脚部感官刺激及其对中风患者的步行和下肢运动功能的影响:系统性审查和元分析
Adamu Adamu Ahmad1,2, Duangporn Suriyaamarit1, Akkradate Siriphorn1
1Human Movement Performance Enhancement Research Unit, Department of Physical Therapy, Faculty of Allied Health Sciences, Chulalongkorn University, Bangkok, Thailand.
PloS one
|December 6, 2024
概括
脚侧体感官刺激在改善下肢运动功能和中风幸存者的步态方面表现有前途. 需要进一步的高质量研究来证实其作为康复策略的有效性.
科学领域:
- 神经康复疗法 神经康复疗法
- 发动机控制器的控制器
- 感官神经科学是一种神经科学.
背景情况:
- 脑卒中通常会导致运动障碍和感觉减弱,影响生活质量.
- 康复经常忽略下肢体体感官功能.
- 脚部感官刺激对中风患者运动功能和步态的影响尚不清楚.
研究的目的:
- 在中风患者中,系统地审查和元分析感官干预对步行和下肢运动功能的影响.
- 评估不同感官刺激模式的有效性.
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,截至2023年12月.
- 分析了包括步态和运动功能的主要结果,使用标准化平均差异 (SMD) 和评估异质性 (I2).
主要成果:
- 足部振动疗法对下肢运动功能和显著的步态增强 (SMD = 3.17) 产生了很大的效果大小 (SMD = 2.03).
- 有纹理的内底表现出适度有效性 (SMD = 0.58) 对于没有异质性的运动功能.
- 认知感官运动训练也显著改善了步态 (SMD = 2.85).
- 整体异质性是中等到高的 (I2 = 65%85%).
结论:
- 脚侧体感官刺激可以改善下肢运动功能和中风后的个体的步态.
- 目前的证据表明潜在的好处,但需要更大,高质量的研究.
- 需要进一步的研究来确定作为标准康复工具的有效性.
相关概念视频
Pulse Assessment Sites
Pulse assessment sites are crucial in evaluating a patient's cardiovascular health. By assessing the pulsations of arteries at specific anatomical locations, healthcare professionals can gather valuable information about blood flow, heart rate, and peripheral circulation. Understanding these pulse assessment sites is essential for conducting comprehensive cardiovascular evaluations and monitoring patients' overall health. These sites are strategically chosen due to the accessibility and...
Assessment of the Cardiovascular System III: Palpation
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above the...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above the...
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
Diabetic Foot Ulcer
Definition A diabetic foot ulcer (DFU) is a chronic, non-healing wound that develops in individuals with diabetes. It typically occurs on pressure-bearing areas such as the heel, metatarsal heads, or hallux, and carries a high risk of infection and amputation.Pathophysiology • The development of DFUs can be explained by four interconnected mechanisms: neuropathy, ischemia, infection, and impaired wound healing. • Neuropathy is the most common factor. Sensory neuropathy reduces pain perception,...


