Effectiveness of rehabilitation based on recreational activities:A systematic review

作     者：Hiroharu Kamioka Kiichiro Tsutani Minoru Yamada Hyuntae Park Hiroyasu Okuizumi Takuya Honda Shinpei Okada Sang-Jun Park Jun Kitayuguchi Shuichi Handa Yoshiteru Mutoh 

作者机构：Faculty of Regional Environment ScienceTokyo University of Agriculture Tokyo 156-8502 Japan Department of Drug Policy and ManagementGraduate School of Pharmaceutical Sciences University of TokyoTokyo 113-0033 Japan Human Health Sciences Kyoto University Graduate School of Medicine Kyoto 606-8507 Japan Department of Functioning Activation National Center for Geriatrics and Gerontology Aichi 474-8511 Japan Mimaki Onsen(Spa) Clinic Nagano 389-0402 Japan Japan Society for Promotion of Science Kyoto 619-0288 Japan Physical Education and Medicine Research Foundation Nagano 389-0402 Japan Physical Education and Medicine Research Center Unnan Shimane 690-2404 Japan Research Institute of Nippon Sport Science University Tokyo 158-0081 Japan 

出 版 物：《World Journal of Meta-Analysis》 (世界荟萃分析杂志)

年 卷 期：2013年第1卷第1期

页      面：27-46页

学科分类：0710[理学-生物学] 12[管理学] 1204[管理学-公共管理] 120402[管理学-社会医学与卫生事业管理(可授管理学、医学学位)] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 10[医学] 

基　　金：Supported by Grant-in-Aid for Scientific Research(C)from the Ministry of Education Culture Sports Science and Technology(MEXT) Japan No.23500817 

主　　题：Recreation activities Randomized controlled trial Rehabilitation effect 

摘      要：AIM: To summarize the evidence from randomized controlled trials(RCTs) on the rehabilitation effects of recreational ***: Studies were eligible if they were RCTs. Studies included one treatment group in which recreational activity was applied. We searched the following databases from 1990 to May 31, 2012: MEDLINE via Pub Med, CINAHL, Web of Science, and Ichushi-Web. We also searched all Cochrane Databases and Campbell Systematic Reviews up to May 31, 2012. RESULTS: Eleven RCTs were identified, which included many kinds of target diseases and/or symptoms such as stroke, dementia, Parkinson s disease, acquired brain injury,chronic non-malignant pain, adolescent obesity, high-risk pregnancy, and the frail elderly. Various intervention methods included gaming technology, music, dance, easy rider wheelchair biking, leisure education programs, and leisure tasks. The RCTs conducted have been of relatively low quality. A meta-analysis(pooled sample; n = 44, two RCTs) for balance ability using tests such as Berg Balance Scale and Timed Up and Go Test based on game intervention revealed no significant difference between interventions and controls. In all other interventions, there were one or more effects on psychological status, balance or motor function, and adherence as primary or secondary ***: There is a potential for recreational activities to improve rehabilitation-related outcomes, particularly in psychological status, balance or motor function, and adherence.