Effectiveness of music-based interventions for cognitive rehabilitation in Parkinson's disease: a systematic review of randomized controlled clinical trials.
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Abstract
Background: Music-based interventions are promising for cognitive rehabilitation in Parkinson's disease; however, systematic reviews covering the topic are scarce.
Objective: To analyze the effectiveness of music-based interventions for cognitive rehabilitation in PD.
Method: Systematic review study based on PRISMA criteria. The descriptors Parkinson's disease, Parkinson's disease, idiopathic Parkinson's disease, music-based interventions, music therapy, music training, auditory stimulation, music, rhythm, rhythmic, cognition, and cognitive were used. Five databases were searched PubMed/MEDLINE, PsycInfo, Scopus, Web of Science, and Cochrane in May 2022. Only randomized controlled trials with no limit on publication date or language were included. Risk of bias was assessed following Cochrane Collaboration criteria for development of systematic intervention reviews.
Results: Nine hundred nineteen articles were found by the descriptors; 266 were excluded for being repeated; 650 for not meeting the inclusion criteria. The remaining three articles were included and analyzed. The interventions consisted of practices with emphasis on rhythm and were conducted in groups. Risks of important biases were observed, such as lack of blinding in the allocation of participants and in the assessment of outcomes, as well as incomplete data for some outcomes.
Conclusion: Overall, the results showed no evidence of efficacy of music-based interventions for cognitive outcomes in PD.
背景:以音乐为基础的干预对帕金森病的认知康复是有希望的;然而，涉及该主题的系统综述很少。目的:分析音乐干预对帕金森病患者认知康复的效果。方法:基于PRISMA标准的系统综述研究。描述词包括帕金森病、帕金森病、特发性帕金森病、音乐干预、音乐治疗、音乐训练、听觉刺激、音乐、节奏、节奏、认知和认知。在2022年5月检索了PubMed/MEDLINE、PsycInfo、Scopus、Web of Science和Cochrane 5个数据库。只纳入了没有发表日期或语言限制的随机对照试验。根据Cochrane协作系统干预评价标准评估偏倚风险。结果:描述符共检索到919篇文献;266项因重复被排除;650分，不符合入选标准。剩下的三篇文章被纳入并分析。干预措施包括强调节奏的练习，并以小组为单位进行。观察到重要偏差的风险，例如在参与者分配和结果评估中缺乏盲法，以及某些结果的数据不完整。结论:总体而言，结果显示没有证据表明基于音乐的干预对PD的认知结果有效。
期刊介绍：
Psicologia: Reflexão & Crítica is a journal published three times a year by Programa de Pós-Graduação em Psicologia do Desenvolvimento (Psychology Graduate Program) of the Universidade Federal do Rio Grande do Sul - UFRGS (Federal University of Rio Grande do Sul). Its objective is to publish original works in the psychology field: articles, short reports on research and reviews as well as to present to the scientific community texts which reflect a significant contribution for the psychology field. The short title of the journal is Psicol. Refl. Crít. It must be used regarding bibliographies, footnotes, as well as bibliographical strips and references.
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