有节奏的听觉刺激对帕金森病患者步态的影响:系统回顾与元分析》。

IF 1.3 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Holistic Nursing Practice Pub Date : 2024-03-01 Epub Date: 2021-06-11 DOI:10.1097/HNP.0000000000000462
Francesco Burrai, Luigi Apuzzo, Renzo Zanotti
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引用次数: 0

摘要

帕金森病是一种神经退行性疾病,65 岁以上人群中约有 2%患有此病。20 世纪 90 年代初,有节奏的听觉刺激旨在改善个人在步速、步幅和步调方面的活动能力。我们的系统综述和荟萃分析旨在总结和评估节奏性听觉刺激对帕金森病患者步速、步幅和步调影响的证据。我们对随机对照试验进行了系统回顾和荟萃分析,以确定节奏性听觉刺激对帕金森病患者的疗效。该研究共纳入了五项研究(209 名患者)。与对照组相比,节奏性听觉刺激可使步速平均提高 0.53 个标准差 (SD) 单位(95% CI,0.23 至 0.83;P = 0.0005),步长平均提高 0.51 个标准差单位(95% CI,0.18 至 0.84;P = 0.003)。由于缺乏盲法,所有试验都存在偏倚风险。证据质量较低。未发现不良事件。有节奏的听觉刺激可能会对帕金森病患者的步速和步幅产生有益影响。未来的研究应考虑进行功率分析,以招募足够数量的受试者,并将样本偏倚的风险降至最低。进一步的研究应提供所需的额外结果,以便对有节奏的听觉刺激对帕金森病患者步态的影响做出可接受的估计。
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Effectiveness of Rhythmic Auditory Stimulation on Gait in Parkinson Disease: A Systematic Review and Meta-analysis.

Parkinson disease is a neurodegenerative disease present in approximately 2% of the population older than 65 years. Rhythmic auditory stimulation in the early 1990s aimed to improve individual mobility in terms of gait speed, stride length, and cadence. Our systematic review and meta-analysis aimed to summarize and evaluate the evidence of the effects of rhythmic auditory stimulation on gait speed, stride length, and cadence in patients with Parkinson disease. A systematic review and meta-analysis of randomized controlled trials was conducted to determine the efficacy of rhythmic auditory stimulation in patients with Parkinson disease. Five studies were included in the review (209 patients). Rhythmic auditory stimulation resulted, on average, a gait speed improvement of 0.53 standard deviation (SD) units (95% CI, 0.23 to 0.83; P = .0005), a stride length improvement of 0.51 SD units (95% CI, 0.18 to 0.84; P = .003) greater than that in the control group. All trials contained a risk of bias due to a lack of blinding. The quality of evidence was low. No adverse events were identified. Rhythmic auditory stimulation may have a beneficial effect on gait speed and stride length in patients with Parkinson disease. Future studies should consider a power analysis to recruit an adequate number of subjects and minimize the risk of sample bias. Further research should provide the additional results required for an acceptable estimate of the effects of rhythmic auditory stimulation on gait in patients with Parkinson disease.

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来源期刊
Holistic Nursing Practice
Holistic Nursing Practice INTEGRATIVE & COMPLEMENTARY MEDICINE-NURSING
CiteScore
1.90
自引率
7.70%
发文量
120
期刊介绍: Holistic Nursing Practice (HNP), The Science of Health and Healing, is a peer-reviewed bimonthly journal that explores holistic models of nursing practice. Content emphasizes complementary traditional and holistic nursing and healthcare practices. Articles include theory-based interventions and their outcomes, including: innovations in holistic nursing practice; research related to holistic nursing practice, health care, and policy; and values and ethical-legal issues related to holistic nursing practices. The holistic approach is a worldview that emphasizes the potential for health and healing in human systems rather than on disease process and deficit.
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