PNF技术对脑卒中患者运动功能和日常生活活动能力影响的Meta分析

马利朋; 李永杰

文章摘要

马利朋,李永杰.PNF技术对脑卒中患者运动功能和日常生活活动能力影响的Meta分析[J].中国康复,2019,34(12):652-656

PNF技术对脑卒中患者运动功能和日常生活活动能力影响的Meta分析

Effect of PNF technology on motor function and activities of daily living after stroke: A Meta-analysis

DOI：

中文关键词: PNF技术脑卒中功能 Meta分析

英文关键词: PNF technology stroke function Meta analysis

基金项目:

作者	单位
马利朋	牡丹江市第二人民医院，黑龙江牡丹江 157100
李永杰	武汉体育学院，武汉 430079

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中文摘要:

目的：系统评价本体感觉神经肌肉促进技术(PNF)对脑卒中患者运动功能和日常生活活动的影响。方法：系统检索Pubmed、Embase、The Cochrane Library、Web of science、Science direct、中国知网、万方、维普、中国生物医学文献数据库，收集PNF技术治疗脑卒中的随机对照试验，控制检索时间从建库至2018年8月。由两位评审员按照Cochrane系统评价手册独立地对纳入的文献进行偏倚风险评估和数据资料的提取。使用Revman5.3和Stata12.0进行数据统计分析。结果：共纳入16篇文献。10篇文献报道PNF技术对FMA的影响，评价使用PNF技术的观察组FMA分数明显高于对照组，Meta分析结果显示，WMD=7.57, 95%CI(6.57,8.58), Z=14.74,P<0.01；4篇文献报道PNF技术对TUGT的影响，使用PNF技术的观察组更显著降低TUGT的时间，Meta分析结果显示， WMD=-1.86,95%CI(-2.62,-1.10),Z=4.78, P<0.01；7篇文献评估PNF技术对BBS的影响，PNF技术更有效的提高了观察组患者的平衡能力，Meta分析结果显示，WMD=5.19, 95%CI(2.93,7.44), Z=4.51, P<0.01；8篇文献评估PNF技术对Barthel指数的影响，使用PNF技术的观察组更显著地改善了患者的日常生活能力，Meta分析结果显示，WMD=14.61, 95%CI(11.64,17.58), Z=9.64, P<0.01。结论：PNF技术可以显著提高脑卒中患者的运动功能，改善患者的生活质量。

英文摘要:

Objective: To systematically assess the effect of proprioceptive neuromuscular facilitation (PNF) technology on motor function and activities of daily living after stroke. Methods: The randomized controlled trials about PNF technology on motor function and activities of daily living were searched from PubMed, Embase, The Cochrane Library, Web of Science, Science Direct, CNKI, WanFang, Vip and Chinese BioMedical (CBM) until August, 2018. Two judges independently assessed the bias risk of the included literature and extracted the data according to the Cochrane systematic review manual. Data analysis was conducted on Revman 5.3 and Stata 12.0. Results: A total of 16 literatures were included. Ten literatures reported the effect of PNF technology on FMA, and the FMA score in observation group using PNF technology was significantly higher than that in control group. Meta analysis results showed that WMD=7.57, 95%CI (6.57, 8.58), Z=14.74, P<0.01. Four literatures reported the effect of PNF technology on TUGT, and the use of PNF technique in the observation could significantly shorten TUGT time. Meta-analysis results showed that WMD=-1.86, 95%CI (-2.62, -1.10), Z=4.78, P<0.01. Seven literatures evaluated the effect of PNF technology on BBS, and PNF technology could improve the balance ability of patients in the observation group more effectively. Meta analysis results showed that WMD=5.19, 95% CI (2.93, 7.44), Z=4.51, P<0.01). Eight literatures evaluated the influence of PNF technology on Barthel index, and the use of PNF in the observation group significantly improved the patients' daily living ability. Meta analysis results showed that WMD=14.61, 95%CI (11.64, 17.58), Z=9.64, P<0.01. Conclusion: These results indicate that PNF technology can significantly improve motor function and quality of life of stroke patients.

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