: Introductionmentioning

confidence: 99%

Long-term efficacy of hydrotherapy on balance function in patients with Parkinson’s disease: a systematic review and meta-analysis

Liu,

Huang,

Liao

et al. 2023

Front. Aging Neurosci.

View full text Add to dashboard Cite

BackgroundHydrotherapy can improve the motor and non-motor symptoms of Parkinson’s disease (PD), but the long-term effects of hydrotherapy on PD are still unclear.ObjectiveThe purpose of this systematic evaluation and meta-analysis was to explore the long-term effects of hydrotherapy on balance function in PD patients.MethodsA systematic search of five databases was conducted to identify appropriate randomized controlled trials (RCTs) according to the established inclusion and exclusion criteria. The general characteristics and outcome data (balance, exercise, mobility, quality of life, etc.) of the included studies were extracted, and the quality of the included studies was evaluated using the Cochrane risk of bias assessment tool. Finally, the outcome data were integrated for meta-analysis.ResultsA total of 149 articles were screened, and 5 high-quality RCTs involving 135 PD patients were included. The results of the meta-analysis showed positive long-term effects of hydrotherapy on balance function compared to the control group (SMD = 0.69; 95% CI = 0.21, 1.17; p = 0.005; I2 = 44%), However, there were no significant long-term effects of hydrotherapy on motor function (SMD = 0.06; 95% CI = −0.33, 0.44; p = 0.77; I2 = 0%), mobility and quality of life (SMD = −0.21; 95% CI = −0.98, 0.57; p = 0.6; I2 = 71%). Interestingly, the results of the sensitivity analysis performed on mobility showed a clear continuation effect of hydrotherapy on mobility compared to the control group (SMD = −0.80; 95% CI = −1.23, −0.37; p < 0.001; I2 = 0%).ConclusionThe long-term effects of hydrotherapy on PD patients mainly focus on balance function, and the continuous effects on motor function, mobility, and quality of life are not obvious.

show abstract

Do dance style and intervention duration matter in improving balance among people with Parkinson’s disease? A systematic review with meta-analysis

Cited by 8 publications

References 52 publications

Effect of Physiotherapy Interventions on Motor Symptoms in People With Parkinson’s Disease: A Systematic Review and Meta-Analysis

Effect of Physiotherapy Interventions on Motor Symptoms in People With Parkinson’s Disease: A Systematic Review and Meta-Analysis

“It doesn’t feel like exercise”: a realist process evaluation of factors that support long-term attendance at dance classes designed for healthy ageing

Long-term efficacy of hydrotherapy on balance function in patients with Parkinson’s disease: a systematic review and meta-analysis

Contact Info

Product

Resources

About