身体炼和以认知为导向的干预措施对中风后认知功能的影响:综述综述审查的协议
James Smith1, Philip Nagy1, David Tod1
1Faculty of Health and Medicine, Lancaster University, Lancaster, United Kingdom.
PloS one
|January 29, 2025
概括
这项研究回顾了现有的关于运动和认知干预措施的研究,针对认知障碍的中风幸存者. 它旨在澄清相互矛盾的发现,并指导基于证据的决策,以改善患者护理.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 证据综合 证据综合
背景情况:
- 增加中风患病率和生存率导致越来越多的中风幸存者.
- 认知障碍影响了近一半的慢性中风幸存者,使医疗保健服务受到压力.
- 现有系统性审查的相互矛盾的发现阻碍了基于证据的决策,以治疗中风后认知障碍.
研究的目的:
- 为身体炼和以认知为导向的干预措施为中风后认知功能提供系统审查的全面概述.
- 评估这些审查的方法质量和证据确定性.
- 识别系统审查之间不一致的来源.
主要方法:
- 在八个数据库和灰色文献中进行系统搜索.
- 包括评估成人中风人口中DSM-5神经认知领域的系统审查.
- 评估方法质量 (AMSTAR-2),证据确定性 (GRADE) 和研究重叠 (GROOVE).
主要成果:
- 干预措施将分为运动,以认知为导向和综合方法.
- 调查结果将以叙事形式进行综合.
- 异质性评估将确定导致评论之间不一致的因素.
结论:
- 概述将使基于证据的决策成为可能,根据证据的质量和确定性进行分层.
- 识别不一致因素可以为未来的研究设计提供信息.
- 更好的理解将支持医疗保健提供者和指导方针开发者在管理中风后认知障碍.
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