为中风恢复开设力量训练:随机对照试验的系统审查和元分析
Kenneth S Noguchi1, Kevin Moncion1, Elise Wiley1
1School of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
British journal of sports medicine
|October 15, 2024
概括
力量训练显著改善了关键的中风恢复结果,如步行和平衡. 调整炼的频率和强度,特别是关注功率,可以提高康复的有效性.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 运动科学 运动科学
背景情况:
- 脑卒中恢复是一个复杂的过程,需要有效的康复策略.
- 对患者重要的结果对于指导有效干预至关重要.
- 力量训练是改善中风后功能的一种潜在方式.
研究的目的:
- 评估力量训练对关键中风恢复结果的影响.
- 为了确定运动处方参数如何影响治疗疗效.
主要方法:
- 随机对照试验的系统审查和元分析.
- 搜索了8个数据库和2个临床试验注册表,截至2024年6月.
- 包括试验比较力量训练与常规护理或不运动,报告运动参数.
主要成果:
- 42项试验 (N=2204) 显示,力量训练改善了步行能力,平衡和移动性.
- 在习惯性和快节奏步行速度中观察到的好处.
- 由于偏差和不一致性,证据确定性低至中等;然而,频率和功率集中强度等特定参数显示出积极的关联.
结论:
- 力量训练,单独或与通常的护理,增强患者重要的中风恢复结果.
- 通过增加频率,传统设计和以功率为中心的强度来优化力量训练可能会最大限度地提高恢复效益.
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