| 孙一鸣,张思卓,姜嘉怿,杨琨.踝关节动态关节松动术对脑卒中患者步态和平衡功能影响的Meta分析[J].中国康复,2021,36(9):553-559 |
| 踝关节动态关节松动术对脑卒中患者步态和平衡功能影响的Meta分析 |
| Effects of ankle joint mobilization with movement on balance and gait function after stroke:A systematic review and meta-analysis |
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| DOI： |
| 中文关键词: 脑卒中 动态关节松动术 步态 平衡 |
| 英文关键词: stroke mobilization with movement gait balance |
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| 中文摘要: |
| 目的：系统评价踝关节动态关节松动术（MWM）对脑卒中患者步态和平衡功能的影响。方法：计算机全面检索AMED、ProQuest、PubMed、Embase、Cochrane Library、Scopus、OpenGrey、中国知网、万方、维普数据库，搜索关于踝关节MWM治疗脑卒中的随机对照试验（RCT），检索的时间范围是从建库至2020年4月。根据Cochrane手册对纳入文献进行风险偏倚评价，并在数据提取后使用RevMan5.3软件进行统计学分析。结果：共9项RCT纳入Meta分析，总计214例患者。Meta分析结果显示，与对照组相比，踝关节MWM组在提高脑卒中患者踝关节被动背屈活动度(DF-PROM)［WMD=1.47,95%CI(1.07,1.87),P＜0.01］、步速［WMD=8.04,95%CI(4.80,11.29), P＜0.01］、步频［WMD=10.90,95%CI(6.31,15.50), P＜0.01］、患侧步幅［WMD=8.63,95%CI(5.06,12.20), P＜0.01］以及Berg平衡量表评分(BBS)［WMD=4.12,95%CI(2.64,5.59),P＜0.01］方面更优，差异具有统计学意义。结论：基于当前证据，踝关节动态关节松动术可有效改善脑卒中患者的步态和平衡功能。受纳入文献数量和质量的影响，上述结论仍需更多高质量RCT进一步论证。 |
| 英文摘要: |
| Objective:To systematically evaluate the effect of ankle joint mobilization with movement (MWM) on balance and gait function of stroke patients. Methods: AMED, ProQuest,PubMed, Embase, Cochrane Library, Scopus, OpenGray, CNKI, Wanfang and VIP were searched for randomized controlled trials (RCTs) of ankle joint MWM in the treatment of stroke from the establishment of the database to April 2020. The risk bias was evaluated according to Cochrane Handbook, and statistical analysis was performed using Revman 5.3 software after data extraction. Results: A total of 9 RCTs were included in the Meta-analysis, with a total of 214 patients. Meta-analysis results showed that as compared with the control group, the dorsiflexion passive ROM (DF-PROM) ［WMD=1.47, 95%CI (1.07, 1.87), P<0.01］, gait speed ［WMD=8.04, 95%CI (4.80, 11.29), P<0.01］, cadence ［WMD=10.90, 95%CI (6.31, 15.50), P<0.01］, affected stride length ［WMD=8.63, 95%CI (5.06, 12.20), P<0.01］ and Berg Balance Scale score (BBS) ［WMD=4.12, 95%CI (2.64, 5.59), P<0.01］ were significantly improved in the ankle joint MWM group. Conclusion: Based on the current evidence, ankle joint mobilization with movement can effectively improve the gait and balance function of stroke patients. Due to the influence of the number and quality of the included literature, more high-quality RCTs are needed to further demonstrate the above conclusions. |
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