目的系统评价水中运动治疗对脑卒中患者下肢运动功能及日常生活活动能力的干预效果。方法检索Cochrane Library、PEDro、PubMed、EMBASE、Web of Knowledge、Web of Science、OVID、EBSCO、CMCI、CNKI、Wanfang和VIP数据库,筛选脑卒中...目的系统评价水中运动治疗对脑卒中患者下肢运动功能及日常生活活动能力的干预效果。方法检索Cochrane Library、PEDro、PubMed、EMBASE、Web of Knowledge、Web of Science、OVID、EBSCO、CMCI、CNKI、Wanfang和VIP数据库,筛选脑卒中患者水中运动治疗的随机对照试验(RCTs),进行方法学质量评价,提取相关数据,采用RevMan5.3软件进行Meta分析。结果最终纳入23项RCTs,共861例患者。与对照组相比,水中运动治疗可改善患者Berg平衡量表评分(WMD=4.61,95%CI 3.79~5.43,P<0.001)、计时起立-行走测试成绩(WMD=-1.56,95%CI-3.07^-0.05,P<0.05)、功能性前伸测试成绩(WMD=2.69,95%CI 1.21~4.16,P<0.001)、压力中心移动速度(左右)(WMD=-1.38,95%CI-2.72^-0.05,P<0.05)、压力中心移动速度(前后)(WMD=-1.64,95%CI-3.10^-0.18,P<0.05)、步速(SMD=0.33,95%CI 0.07~0.58,P<0.05)、2分钟步行测试成绩(WMD=12.75,95%CI 4.17~21.34,P<0.01)、功能性步行量表分级(WMD=0.94,95%CI 0.67~1.20,P<0.001)、膝关节伸肌肌力(WMD=4.30,95%CI 1.53~7.07,P<0.01)、膝关节屈肌肌力(WMD=4.80,95%CI 0.29~9.32,P<0.05)和功能独立性测试评分(WMD=6.12,95%CI3.98~8.27,P<0.001),但对改良Barthel指数评分无明显改善作用(WMD=2.92,95%CI-6.74~12.58,P=0.55)。结论水中运动治疗能够改善脑卒中患者的平衡功能、步行能力和下肢肌力,但对日常生活活动能力的效果不明显。展开更多
目的探索移动医疗技术在脊髓损伤患者水中康复评定中的应用价值。方法 2017年11月至2018年4月,接受水中运动治疗的脊髓损伤患者72例随机分为对照组(n=36)和实验组(n=36),采用Alyn水中适应性评定量表进行评定。对照组采用纸质评定法,实...目的探索移动医疗技术在脊髓损伤患者水中康复评定中的应用价值。方法 2017年11月至2018年4月,接受水中运动治疗的脊髓损伤患者72例随机分为对照组(n=36)和实验组(n=36),采用Alyn水中适应性评定量表进行评定。对照组采用纸质评定法,实验组采用移动应用程序法,评定2次。记录评定耗时和查询评定结果耗时,统计算分正确率,计算两次评分的变化值和变化率。结果实验组评定耗时和查询评定结果耗时均显著小于对照组(t> 10.492, P <0.001),百分制总分、总分变化率、百分制总分变化率的正确率均高于对照组(χ2> 4.545, P <0.05)。结论与传统纸质量表评定法相比,基于移动技术的电子化康复评定有助于提高工作效率。展开更多
Parkinson's disease is a neurodegenerative disease.Oxidative stress,i.e.,the imbalance between the generation of reactive oxygen species and the antioxidant defense capacity of the body,plays an important role in ...Parkinson's disease is a neurodegenerative disease.Oxidative stress,i.e.,the imbalance between the generation of reactive oxygen species and the antioxidant defense capacity of the body,plays an important role in the pathogenesis of this disease.Physical exercise can regulate oxidative stress.The purpose of this study was to analyze the short-and long-term effects of an aquatic exercise program on oxidative stress levels in patients with Parkinson's disease.The aquatic exercise program was carried out during 1 month with two sessions per week(1 hour/session).Blood samples were collected at four different time points:pre-intervention,immediately,48 hours,and 30 days after the first session of aquatic exercise program.Our results revealed that water-based programs modulated antioxidant enzyme activity,increased superoxide dismutase activity,reduced catalase activity,and increased the ratio of superoxide dismutase activity to catalase activity in patients with Parkinson's disease.Compared with pre-intervention and 48 hours after the first session of aquatic exercise program,superoxide dismutase activity was higher and catalase activity was lower immediately and 30 days after the first session.Our results demonstrated that aquatic exercise program could modulate oxidative stress,mainly by the effect of antioxidant enzyme activity.These results could better help understand the target of oxidative stress in Parkinson's disease.This study was approved by the Ethics Committee of Centro Universitário Metodista IPA(approval No.1.373.911)on August 9,2019 and registered with REBEC(registration number:RBR-6 NJ4 MK).展开更多
目的通过系统的文献检索与分析,探究水中运动对髋骨性关节炎患者治疗的效果。方法在Cochrane、EBSCO、Embase、OVID、PEDro、Pubmed、Web of Science搜索关于水中运动对髋关节炎影响的随机对照实验,将文献导入endnoteX9,用PEDro量表对...目的通过系统的文献检索与分析,探究水中运动对髋骨性关节炎患者治疗的效果。方法在Cochrane、EBSCO、Embase、OVID、PEDro、Pubmed、Web of Science搜索关于水中运动对髋关节炎影响的随机对照实验,将文献导入endnoteX9,用PEDro量表对纳入的文献进行质量评价,采用RevMan5.3软件进行Meta分析。结果1)水中运动对肌力和计时站起-走测试成绩的提高显著高于对照组(p<0.05);2)对照组无运动干预结果显示:水中运动对髋关节疼痛的缓解和WOMAC(function)评分改善显著优于对照组(p<0.05);3)对照组有运动干预结果显示:对照组对髋关节疼痛的缓解和改善躯体功能优于水中运动但无显著差异(p≥0.05)。结论水中运动可改善髋骨性关节炎患者疼痛、肌力和功能,可作为髋骨性关节炎患者治疗方法的选择之一。展开更多
目的运用世界卫生组织国际健康分类家族的理论架构和方法,系统评价水中运动治疗对脑瘫儿童青少年运动功能及生活质量的干预效果。方法检索Cochrane Library、PEDro、PubMed、Embase、Web of Knowledge、Web of Science、OVID、EBSCO、...目的运用世界卫生组织国际健康分类家族的理论架构和方法,系统评价水中运动治疗对脑瘫儿童青少年运动功能及生活质量的干预效果。方法检索Cochrane Library、PEDro、PubMed、Embase、Web of Knowledge、Web of Science、OVID、EBSCO、中国生物医学期刊引文数据库、中国知网期刊全文数据库、万方数据知识服务平台、维普中文期刊全文数据库建库至2020年5月,筛选水中运动治疗应用于脑瘫儿童青少年的随机对照试验,进行方法学质量评价,提取相关数据,采用RevMan 5.3软件进行Meta分析。结果最终纳入9项研究,共162例。水中运动治疗能显著改善脑瘫儿童青少年的粗大运动功能测试量表评分(WMD=6.31,95%CI 2.57~10.06,P<0.001),对日常生活活动和生活质量也有改善作用。结论水中运动治疗有助于改善脑瘫儿童青少年的运动功能和活动,并可能改善其生活质量。展开更多
文摘目的探索移动医疗技术在脊髓损伤患者水中康复评定中的应用价值。方法 2017年11月至2018年4月,接受水中运动治疗的脊髓损伤患者72例随机分为对照组(n=36)和实验组(n=36),采用Alyn水中适应性评定量表进行评定。对照组采用纸质评定法,实验组采用移动应用程序法,评定2次。记录评定耗时和查询评定结果耗时,统计算分正确率,计算两次评分的变化值和变化率。结果实验组评定耗时和查询评定结果耗时均显著小于对照组(t> 10.492, P <0.001),百分制总分、总分变化率、百分制总分变化率的正确率均高于对照组(χ2> 4.545, P <0.05)。结论与传统纸质量表评定法相比,基于移动技术的电子化康复评定有助于提高工作效率。
基金financially supported by Coordenacao de Aperfei a oamento de Pessoal de Nível Superior(CAPES)Conselho Nacional de Desenvolvimento Científico e Tecnológico(CNPq)Fundacao de AmparoàPesquisa do Estado do Rio Grande do Sul(FAPERGS)for financial support。
文摘Parkinson's disease is a neurodegenerative disease.Oxidative stress,i.e.,the imbalance between the generation of reactive oxygen species and the antioxidant defense capacity of the body,plays an important role in the pathogenesis of this disease.Physical exercise can regulate oxidative stress.The purpose of this study was to analyze the short-and long-term effects of an aquatic exercise program on oxidative stress levels in patients with Parkinson's disease.The aquatic exercise program was carried out during 1 month with two sessions per week(1 hour/session).Blood samples were collected at four different time points:pre-intervention,immediately,48 hours,and 30 days after the first session of aquatic exercise program.Our results revealed that water-based programs modulated antioxidant enzyme activity,increased superoxide dismutase activity,reduced catalase activity,and increased the ratio of superoxide dismutase activity to catalase activity in patients with Parkinson's disease.Compared with pre-intervention and 48 hours after the first session of aquatic exercise program,superoxide dismutase activity was higher and catalase activity was lower immediately and 30 days after the first session.Our results demonstrated that aquatic exercise program could modulate oxidative stress,mainly by the effect of antioxidant enzyme activity.These results could better help understand the target of oxidative stress in Parkinson's disease.This study was approved by the Ethics Committee of Centro Universitário Metodista IPA(approval No.1.373.911)on August 9,2019 and registered with REBEC(registration number:RBR-6 NJ4 MK).
文摘目的通过系统的文献检索与分析,探究水中运动对髋骨性关节炎患者治疗的效果。方法在Cochrane、EBSCO、Embase、OVID、PEDro、Pubmed、Web of Science搜索关于水中运动对髋关节炎影响的随机对照实验,将文献导入endnoteX9,用PEDro量表对纳入的文献进行质量评价,采用RevMan5.3软件进行Meta分析。结果1)水中运动对肌力和计时站起-走测试成绩的提高显著高于对照组(p<0.05);2)对照组无运动干预结果显示:水中运动对髋关节疼痛的缓解和WOMAC(function)评分改善显著优于对照组(p<0.05);3)对照组有运动干预结果显示:对照组对髋关节疼痛的缓解和改善躯体功能优于水中运动但无显著差异(p≥0.05)。结论水中运动可改善髋骨性关节炎患者疼痛、肌力和功能,可作为髋骨性关节炎患者治疗方法的选择之一。
文摘目的运用世界卫生组织国际健康分类家族的理论架构和方法,系统评价水中运动治疗对脑瘫儿童青少年运动功能及生活质量的干预效果。方法检索Cochrane Library、PEDro、PubMed、Embase、Web of Knowledge、Web of Science、OVID、EBSCO、中国生物医学期刊引文数据库、中国知网期刊全文数据库、万方数据知识服务平台、维普中文期刊全文数据库建库至2020年5月,筛选水中运动治疗应用于脑瘫儿童青少年的随机对照试验,进行方法学质量评价,提取相关数据,采用RevMan 5.3软件进行Meta分析。结果最终纳入9项研究,共162例。水中运动治疗能显著改善脑瘫儿童青少年的粗大运动功能测试量表评分(WMD=6.31,95%CI 2.57~10.06,P<0.001),对日常生活活动和生活质量也有改善作用。结论水中运动治疗有助于改善脑瘫儿童青少年的运动功能和活动,并可能改善其生活质量。
