积极物理治疗对中风幸存者的身体活动水平的影响:系统性审查和元分析
Stéphanie Goncalves1, Morgane Le Bourvellec2, Stéphane Mandigout1,3
1HAVAE, Limoges University, Department of Physical Activity and Sport Sciences, UR20217, F-87000, France (S.G., S.M.).
Stroke
|November 1, 2023
概括
积极的物理治疗可以促进中风幸存者的身体活动. 然而,支持这一说法的证据目前的确定性非常低,需要进一步调查.
科学领域:
- 康复医学 康复医学 康复医学
- 物理疗法物理治疗
- 神经学 神经学
背景情况:
- 卒中幸存者经常表现出身体活动水平的降低.
- 有限的证据表明,积极的物理治疗在加强中风后的身体活动方面有效.
研究的目的:
- 系统地审查和元分析随机对照试验 (RCT),评估活性物理治疗对中风幸存者的身体活动的影响.
主要方法:
- 进行了RCT的系统审查和元分析,搜索到2022年3月16日的电子数据库.
- 包括的研究集中在社区居住的中风幸存者接受活跃的物理治疗,测量客观和主观的身体活动水平.
主要成果:
- 包括25个RCT (21个有数据,1834名参与者) 在内. 活跃物理治疗对整体体力活动产生了小但显著的影响 (SMD=0.22),对客观措施产生了中等影响 (SMD=0.48).
- 超回归表明测量工具和参与者的年龄解释了显著的差异,而运动剂量和残疾严重程度没有.
结论:
- 积极的物理治疗似乎在社区居住的中风幸存者中适度增加了客观的身体活动.
- 这些证据的确定性被评为非常低,需要谨慎的解释和进一步的高质量研究.
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