舞蹈改善轻度认知障碍老年人认知功能和平衡能力的系统综述

doi:10.3969/j.issn.1006-9771.2021.12.008

《中国康复理论与实践》 ›› 2021, Vol. 27 ›› Issue (12): 1430-1436.doi: 10.3969/j.issn.1006-9771.2021.12.008

• 专题身体活动与健康及ICF应用 • 上一篇下一篇

舞蹈改善轻度认知障碍老年人认知功能和平衡能力的系统综述

温柔^1a(),陈婷婷^1b

1.北京舞蹈学院,a.人文学院；b.教育学院,北京市 100081

收稿日期:2021-11-09 修回日期:2021-12-03 出版日期:2021-12-25 发布日期:2021-12-29
通讯作者: 温柔 E-mail:wenrou@bda.edu.cn
作者简介:温柔(1966-),女,汉族,吉林长春市人,博士,教授,主要研究方向：舞蹈科学,舞蹈健康促进。
基金资助:
1.教育部首批新文科研究与改革实践项目(2021060016);2.北京市教委创新能力提升计划项目(TSJH20161005101);3.北京市自然科学基金项目(5214029);3.北京市自然科学基金项目(5212002)

Effect of Dance Intervention on Cognitive Function and Balance Function in Elderly with Mild Cognitive Impairment: A Systematic Review

WEN Rou^1a(),CHEN Ting-ting^1b

1. a. School of Humanities; b. School of Education, Beijing Dance Academy, Beijing 100081, China

Received:2021-11-09 Revised:2021-12-03 Published:2021-12-25 Online:2021-12-29
Contact: WEN Rou E-mail:wenrou@bda.edu.cn
Supported by:
The First Batch of New Liberal Arts Research and Reform Practice Projects of the Ministry of Education of China(2021060016);Innovation Capability Improvement Project of Beijing Municipal Education Commission(TSJH20161005101);Beijing Natural Science Foundation(5214029);Beijing Natural Science Foundation(5212002)

摘要/Abstract

摘要：

目的系统综述舞蹈对轻度认知障碍(MCI)老年人认知功能和平衡能力的干预效果。方法检索Cochrane图书馆、PubMed、CBM、Web of Science、Embase、中国知网、维普、万方等数据库,收集建库至2021年6月7日公开发表的关于舞蹈干预对轻度认知障碍老年人认知功能和平衡能力影响的随机对照试验研究,通过Cochrane偏倚风险评估工具对文献质量进行评价。结果最终纳入英文文献6篇,中文文献2篇,均为随机对照试验,整体研究质量较高。舞蹈干预组的简易精神状态检查(MMSE)、蒙特利尔认知评估量表(MoCA)评分显著高于对照组,在韦氏记忆量表(WMS)、连线测试(TMT)-B和言语流畅性任务中成绩优于对照组,但是对执行功能TMT-A反应时的改善效果不明显。舞蹈干预有助于提高MCI老年人的Berg平衡量表评分。结论舞蹈干预显著改善轻度认知障碍老年人的整体认知功能、记忆功能、执行功能和平衡能力。

关键词: 舞蹈, 轻度认知障碍, 认知功能, 平衡能力, 系统综述

Abstract:

Objective To explore the effect of dance intervention on the cognitive function and balance function in the elderly with mild cognitive impairment and its possible mechanism through systematic review of related literatures.Methods The literatures of randomized controlled trials on the impact of dance intervention on the cognitive function and balance function of the elderly with mild cognitive impairment were searched in the Cochrane library, PubMed, CBM, Web of Science, EMBASE, CNKI, VIP, Wanfang data and other databases, from establishment to June 7th, 2021. Two researchers screened the literature according to the inclusion and exclusion criteria, extracted data, and evaluated the quality.Results The scores of Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) were better in the dance intervention experimental group than in the control group, as well as the scores of Wechsler Memory Scale (WMS), Trail Making Test (TMT)-B and Verbal Fluency Test. However, no significant difference was found in the response time in TMT-A between two groups. Dance intervention could improve the scores of Berg Balance Scale.Conclusion Dance intervention can improve overall cognitive function, memory function, executive function and balance function of the elderly with mild cognitive impairment.

Key words: dance, mild cognitive impairment, cognitive function, balance function, systematic review

中图分类号:

温柔,陈婷婷. 舞蹈改善轻度认知障碍老年人认知功能和平衡能力的系统综述[J]. 《中国康复理论与实践》, 2021, 27(12): 1430-1436.

WEN Rou,CHEN Ting-ting. Effect of Dance Intervention on Cognitive Function and Balance Function in Elderly with Mild Cognitive Impairment: A Systematic Review[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(12): 1430-1436.

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参考文献 47

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纳入文献	国家	n (T/C)	年龄 (岁,T/C)	干预方案		频率	结局指标
纳入文献	国家	n (T/C)	年龄 (岁,T/C)	C	T	频率	结局指标
贾新建^[11](2017)	中国	23/23	(65.47±5.21)/(64.51±5.38)	药物	广场舞+药物	每次40~60 min,每周7次,共9周	MMSE
费晓艳等^[12](2020)	中国	41/41	65~85	健康教育	体育舞蹈+虚拟视频舞蹈游戏	每次60 min,每周3次,共6个月	MMSE、TMT、BBS
Zhu等^[13](2018)	中国	27/27	69.6±7.0	常规护理	有氧舞蹈+常规护理	每次35 min,每周3次,共3个月	MoCA、TMT、WMS
Qi等^[14](2019)	中国	16/16	(70.6±6.2)/ (69.1±8.1)	常规护理	有氧舞蹈	每次35 min,每周3次,共3个月	MMSE、TMT、WMS、BBS
Doi等^[15](2017)	日本	55/63	(75.7±4.1)/ (76.0±4.9)	健康教育	体育舞蹈	每周60 min,共40周	MMSE、TMT
Bisbe等^[16](2020)	西班牙	17/14	(72.88±5.60)/(77.29±5.16)	多模式运动训练	有氧舞蹈	每次60 min,每周2次,共3个月	MMSE、TMT、VFT、WMS、BBS
Lazarou等^[17](2017)	希腊	66/63	66.8±10.1	不干预	体育舞蹈	每次60 min,每周2次,共10个月	MMSE、FAS
Wang等^[18](2020)	中国	33/33	81.06±6.36	不干预	广场舞	每次40 min,每周3次,共12个月	MMSE、BBS

人群(P)	干预方式(I)		比较(C)	结局(O)
MCI老年人	广场舞^[11,18]	以强身健体和愉悦身心为主要目的,具有多元舞蹈内容和表演风格的集体性舞蹈活动	不干预或药物治疗	改善整体认知功能; 提高平衡能力
	体育舞蹈^[12,15,17]	又称国际标准交谊舞,是一种舞步规范的双人互动舞蹈	不干预或健康教育	改善整体认知功能; 提高平衡能力; 提升执行功能和言语流畅性
	有氧舞蹈^[13-14,16]	配合音乐有节奏地舞动的有氧运动,是舞蹈与健美操的有机结合	常规护理或运动训练	改善整体认知功能; 提高平衡能力; 强化情景记忆、言语再认和视觉记忆; 提升执行功能和言语流畅性

纳入文献	随机序列产生	分配隐藏	研究者和受试者施盲	研究结局盲法评价	结局数据的完整性	选择性报告研究结果	其他偏倚	评分
贾新建^[11](2017)	+	?	-	?	+	+	+	4
费晓艳等^[12](2020)	+	?	-	?	+	+	+	4
Zhu等^[13](2018)	+	+	-	+	+	+	+	6
Qi等^[14](2019)	+	+	-	+	+	+	+	6
Doi等^[15](2017)	+	?	-	+	+	+	-	4
Bisbe等^[16](2020)	+	+	+	+	+	+	+	7
Lazarou等^[17](2017)	+	+	-	+	+	+	+	6
Wang等^[18](2020)	+	+	+	+	+	+	+	7

舞蹈改善轻度认知障碍老年人认知功能和平衡能力的系统综述

Effect of Dance Intervention on Cognitive Function and Balance Function in Elderly with Mild Cognitive Impairment: A Systematic Review

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