Abstract：
Dance as a non-pharmacological therapy is commonly used in dementia care, although the evidence of its effects remains unclear. This study systematically reviewed the effects of dance interventions on neuropsychiatric symptoms (NPS) in people living with dementia. To systematically identify and evaluate dance interventions, a standardized terminology for Dance-Specific Activity (DSA) is proposed.
Literature search was conducted on electronic databases until April 30th 2021. Studies were included when they quantified the effects of DSA on NPS in people with clinical diagnosis of dementia. Included studies were analyzed in detail for NPS. Study quality was assessed by PEDro scale (German version).
4 studies were included. The studies differed in study design, intervention protocols, dance styles, or measurement tools, and were generally of low study quality. Two trials showed improvements in NPS and 2 trials showed no exacerbation of NPS after DSA.
The results of the 4 available trials indicate a positive tendency towards the effects of DSA, but considering the limitations of the few available studies, a clear statement about the effects of DSA is not possible yet. Based on the included trials, the following implications for clinical research and routine care can be derived: (1) DSA seems to be a practical terminology for identifying dance interventions (2) DSA seems to be a safe intervention for people living with dementia. (3) Different dance styles can be used. (4) DSA approaches should be better structured by differentiating between the domains type, content, intention, and protocol of the intervention.
Literature search was conducted on electronic databases until April 30th 2021. Studies were included when they quantified the effects of DSA on NPS in people with clinical diagnosis of dementia. Included studies were analyzed in detail for NPS. Study quality was assessed by PEDro scale (German version).
4 studies were included. The studies differed in study design, intervention protocols, dance styles, or measurement tools, and were generally of low study quality. Two trials showed improvements in NPS and 2 trials showed no exacerbation of NPS after DSA.
The results of the 4 available trials indicate a positive tendency towards the effects of DSA, but considering the limitations of the few available studies, a clear statement about the effects of DSA is not possible yet. Based on the included trials, the following implications for clinical research and routine care can be derived: (1) DSA seems to be a practical terminology for identifying dance interventions (2) DSA seems to be a safe intervention for people living with dementia. (3) Different dance styles can be used. (4) DSA approaches should be better structured by differentiating between the domains type, content, intention, and protocol of the intervention.
摘要：
目的：舞蹈作为一种非药物治疗常用于痴呆治疗，尽管其影响的证据尚不清楚。这项研究系统地回顾了舞蹈干预对痴呆症患者神经精神症状（NPS）的影响。为了系统地识别和评估舞蹈干预措施，提出了舞蹈特定活动（DSA）的标准化术语。
方法：文献检索在电子数据库上进行，直到2021年4月30日。当他们量化DSA对临床诊断为痴呆的人的NPS的影响时，包括研究。对纳入的研究进行了详细的NPS分析。采用PEDro量表(德文版)评估研究质量。
结果：纳入4项研究。这些研究在研究设计上有所不同，干预协议，舞蹈风格,或测量工具，并且研究质量普遍较低。两项试验显示NPS改善，两项试验显示DSA后NPS没有恶化。
结论：4项现有试验的结果表明，DSA的作用有积极的趋势，但是考虑到少数可用研究的局限性，关于DSA的影响的明确声明是不可能的。根据纳入的试验，可以得出以下对临床研究和常规治疗的启示:(1)DSA似乎是识别舞蹈干预的实用术语(2)DSA似乎是痴呆患者的安全干预措施.（3）可以使用不同的舞蹈风格。(4)DSA方法应该通过区分域类型来更好地构建，内容,意图,和干预方案。
方法：文献检索在电子数据库上进行，直到2021年4月30日。当他们量化DSA对临床诊断为痴呆的人的NPS的影响时，包括研究。对纳入的研究进行了详细的NPS分析。采用PEDro量表(德文版)评估研究质量。
结果：纳入4项研究。这些研究在研究设计上有所不同，干预协议，舞蹈风格,或测量工具，并且研究质量普遍较低。两项试验显示NPS改善，两项试验显示DSA后NPS没有恶化。
结论：4项现有试验的结果表明，DSA的作用有积极的趋势，但是考虑到少数可用研究的局限性，关于DSA的影响的明确声明是不可能的。根据纳入的试验，可以得出以下对临床研究和常规治疗的启示:(1)DSA似乎是识别舞蹈干预的实用术语(2)DSA似乎是痴呆患者的安全干预措施.（3）可以使用不同的舞蹈风格。(4)DSA方法应该通过区分域类型来更好地构建，内容,意图,和干预方案。
