摘要
AIM: To summarize the evidence from randomized controlled trials(RCTs) on the rehabilitation effects of recreational activities.METHODS: 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 outcomes.CONCLUSION: There is a potential for recreational activities to improve rehabilitation-related outcomes, particularly in psychological status, balance or motor function, and adherence.
AIM： To summarize the evidence from randomized con-trolled trials （RCTs） on the rehabilitation effects of recre-ational activities.METHODS： Studies were eligible if they were RCTs. Studies included one treatment group in which recre-ational activity was applied. We searched the following databases from 1990 to May 31, 2012： MEDLINE via PubMed, CINAHL, Web of Science, and Ichushi-Web. We also searched all Cochrane Databases and Camp-bell 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 inter-vention 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 sig-nificant difference between interventions and controls. In all other interventions, there were one or more ef-fects on psychological status, balance or motor func-tion, and adherence as primary or secondary outcomes.CONCLUSION： There is a potential for recreational activities to improve rehabilitation-related outcomes, particularly in psychological status, balance or motor function, and adherence.
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
