基于运动的干预措施,针对COPD患者的平衡和跌倒:系统性审查和元分析
Kirsti J Loughran1, Jonathan Emerson1, Leah Avery1
1School of Health and Life Sciences, Teesside University, Middlesbrough, UK.
概括
运动干预措施对改善COPD患者平衡的证据很弱,尽管有针对性的平衡训练提供了最大的益处. 未来的计划应该包含有希望的行为改变技术,以获得更好的结果.
科学领域:
- 肺部康复治疗 肺部康复治疗
- 老年学是一门学科.
- 运动科学 运动科学
背景情况:
- 慢性阻塞性肺病 (COPD) 显著影响患者的平衡,增加了跌倒的风险.
- 基于运动的干预措施正在探索,以减轻这些影响.
- 量化这些干预措施的平均治疗效果对于临床实践至关重要.
研究的目的:
- 系统地审查和量化基于运动的干预措施对COPD患者平衡和跌倒风险的有效性.
- 探索个体间反应差异和行为改变技术 (BCT) 的作用.
主要方法:
- 在八个数据库中进行了全面的文献搜索 (2000-2023年),确定了相关的研究.
- 包括的干预措施是基于运动的,持续至少14天.
- 针对五项或以上研究报告的结果,计算了聚合平均治疗效果和预测间隔.
主要成果:
- 分析了34项研究 (n=1712),显示了诸如伯格平衡量级 (BBS),定时和移动 (TUG) 测试,单腿姿势 (SLS) 测试和特定活动平衡信心 (ABC) 等平衡指标的改善.
- 对落的影响仍然未确定.
- 与其他运动类型相比,平衡训练干预措施在BBS和TUG分数上取得了更大的改善.
结论:
- 目前的证据表明,运动干预措施对COPD患者临床重要平衡改善的影响很小.
- 有针对性的平衡训练显示出最显著的好处.
- 未来的干预措施可以通过整合确定有前途的BCT来加强.
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