将不同物理治疗方式与体育炼在改善患有外周血管疾病的患者的行走功能方面的效果进行比较:一个网络的元分析
Guan-Cheng Zhu1, Jun-Hui Ong2, Ching-Hsia Hung3
1Department of Physical Therapy, National Cheng Kung University, Tainan, Taiwan; Department of Physical Therapy, China Medical University, Taichung, Taiwan.
Brazilian journal of physical therapy
|December 19, 2025
概括
冲击波和真空疗法有效地改善了周围血管疾病 (PVD) 患者的行走功能. 水疗与运动相结合也可以提高PVD个体的结果.
科学领域:
- 血管医学 血管医学
- 物理疗法物理治疗
- 康复科学 康复科学 康复科学
背景情况:
- 周围血管疾病 (PVD) 显著影响患者的流动性和生活质量.
- 目前对PVD的保守管理主要依赖于体力炼.
- 新兴的研究探讨了物理治疗模式作为PVD运动的辅助.
研究的目的:
- 进行系统性审查和网络元分析 (NMA),比较PVD的物理治疗方式和运动.
- 评估各种干预措施在改善PVD患者的行走功能方面的有效性.
主要方法:
- 遵守PRISMA指导方针与NMA扩展.
- 从2013-2023年对6个随机临床试验 (RCT) 数据库进行系统搜索.
- 考克莱恩偏差风险工具 (RoB2) 用于偏差评估和MetaInsight/R用于NMA.
主要成果:
- 对21个RCT的分析显示,冲击波疗法 (SMD=1.41) 和真空疗法 (SMD=0.72) 是PVD行走功能的有效独立治疗方法.
- 联合水疗和运动 (SMD=0.74) 超过了单独的运动.
- 独立电疗显示出显著的效果 (SMD=1.43),但不是与运动结合使用.
结论:
- 冲击波和真空疗法为有运动限制的PVD患者提供了可行的治疗选择.
- 水疗可以提高PVD康复运动计划的有效性.
- 已注册的研究:PROSPERO CRD42023461442.2. 这项研究已经注册.
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