文章摘要

核心稳定性训练对脑卒中偏瘫患者康复效果的系统评价及试验序贯分析

作者: 1刘 婷婷, 1雷 梦杰, 1金 昌德
1 天津中医药大学护理学院,天津 301617
通讯: 金 昌德 Email: jcd1886@sina.cn
DOI: 10.3978/j.issn.2095-6959.2019.01.019

摘要

目的:系统评价核心稳定性训练(core stabi lity exercise,CST)对脑卒中偏瘫患者的康复效果。 方法:计算机检索Cochrane Library,Web of Science,PubMed,Embase,知网,万方,维普,CBM 等中英文数据库中相关文献,检索时间截至2018年9月,然后由2人独立对检索文献进行筛选、数据提取和质量评价,采用RevMan 5.3进行数据分析,TSA 0.9进行试验序贯分析(trial sequential analysis,TSA)。结果:共纳入11篇随机对照试验,包括736名患者。Meta分析结果显示,CST 联合常规康复治疗对脑卒中偏瘫患者躯干控制能力、平衡能力、日常生活活动能力及10 m 最大步行速度的效果均优于单纯常规康复治疗,且不同干预时间的各亚组间差异不显著。TSA结果显示:以上4项结局指标的合并结果均稳定且可靠。结论:CST联合常规康复治疗可有效提高脑卒中偏瘫患者的躯干控制能力、平衡能力、日常生活活动能力及步速,建议临床推广使用。
关键词: 脑卒中;核心稳定性训练;康复;系统评价;试验序贯分析

Effectiveness of core stability exercise for rehabilitation of stroke patients with hemiplegia: A systematic review with trial sequential analysis

Authors: 1LIU Tingting, 1LEI Mengjie, 1JIN Changde
1 School of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China

CorrespondingAuthor:JIN Changde Email: jcd1886@sina.cn

Abstract

Objective: To systematically evaluate the clinical effects of core stability exercise for rehabilitation of stroke patients with hemiplegia. Methods: Cochrane Library, Web of Science, PubMed, Embase, CNKI, Wanfang, VIP, CBM were searched for relevant articles from the inception to September 2018. All randomized controlled trials assessing core stability exercises for stroke patients were included. Studies screening, data extraction, and quality evaluation were conducted independently by two researchers. Data was analyzed using RevMan 5.3, and trial sequential analysis (TSA) was conducted by TSA 0.9. Results: Totally 11 studies and 736 patients were included. Results showed that combination of core stability exercise and conventional rehabilitation had significantly better effects on trunk control ability, balance ability, activities of daily living, and maximum walking speed in 10 meters than single conventional rehabilitation, and differences of all subgroups in four outcomes were not significant. TSA confirmed that the pooled results of outcomes above were stable and reliable. Conclusion: Core stability exercise combined with conventional rehabilitation can significantly improve the trunk control, balance, activities of daily living and walking speed of stroke patients, and thus it should be applied in clinical practice.
Keywords: stroke; core stability exercise; rehabilitation; systematic review; trial sequential analysis