数字干预在中风后康复中的有效性,可行性,可接受性和安全性:随机对照试验的系统审查和元分析
Shuangyue Liu1, Min Li2, Jilin Ding1
1Department of Rehabilitation, Mianyang Hospital of Traditional Chinese Medicine, Mianyang, China.
Archives of physical medicine and rehabilitation
|July 27, 2025
概括
数字干预显著提高了中风幸存者的认知和日常生活活动. 基于临床的运动游戏和计算机训练显示出对认知收益的最大希望,而机器人辅助方法可以提高日常功能.
科学领域:
- 神经康复疗法 神经康复疗法
- 数字健康数字健康
- 脑中风恢复 脑中风恢复
背景情况:
- 卒中幸存者经常经历认知和功能障碍.
- 数字干预为中风后康复提供了一个有希望的途径.
研究的目的:
- 评估数字干预对中风幸存者的认知,情感和日常生活活动 (ADL) 的影响.
- 评估这些干预措施的可行性,可接受性和安全性.
主要方法:
- 2000年至2025年5月期间发表的随机对照试验 (RCT) 的系统审查和元分析.
- 包括63个RCT,共有3297名参与者.
- 评估了偏差风险,并根据PRISMA 2020指南使用CMA v3.7进行元分析.
主要成果:
- 在总体认知 (g=0.46) 和ADL (g=0.38) 中观察到显著改善.
- 强度游戏和计算机认知训练对认知最有效;机器人辅助和计算机训练最大限度地提高了ADL.
- 较短的干预会话 (≤30分钟) 对认知更有效. 情绪结果显示异质性,没有明确的疗效.
- 可行性,可接受性和安全性总体上是有利的,有轻微的不良事件.
结论:
- 数字干预,特别是基于临床的运动游戏和计算机认知训练 (≤30分钟的会议),显著改善中风患者的认知能力.
- 机器人辅助和计算机认知训练对于最大限度地改善ADL是有效的.
- 强大的可行性,可接受性和安全性概况支持对中风幸存者进行数字干预的临床整合.
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