脊柱动员对中风患者身体功能的影响:系统性审查和元分析
Jie Hao1,2, Yao Yao3, Andréas Remis4
1Department of Physical Therapy and Rehabilitation, Southeast Colorado Hospital, 81073, Springfield, CO, USA. jie.hao.unmc@outlook.com.
概括
与传统治疗相比,脊柱动员显著改善了中风患者的前进头部姿势. 虽然其他身体功能结果没有显著差异,但这项技术可能有助于在康复期间解决姿势障碍.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 物理疗法物理治疗
背景情况:
- 脑卒中经常导致身体功能障碍,包括姿势缺陷.
- 有效的康复策略对于优化中风幸存者的康复和生活质量至关重要.
研究的目的:
- 系统地审查和综合有关脊柱动员对中风患者身体功能影响的证据.
- 批判性地评估调查脊柱动员干预的随机对照试验 (RCT).
主要方法:
- 在PubMed,Embase和Scopus数据库中进行了系统的搜索,截至2024年3月15日.
- 包括的RCT比较了脊柱动员与传统治疗.
- 使用物理治疗证据数据库 (PEDro) 尺度评估方法质量,并进行了元分析.
主要成果:
- 包括9个带有294名中风患者的RCT,全部被评为质量良好.
- 与传统治疗相比,脊柱动员显著改善了前进头部姿势 (SMD: 1.00, p < 0.001).
- 在强迫生命能力,强迫呼吸量,平衡,步行速度或干功能方面没有发现显著差异.
结论:
- 宫动员有望改善中风患者的前置头部姿势.
- 脊柱动员可以被视为一种辅助疗法,用于在中风康复中解决姿势障碍.
- 进一步的研究可以探索其对身体功能和长期结果的更广泛影响.
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