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Creative versus repetitive dance therapies to reduce the impact of fibromyalgia and pain: A systematic review and meta-analysis
Institution:1. Faculty of Sport Science, University of Extremadura, Extremadura, Spain;2. Centre for Sport Studies, Rey Juan Carlos University, Fuenlabrada, Madrid, Spain;1. Whole Health Service, Health Care System, VA Salt Lake City, 500 Foothill Blvd, Salt Lake City, UT, 84148, USA;2. Department of Nutrition and Integrative Physiology, University of Utah, Salt Lake City, UT, 84108, USA;3. Department of Psychiatry, University of Utah School of Medicine, Salt Lake City, UT, 84108, USA;4. Division of Vascular Surgery, University of Utah School of Medicine, Salt Lake City, UT, 84108, USA;1. Department of OB/GYN, Thomas Jefferson University, 1233 Locust St. Philadelphia, PA, 19107, USA;2. Department of Behavioral Health and Nutrition, University of Delaware, Newark, DE, 19716, USA;3. Department of Obstetrics & Gynecology, Thomas Jefferson University, 1233 Locust St. Philadelphia, PA, 19107, USA;4. Delaware County Community Health, Philadelphia, PA, 19130, USA;5. Department of Obstetrics, Gynecology, and Psychiatry, Thomas Jefferson University, 1233 Locust St, PA 19107, Philadelphia, PA, 19107, USA;6. Professor of Obstetrics, Gynecology and Pediatrics, Director of Maternal Addiction Treatment, Education and Research (MATER), 1233 Locust St Philadelphia, PA, 19107, USA;1. Ondokuz Mayis University, Faculty of Health Sciences, Samsun, Türkiye;2. Istanbul University-Cerrahpasa, Florence Nightingale Faculty of Nursing, Istanbul, Türkiye;3. Ondokuz Mayis University, Faculty of Medicine, Department of Neurology, Samsun, Turkey;1. Children''s Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, 1100 Bates Avenue, Houston, TX, 77030, USA;2. Center for Health Promotion and Disease Prevention, Edson College of Nursing and Health Innovation, Arizona State University, 500 N. 3rd Street, Phoenix, AZ, 85004, USA;3. School of Geographical Sciences and Urban Planning, Arizona State University, 975 S. Myrtle Ave, Tempe, AZ, 85287, USA
Abstract:Background and purposePhysical exercise is one of the most effective interventions to reduce fibromyalgia symptoms. Previous studies have reported benefits of dance-based intervention on the fibromyalgia impact, health-related quality of life and pain, regardless the interventions were based on creative- or repetitive dance. This study aimed to compare the effectiveness of creative and repetitive dance interventions.MethodsPRISMA guidelines were followed in this systematic review. The Cochrane Library, PubMed, Trip, Google Scholar, Web of Science (WOS), Embase and Scopus databases were selected to identify potential articles. Studies were included if they met the following inclusion criteria: to be a clinical trial or a randomized controlled trial, include people with fibromyalgia, have a comparison group and evaluate the impact of the disease, pain or quality of life. Fifteen articles fulfilled the inclusion criteria. The methodological quality of the studies was assessed using the Cochrane Collaboration's tool.ResultsDance-based interventions significantly reduced fibromyalgia impact (standardized mean difference = ?0.69), pain (standardized mean difference = ?0.70 and increased quality of life (standardized mean difference = 0.43) of people with fibromyalgia. The effectiveness of dance interventions is increased when a creative component is added, since it can lead to higher improvements in pain, impact of the disease and improving quality of life.ConclusionDance-based interventions are significantly effective in reducing the impact of fibromyalgia, pain as well as increasing health-related quality of life. Subgroup analyses suggest that creative dance-based interventions could be more effective than repetitive dance-based interventions to reduce pain and fibromyalgia impact. However, results must be taken with caution due to the large heterogeneity and the small number of articles.
Keywords:Art therapy  Creativity  Dance therapy  Fibromyalgia  Pain  FM"}  {"#name":"keyword"  "$":{"id":"pc_SOrncViF7o"}  "$$":[{"#name":"text"  "_":"Fibromyalgia  FIQ"}  {"#name":"keyword"  "$":{"id":"pc_ERsupRNcXg"}  "$$":[{"#name":"text"  "_":"Fibromyalgia Impact Questionnaire  HRQoL"}  {"#name":"keyword"  "$":{"id":"pc_9RyMuMjJS0"}  "$$":[{"#name":"text"  "_":"Health-Related Quality of Life  PRISMA"}  {"#name":"keyword"  "$":{"id":"pc_ygZZwe7o8c"}  "$$":[{"#name":"text"  "_":"Preferred Reporting Items for Systematic reviews and Meta-Analyses  RCTs"}  {"#name":"keyword"  "$":{"id":"pc_KWA7iwzr4B"}  "$$":[{"#name":"text"  "_":"Randomized Controlled Trials  SMD"}  {"#name":"keyword"  "$":{"id":"pc_PszSkpv8f7"}  "$$":[{"#name":"text"  "_":"Standardized Mean Difference  VAS"}  {"#name":"keyword"  "$":{"id":"pc_fnDDcI0jeW"}  "$$":[{"#name":"text"  "_":"Visual Analogue Scale
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