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通过机电辅助训练,在中风后进行行走.

Jan Mehrholz1, Joachim Kugler1, Marcus Pohl2

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机电辅助步行训练可能会改善中风后的独立行走. 九名患者需要治疗以防止一个人的依赖,尽管对行走速度和能力的影响不太确定.

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科学领域:

  • 神经康复疗法 神经康复疗法
  • 临床试验 临床试验
  • 基于证据的医学基于证据的医学.

背景情况:

  • 走路困难是中风后常见且显著的损伤.
  • 机电机械和机器人步行训练设备越来越多地用于中风康复.
  • 关于这些技术的先前证据需要更新以反映当前研究.

研究的目的:

  • 评估电机械和机器人辅助步行训练与标准物理治疗相比,在中风幸存者中改善行走的有效性.
  • 评估这些技术对行走速度,容量,患者接受度和死亡率的影响.

主要方法:

  • 一个全面的系统审查和随机对照试验 (RCT) 和交叉试验的元分析.
  • 在多个数据库 (CENTRAL,MEDLINE,Embase) 进行搜索,截至2023年12月.
  • 包括101项涉及4224名参与者的研究,评估使用功能行走类别 (FAC) 进行独立行走.

主要成果:

  • 机电辅助步行训练可能会提高实现独立行走的几率 (中度确定性证据).
  • 这种训练可能不会在短期内显著提高步行速度或能力 (中度至高确定性证据).
  • 没有观察到因任何原因导致脱学或死亡的风险增加 (高确定性证据).

结论:

  • 机电辅助步行训练与物理治疗相结合,为中风后的独立行走提供了可能的好处.
  • 九名患者需要治疗,以防止一个例子的行走依赖.
  • 建议进行进一步的研究,以优化治疗持续时间,频率和长期益处,考虑到中风后的时间.