倒行训练在改善中风后的行走速度方面同样有效或比前行训练更好:通过元分析进行系统审查
Kênia Kp Menezes1, Patrick R Avelino1, Louise Ada2
1NeuroGroup, Discipline of Physiotherapy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Topics in stroke rehabilitation
|November 25, 2024
概括
倒行训练显示类似或更好的结果比前行改善行走速度中风后. 将向后行走添加到前行走提供了最小的好处,长期影响是不确定的.
科学领域:
- 神经康复疗法 神经康复疗法
- 生物力学 生物力学
- 物理疗法物理治疗
背景情况:
- 卒中幸存者经常经历受损的行走能力.
- 前行是一种常见的康复策略.
- 倒行训练对中风恢复的潜在益处是不太了解的.
研究的目的:
- 为了比较向后行走训练与向前行走训练对中风幸存者的行走能力的影响.
- 调查将前后行走训练与后后行走训练相结合是否能提高结果.
- 评估干预期后维持福利的情况.
主要方法:
- 随机对照试验的系统审查,涉及成人中风幸存者.
- 干预措施包括向后行走训练作为独立或与前行走的联合治疗.
- 结果措施集中在步行速度,节奏和步伐长度上.
主要成果:
- 与前行相比,倒行训练对行走速度 (MD 0.16 m/s) 产生了类似或更好的影响.
- 节奏和步伐长度的结果是不准确的.
- 将向后行走添加到前行走时,可以忽略速度,节奏和步伐长度的微不足道改善.
结论:
- 与前行相比,倒行训练提供了中等质量的证据,可以略微改善中风后的行走速度.
- 在向前行走中添加倒行走提供了最小的额外好处.
- 需要进一步的大规模,精心设计的试验,特别是在亚急性阶段,以巩固反向行走训练有效性的证据.
相关概念视频
01:27Exercise and Muscle Performance
Exercise induces a range of adaptations in muscle tissue, depending on the type and duration of activity. Such physical training can be broadly categorized into two types: endurance exercises and resistance exercises.
Endurance exercises
Endurance exercises involve running, swimming, or cycling, which require repetitive movements with low force output. When a person engages in endurance exercise, a few noticeable changes occur in their skeletal muscles. For instance, the number of capillaries...
Endurance exercises
Endurance exercises involve running, swimming, or cycling, which require repetitive movements with low force output. When a person engages in endurance exercise, a few noticeable changes occur in their skeletal muscles. For instance, the number of capillaries...
01:26Exercise Stress Test
Introduction
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes