干预措施在中风后增加住院患者体力活动的有效性:系统性审查和元分析
Peter Hartley1,2, Katie Bond1, Rachel Dance3
1Department of Physiotherapy, Cambridge University Hospital NHS Foundation Trust, Cambridge, UK.
Clinical rehabilitation
|August 12, 2025
概括
活动反和额外的物理治疗等干预措施对增加中风患者的体力活动有希望. 然而,需要更多的研究来证实这些发现,并提高证据的确定性.
科学领域:
- 康复医学 康复医学 康复医学
- 临床神经学 临床神经学
- 证据综合 证据综合
背景情况:
- 卒中幸存者在住院期间经常经历身体活动减少.
- 住院干预的目的是改善中风患者的治疗结果.
- 量化这些干预措施的有效性对于患者的康复至关重要.
研究的目的:
- 系统地审查和综合有关干预措施的证据增加体力活动或减少成人住院患者中风后的久坐行为.
- 分析这些干预措施对身体活动,功能能力和生活质量的影响.
主要方法:
- 在Medline,PsychINFO,AMED和CINAHL数据库中进行了全面的搜索,截至2025年6月.
- 包括对成人中风患者在医院干预的随机对照试验 (RCT),测量身体活动.
- 对主要和次要结果使用了元分析,对不良事件进行了叙事综合.
主要成果:
- 纳入了10项涉及696名参与者的研究.
- 一般活动反和额外的物理治疗干预措施显示了身体活动中度至大度增加的潜力 (确定性非常低).
- 以患者为导向的项目没有显示任何效果,而上肢反显示了上肢活动增加的潜力.
结论:
- 涉及活动反和额外的物理治疗的干预措施似乎有望提高中风患者在医院内的身体活动.
- 对于大多数干预措施的现有证据的确定性非常低至低.
- 需要进一步进行高质量的研究,以增加对有效性估计的信心,并指导临床实践.
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