Abstract
Objective To evaluate the outcomes of face-to-face, digital, and virtual modes of dancing for people living with Parkinson's disease (PD). Design Systematic review informed by Cochrane and PRIMSA guidelines. Data Sources. Seven electronic databases were searched: AMED, Cochrane, PEDro, CINHAL, PsycINFO, EMBASE, and MEDLINE. Methods Eligible studies were randomised controlled trials (RCT) and other trials with quantitative data. The PEDro scale evaluated risk of bias for RCTs. Joanna Briggs Institute instruments were used to critically appraise non-RCTs. The primary outcome was the feasibility of dance interventions, and the secondary outcomes included gait, balance, quality of life, and disability. Results The search yielded 8,327 articles after duplicates were removed and 38 met the inclusion criteria. Seven were at high risk of bias, 20 had moderate risk of bias, and 11 had low risk of bias. There was moderately strong evidence that dance therapy was beneficial for balance, gait, quality of life, and disability. There was good adherence to digital delivery of dance interventions and, for people with PD, online dance was easy to access. Conclusion Dancing is an accessible form of exercise that can benefit mobility and quality of life in people with PD. The COVID-19 pandemic and this review have drawn attention to the benefits of access to digital modes of physical activity for people living with chronic neurological conditions.
Highlights
Parkinson’s disease (PD) is a debilitating and progressive condition that currently has no cure
People living with PD can experience movement disorders and nonmotor symptoms that compromise their levels of physical activity [1] and quality of life [2,3,4,5]
For progressive conditions such as PD, it is recommended that a range of therapeutic exercises is available, to maintain long-term exercise adherence and compliance [1, 14]. ere is evidence that people in the early to midstages of Parkinson’s can benefit from progressive resistance strength training [8, 15, 16], cueing [10,15], aqua therapy [17], physiotherapy [18, 19], aerobic exercises [20], Nordic walking [21], community walking [22], assisted cycling [23], boxing [24], and tai chi [25]. erapeutic dancing is another option, given that it is engaging and can be done in groups or individually [26,27,28]
Summary
To evaluate the outcomes of face-to-face, digital, and virtual modes of dancing for people living with Parkinson’s disease (PD). Seven electronic databases were searched: AMED, Cochrane, PEDro, CINHAL, PsycINFO, EMBASE, and MEDLINE. E PEDro scale evaluated risk of bias for RCTs. Joanna Briggs Institute instruments were used to critically appraise non-RCTs. e primary outcome was the feasibility of dance interventions, and the secondary outcomes included gait, balance, quality of life, and disability. Ere was moderately strong evidence that dance therapy was beneficial for balance, gait, quality of life, and disability. Dancing is an accessible form of exercise that can benefit mobility and quality of life in people with PD. E COVID-19 pandemic and this review have drawn attention to the benefits of access to digital modes of physical activity for people living with chronic neurological conditions Dancing is an accessible form of exercise that can benefit mobility and quality of life in people with PD. e COVID-19 pandemic and this review have drawn attention to the benefits of access to digital modes of physical activity for people living with chronic neurological conditions
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