Efetividade da dança na funcionalidade de crianças e adolescentes com deficiência: uma revisão sistemática

Abstract

Introduction: The health of children and adolescents with disabilities can be affected in all domains of functionality proposed by the International Classification of Functioning, Disability and Health (ICF). The first years of life are essential to initiate therapeutic programs for these individuals in order to increasingly integrate activity/participation components associated with body structures and functions. Existing research suggests that dance provides benefits in body structures and functions, such as balance and cardiorespiratory fitness, but the effectiveness of dance in different domains of functionality of children with disabilities is unclear. Objectives: To investigate the effectiveness of dance in the functionality of children and adolescents with disabilities. Methods: A systematic review of randomized clinical trials (RCTs) was performed. A comprehensive search of articles was carried out in the CINAHL, EMBASE, Pubmed, PEDro and Scielo databases between January and February 2022, without language or date restrictions. Methodological quality and certainty of evidence were assessed using the PEDro and GRADE scales, respectively. Results: 5 RCTs involving 134 participants, aged 5 to 29 years, were included. The methodological quality of the studies was, on average, 5.8 points on the PEDro Scale. The effect of dance when compared to other interventions was significant for cognitive function outcomes, ROM gain, improvement in functional independence, gross motor function and social participation (p<0.05). Dancing was not effective for balance and motor planning outcomes (p>0.05). The quality of evidence was considered moderate to low. Conclusion: This review provides the most up-to-date evidence on the effectiveness of dance in different domains of functionality in children and adolescents with disabilities. Larger and more controlled studies are still needed.