Turo (Qi Dance) Program for Parkinson’s Disease Patients: Randomized, Assessor Blind, Waiting-List Control, Partial Crossover Study

Lee, Hwa Jin; Kim, Song-Yi; Chae, Younbyoung; Kim, Mi Young; Yin, Chang-Shik; Jung, Woo Sang; Cho, Ki Ho; Kim, Seung Nam; Park, Hi-Joon; Lee, Hyejung

doi:10.1016/j.explore.2017.11.002

Cited by 60 publications

(116 citation statements)

References 28 publications

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“…Fifteen articles [25,26,28,29,31,[33][34][35][36][38][39][40][41][42]46] evaluated the effects of physical and mental exercise on PD motor function (Table 1). Among them, 13 articles [25,26,28,29,[34][35][36][38][39][40][41][42]46] used bradykinesia items in the motor section of the Unified Parkinson's Disease Rating Scale (UPDRSIII) to evaluate the effect of patients' motor function, and the remaining two used UPDRS [31] and MDRSPD [33]. An asymmetrical funnel plot was presented.…”

Section: Updrs (Unified Parkinson's Disease Rating Scal) Rating Resultsmentioning

confidence: 99%

“…Twelve articles [26,29,31,33,34,[39][40][41][42][44][45][46] evaluated the balance function of PD, 10 of which were evaluated by the Berg Balance Scale (BBS), 2 studies [29,34] used the Mini-Balance Evaluation Systems Test (Mini-BESTest scale) to evaluate the balance effect. A funnel chart shows no publication bias ( Figure 6), a funnel plot shows no bias, and the heterogeneity test results of the included research literature was not significant (p = 0.29, I 2 = 16%).…”

Section: Balance Function Score Resultsmentioning

confidence: 99%

“…Finally, after evaluating the full text of the remaining studies, we included 22 clinical trials (RCT+CCT). Nine studies were published in English [25][26][27]31,[34][35][36]38,39], and 13 in Chinese [28][29][30]32,33,37,[40][41][42][43][44][45][46], The research selection process is shown in Figure 1 and Figure S1. Our search strategy identified a total of 799 related references.…”

Section: Literature Searchmentioning

confidence: 99%

“…The control group included various interventions, such as stretching and conditioning exercises, walking, and health education. Only three studies [26,31,36] used a waitlist control to treat each exercise time for 60 min. Table 2 shows the Pedro literature quality assessment scores that met study conditions.…”

Section: Study Characteristicsmentioning

confidence: 99%

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The Impact of Mind-Body Exercises on Motor Function, Depressive Symptoms, and Quality of Life in Parkinson’s Disease: A Systematic Review and Meta-Analysis

Jin

Wang

Liu

et al. 2019

IJERPH

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Purpose: To systematically evaluate the effects of mind-body exercises (Tai Chi, Yoga, and Health Qigong) on motor function (UPDRS, Timed-Up-and-Go, Balance), depressive symptoms, and quality of life (QoL) of Parkinson’s patients (PD). Methods: Through computer system search and manual retrieval, PubMed, Web of Science, The Cochrane Library, CNKI, Wanfang Database, and CQVIP were used. Articles were retrieved up to the published date of June 30, 2019. Following the Cochrane Collaboration System Evaluation Manual (version 5.1.0), two researchers independently evaluated the quality and bias risk of each article, including 22 evaluated articles. The Pedro quality score of 6 points or more was found for 86% (19/22) of these studies, of which 21 were randomized controlled trials with a total of 1199 subjects; and the trial intervention time ranged from 4 to 24 weeks. Interventions in the control group included no-intervention controls, placebo, waiting-lists, routine care, and non-sports controls. Meta-analysis was performed on the literature using RevMan 5.3 statistical software, and heterogeneity analysis was performed using Stata 14.0 software. Results: (1) Mind-body exercises significantly improved motor function in PD patients, including UPDRS (SMD = −0.61, p < 0.001), TUG (SMD = −1.47, p < 0.001) and balance function (SMD = 0.79, p < 0.001). (2) Mind-body exercises also had significant effects on depression (SMD = −1.61, p = 0.002) and QoL (SMD = 0.66, p < 0.001). (3) Among the indicators, UPDRS (I2 = 81%) and depression (I2 = 91%) had higher heterogeneity; according to the results of the separate combined effect sizes of TUG (I2 = 29%), Balance (I2 = 16%) and QoL (I2 = 35%), it shows that the heterogeneity is small; (4) After meta-regression analysis of the age limit and other possible confounding factors, further subgroup analysis showed that the reason for the heterogeneity of UPDRS motor function may be related to the sex of PD patients and severity of the disease; the outcome of depression was heterogeneous. The reason for this may be the use of specific drugs in the experiment and the duration of intervention in the trial. Conclusion: (1) Mind-body exercises were found to have significant improvements in motor function, depressive symptoms, and quality of life in patients with Parkinson’s disease, and can be used as an effective method for clinical exercise intervention in PD patients. (2) Future clinical intervention programs for PD patients need to fully consider specific factors such as gender, severity of disease, specific drug use, and intervention cycle to effectively control heterogeneity factors, so that the clinical exercise intervention program for PD patients is objective, scientific, and effective.

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Section: Updrs (Unified Parkinson's Disease Rating Scal) Rating Resultsmentioning

confidence: 99%

Section: Balance Function Score Resultsmentioning

confidence: 99%

Section: Literature Searchmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

See 2 more Smart Citations

The Impact of Mind-Body Exercises on Motor Function, Depressive Symptoms, and Quality of Life in Parkinson’s Disease: A Systematic Review and Meta-Analysis

Jin

Wang

Liu

et al. 2019

IJERPH

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“…Twenty-two of these dance studies included a control group: variously physiotherapy, [52] exercise, [53][54][55][56][57][58][59] education, [60-62] support groups, [63][64] usual care, [56,[65][66][67][68][69][70][71][72][73][74][75][76][77][78] and a waiting list control. [79] Of these, there were 14 separate randomised controlled trials. [52, 54-56, 58, 60, 62-71, 73, 76, 79-80] Across the 39 dance studies, a number of different dance styles were used.…”

Section: Resultsmentioning

confidence: 99%

A Systematic Review of Active Group-Based Dance, Singing, Music Therapy and Theatrical Interventions for Quality of Life, Functional Communication, Speech, Motor Function and Cognitive Status in People with Parkinson’s Disease

Barnish

Barran

2020

Preprint

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Background: Parkinson’s disease (PD) is a common neurodegenerative condition associated with a wide range of motor and non-motor symptoms. There has been increasing interest in the potential benefit of performing arts as a therapeutic medium in PD. While there have been previous reviews, none have considered all performing arts modalities and most have focused on dance. This systematic review examined the potential benefit of all active group-based performing arts interventions for quality of life, functional communication, speech, motor function and cognitive status. Methods: Searches were conducted in February 2020 on five scholarly databases. Supplementary searches were conducted. Included studies were quantitative in design, and assessed the potential benefit of any active group-based performing arts intervention for quality of life, functional communication, speech, motor function or cognitive status in people with PD. Full text papers were eligible for inclusion, as were conference abstracts since January 2018. Screening, data extraction, narrative synthesis and quality assessment were conducted independently by two reviewers. Quality assessment used the SURE checklists. Results: 56 studies were eligible for inclusion in this systematic review, reported in 67 publications. Published from 1989 to 2020, these studies included a total of 1531 people with PD from 12 countries, and covered four broad performing arts modalities: dance, singing, music therapy and theatre. Dance remains the most commonly studied performing arts modality for PD (38 studies), while there were 12 studies on singing interventions, four on music therapy, and only two on theatrical interventions. There was evidence for a beneficial effect of all four performing arts modalities on at least some outcome domains. Conclusions: This is the first systematic review to assess the potential benefit of all active group-based performing arts interventions in PD. The evidence suggests that performing arts may be a useful therapeutic medium in PD. However, a substantial limitation of the evidence base is that no studies compared interventions from different performing arts modalities. Moreover, not all performing arts modalities were assessed for all outcome domains. Therefore it is not currently possible to determine which performing arts modalities are most beneficial for which specific outcomes.

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Physical exercise for people with Parkinson’s disease: a systematic review and network meta-analysis

Ernst

Folkerts

Gollan

et al. 2023

Cochrane Database of Systematic Reviews

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Turo (Qi Dance) Program for Parkinson’s Disease Patients: Randomized, Assessor Blind, Waiting-List Control, Partial Crossover Study

Cited by 60 publications

References 28 publications

The Impact of Mind-Body Exercises on Motor Function, Depressive Symptoms, and Quality of Life in Parkinson’s Disease: A Systematic Review and Meta-Analysis

The Impact of Mind-Body Exercises on Motor Function, Depressive Symptoms, and Quality of Life in Parkinson’s Disease: A Systematic Review and Meta-Analysis

A Systematic Review of Active Group-Based Dance, Singing, Music Therapy and Theatrical Interventions for Quality of Life, Functional Communication, Speech, Motor Function and Cognitive Status in People with Parkinson’s Disease

Physical exercise for people with Parkinson’s disease: a systematic review and network meta-analysis

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