北欧步行对患有外围动脉疾病的患者步行能力的影响:元分析
Zerong Sun1, Jing Zhang1, Yiqun Fang2
1Exercise Human Science Laboratory, College of Physical Education and Health Sciences, Zhejiang Normal University, Jinhua, China.
PloS one
|March 10, 2025
概括
北欧步行 (NW) 在改善周围动脉疾病 (PAD) 患者的步行能力方面没有显著差异,与监督运动治疗 (SET) 相比. 当SET无法使用时,NW是可行的替代方案.
科学领域:
- 心血管康复心血管康复
- 运动生理学 运动生理学
- 临床试验 临床试验
背景情况:
- 周围动脉疾病 (PAD) 显著影响行走能力.
- 评估PAD的替代性运动干预措施对于改善患者的治疗结果至关重要.
研究的目的:
- 评估北欧步行 (NW) 在患有外周动脉疾病 (PAD) 的患者中提高行走能力的有效性.
- 在改善关键行走参数方面,将NW与监督运动治疗 (SET) 进行比较.
主要方法:
- 在12个主要数据库中进行了全面的文献搜索,截至2024年4月9日.
- 包括随机和伪随机受控试验,使用Cochrane风险偏差工具评估研究质量.
- 使用Review Manager 5.4和Stata 17.0软件进行了元分析.
主要成果:
- 分析了8项涉及508名PAD患者的研究.
- 与SET相比,监督NW并没有显著改善最大步行距离或声距离.
- 与监督NW相比,SET在增加炼时间方面显著更有效 (SMD = -0.41).
结论:
- 与PAD患者的监督运动治疗相比,监督的北欧步行在改善步行能力方面没有显著差异.
- 北欧步行为PAD患者提供了一种实用的替代性运动选择,特别是当监督的运动疗法无法获得时.
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