基于ACSM建议的血管认知障碍患者的运动影响:随机对照试验的系统审查
Yu Ye1, Kairui Wu1, Fangyuan Xu1
1Graduate School of Anhui University of Chinese Medicine, Anhui, China.
Journal of neurology
|December 12, 2024
概括
美国体育医学学院 (ACSM) 的高坚持运动指南显著改善了血管认知障碍 (VCI) 患者的认知和身体功能. 低或不确定的坚持显示了最小的益处,突出了结构化炼计划对VCI恢复的重要性.
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:
- 血管认知障碍 (VCI) 影响认知,身体和日常生活功能.
- 运动是对VCI的有希望的干预措施,但最佳剂量和坚持研究不足.
- 没有任何元分析评估基于美国体育医学学院 (ACSM) 准则的VCI运动干预措施.
研究的目的:
- 系统地分析运动治疗对VCI患者认知功能,身体功能和日常生活活动的影响.
- 为了比较高坚持与低或不确定坚持ACSM指南的运动干预措施的有效性.
- 探索基于VCI亚型的运动效应.
主要方法:
- 在PubMed,Embase,Web of Science和Cochrane数据库中进行系统的文献搜索.
- 基于ACSM建议,将运动干预分为高坚持和低/不确定坚持的组.
- 进行了随机效应模型元分析和子组分析.
主要成果:
- 分析包括14项试验,共有1333名参与者.
- 对ACSM指南的高度遵守显示出显著的改善 (SMD:认知0.53,日常生活0.53,身体0.66).
- 低/不确定的坚持产生了无意义或最小的影响 (SMDs:认知0.09,日常生活-0.11,身体0.65).
- 在中风后的认知障碍中,运动对认知功能 (SMD 0.59) 和身体功能 (SMD 0.68) 有积极的影响.
结论:
- 严格遵守ACSM指导方针的运动干预措施在改善VCI患者的认知,身体和日常生活功能方面更有效.
- 遵守既定的运动指南对于最大限度地提高VCI治疗效益至关重要.
- 这些发现支持制定结构化,基于指导方针的VCI管理炼计划.
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