Journal
CLINICAL REHABILITATION
Volume 35, Issue 7, Pages 937-951Publisher
SAGE PUBLICATIONS LTD
DOI: 10.1177/0269215521990526
Keywords
Music-based movement therapy; Parkinson’ s disease; rehabilitation; meta-analysis
Categories
Funding
- Key Construction Project of Health and Family Planning Commission of Baoshan District, Shanghai [BSZK-2018-A01]
- Youth Programs of Shanghai Municipal Commission of Health and Family Planning [20184Y0179]
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The systematic review included 17 studies with 598 participants. Music-based movement therapy significantly improved motor function, balance, gait, freezing of gait, walking velocity, and mental health, but had no significant effects on gait cadence, stride length, and quality of life.
Objective: To conduct a systematic review evaluating the effects of music-based movement therapy on motor function, balance, gait, mental health, and quality of life among individuals with Parkinson's disease. Data sources: A systematic search of PubMed, Embase, Cochrane Library, Web of Science, PsycINFO, CINAHL, and Physiotherapy Evidence Database was carried out to identify eligible papers published up to December 10, 2020. Review methods: Literature selection, data extraction, and methodological quality assessment were independently performed by two investigators. Publication bias was determined by funnel plot and Egger's regression test. Trim and fill analysis was performed to adjust any potential publication bias. Results: Seventeen studies involving 598 participants were included in this meta-analysis. Music-based movement therapy significantly improved motor function (Unified Parkinson's Disease Rating Scale motor subscale, MD = -5.44, P = 0.002; Timed Up and Go Test, MD = -1.02, P = 0.001), balance (Berg Balance Scale, MD = 2.02, P < 0.001; Mini-Balance Evaluation Systems Test, MD = 2.95, P = 0.001), freezing of gait (MD = -2.35, P = 0.039), walking velocity (MD = 0.18, P < 0.001), and mental health (SMD = -0.38, P = 0.003). However, no significant effects were observed on gait cadence, stride length, and quality of life. Conclusion: The findings of this study show that music-based movement therapy is an effective treatment approach for improving motor function, balance, freezing of gait, walking velocity, and mental health for patients with Parkinson's disease.
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