摘要
目的:研究太极拳对中风后运动功能障碍病人的康复疗效,为太极拳运动的运用提供证据支持。方法:计算机检索中国知网(CNKI)、万方数据库(WanFang Database)、维普(VIP)、中国生物医学文献数据库(CBM)、PubMed、EMbase、the Cochrane Library。检索时限为2000年1月1日—2021年10月31日。收集太极拳治疗中风后运动功能障碍的临床随机对照试验(RCTs),由研究人员筛选文献、提取数据、评价文献质量,采用RevMan 5.3软件进行数据分析。结果:共纳入11项RCTs。Meta分析结果显示,与对照组比较,试验组病人的Fugl-Meyer量表(FMA)评分更高[上肢:MD=7.66,95%CI(6.04,9.29),Z=9.25,P<0.00001;4周/6周下肢:MD=1.65,95%CI(0.71,2.59),Z=3.44,P=0.0006;12周下肢:MD=4.91,95%CI(3.95,5.88),Z=9.96,P<0.00001]、Berg平衡功能量表(BBS)评分更高[MD=5.17,95%CI(4.20,6.15),Z=10.37,P<0.00001]、“起立-行走”测试(TUGT)用时更短[MD=-3.44,95%CI(-4.38,-2.50),Z=7.17,P<0.00001]、Barthel指数(BI)评分更高[MD=2.96,95%CI(0.34,5.59),Z=2.21,P=0.03]。结论:现有证据表明,太极拳运动联合常规康复训练可有效提高中风后病人的肢体运动功能、平衡功能及日常生活活动能力。但受纳入研究数量及文献质量的限制,仍需进一步开展大样本和高质量的临床随机对照试验加以验证。
Objective:To evaluate the rehabilitation effect of Tai Chi footwork on patients with motor dysfunction after stroke by Meta analysis.Methods:The literatures of clinical randomized controlled trials of Tai Chi footwork in the treatment of motor dysfunction after stroke were collected by retrieval of China National Knowledge Infrastructure(CNKI),WanFang Database,Wipro Chinese Full-text Database of Scientific and Technological Journals(VIP),Chinese Biomedical Literature Database(CBM),PubMed,EMbase and the Cochrane Library.The data retrieval time was set from January 1,2000 to October 1,2021.Clinical randomized controlled trials(RCTs)of Tai Chi footwork in the treatment of poststroke motor dysfunction were collected.Researchers screened literature,extracted data,evaluated literature quality.The included literature was analyzed by Revman 5.3 software.Results:A total of 11 RCTs were included.The results of meta-analysis showed that compared with the control group,the patients in the test group showed higher Fugl-meyer Assessment(FMA)scores(upper limb:MD=7.66,95%CI 6.04-9.29,Z=9.25,P<0.00001;4 weeks/6weeks lower limb:MD=1.65,95%CI 0.71-2.59,Z=3.44,P=0.0006;12 weeds lower limb:MD=4.91,95%CI 3.95-5.88,Z=9.96,P<0.00001),higher Berg Balance Scale(BBS)scores(MD=5.17,95%CI 4.20-6.15,Z=10.37,P<0.00001),shorter tugt time(MD=-3.44,95%CI-4.38--2.50,Z=7.17,P<0.00001),and higher Barthel Index(BI)score(MD=2.96,95%CI 0.34-5.59,Z=2.21,P=0.03).Conclusion:Available evidence indicates that,Tai Chi footwork exercise combined with routine rehabilitation training can effectively improve the limb motor function,balance function,and activities of daily living of patients after stroke.However,due to the limitations of the number of included studies and the quality of literature,it is still necessary to further carry out large sample and high-quality clinical randomized controlled trials to verify.
作者
张世强
李宏玉
朱路文
王雪
尹侠
唐强
ZHANG Shiqiang;LI Hongyu;ZHU Luwen;WANG Xue;YIN Xia;TANG Qiang(Heilongjiang University of Chinese Medicine,Haerbin 150040,Heilongjiang,China)
出处
《中西医结合心脑血管病杂志》
2023年第15期2748-2753,共6页
Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease
基金
国家重点研发计划项目(No.2019YFC1710304)
黑龙江省应用技术研究与开发计划项目(No.GA19C110)。
关键词
中风
太极拳
运动功能
平衡功能
META分析
stroke
Tai Chi footwork
motor function
balance function
Meta-analysis
