运动改善了中风后的爬楼梯性能:随机试验的系统审查与元分析
Lucas Rodrigues Nascimento1,2, Amanda Marcele de Souza Oliveira1, Grazyelle Maria Silva Pereira de Moraes1
1Center of Health Sciences, Discipline of Physiotherapy, Universidade Federal do Espírito Santo, Vitória, Brazil.
概括
对于性下肢的结构化炼显示出有潜力改善中风幸存者的楼梯爬行. 这次审查发现,很低质量的证据表明运动有好处,但需要进一步的研究来证实长期影响.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 物理疗法物理治疗
背景情况:
- 脑卒中经常导致下肢麻,影响运动.
- 障碍的爬楼梯是中风后常见的功能缺陷.
- 研究了运动干预措施,以提高恢复和功能结果.
研究的目的:
- 评估计划,结构和重复性炼的有效性,以向的下肢为目标.
- 具体评估中风后对个人爬楼梯表现的影响.
- 综合来自此干预的随机临床试验的证据.
主要方法:
- 随机临床试验的系统审查和元分析.
- 搜索了多个数据库,包括MEDLINE,EMBASE和PEDro.
- 包括患有慢性中风的成年参与者,比较下肢炼与控制条件.
主要成果:
- 分析了9项试验,共有314名参与者.
- 干预措施包括力量培训,以任务为导向的培训或组合方法.
- 非常低质量的证据表明,运动提高了3.4秒的楼梯爬行 (95% CI,0.4-6.5).
结论:
- 在中度残疾慢性中风幸存者中,六周的结构化炼可以改善爬楼梯.
- 目前的证据质量非常低.
- 在包含的试验中没有评估长期益处的维持.
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