Validia Rehabilitation Lahti, Launeenkatu 10 , FI 15100 Lahti, Finland.
J Rehabil Med. 2014 May;46(5):387-99. doi: 10.2340/16501977-1805.
To examine the effect of randomized controlled trials of walking training on walking and self-care in patients with stroke.
MEDLINE, CINAHL, Embase, PEDro, OTSeeker, Central, and manual search to the end of August 2012.
English, Finnish, Swedish, or German language walking training randomized controlled trials for patients over 18 years of age with stroke.
The meta-analyses included 38 randomized controlled trials from 44 reports. There was high evidence that in the subacute stage of stroke, specific walking training resulted in improved walking speed and distance compared with traditional walking training of the same intensity. In the chronic stage, walking training resulted in increased walking speed and walking distance compared with no/placebo treatment, and increased walking speed compared with overall physio-therapy. On average, 24 training sessions for 7 weeks were needed.
Walking training improves walking capacity and, to some extent, self-care in different stages of stroke, but the training frequency should be fairly high.
研究随机对照试验中步行训练对脑卒中患者步行和自理能力的影响。
MEDLINE、CINAHL、Embase、PEDro、OTSeeker、CENTRAL 以及 2012 年 8 月底前的手工检索。
针对 18 岁以上脑卒中患者的英语、芬兰语、瑞典语或德语步行训练随机对照试验。
meta 分析纳入了 44 篇报告中的 38 项随机对照试验。有高质量证据表明，在脑卒中亚急性期，与相同强度的传统步行训练相比，特定的步行训练可提高步行速度和距离。在慢性期，与无/安慰剂治疗相比，步行训练可增加步行速度和距离，与整体物理治疗相比，可增加步行速度。平均而言，需要进行 7 周、每周 24 次的训练。
步行训练可改善不同阶段脑卒中患者的步行能力，在一定程度上也可改善自理能力，但训练频率应相当高。
