Lu Xiao, Battistuzzo Camilla R, Zoghi Maryam, Galea Mary P
Department of Rehabilitation, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China
Physiotherapy Department, The University of Melbourne, Parkville, Victoria 3010, Australia.
Clin Rehabil. 2015 Jan;29(1):3-13. doi: 10.1177/0269215514536411. Epub 2014 Jun 4.
To summarize the evidence for the effectiveness of exercise training in promoting recovery of upper extremity function after cervical spinal cord injury.
Medline, Cochrane, CINAHL, EMBASE and PEDro were used to search the literature.
Two reviewers independently selected and summarized the included studies. Methodological quality of the selected articles was scored using the Downs and Black checklist.
A total of 16 studies were included, representing a total of 426 participants. Overall, the internal validity and reporting of the studies was fair to good, while power and external validity were poor. Interventions included exercise therapy, electrical stimulation, functional electrical stimulation, robotic training and repetitive transcranial magnetic stimulation. Most of the studies reported improvements in muscle strength, arm and hand function, activity of daily living or quality of life after intervention.
Training including exercise therapy, electrical stimulation, functional electrical stimulation of the upper limb following cervical spinal cord injury leads to improvements in muscle strength, upper limb function and activity of daily living or quality of life. Further research is needed into the effects of repetitive transcranial magnetic stimulation and robotic training on upper limb function.
总结运动训练促进颈脊髓损伤后上肢功能恢复有效性的证据。
使用Medline、Cochrane、CINAHL、EMBASE和PEDro检索文献。
两名综述员独立选择并总结纳入研究。使用唐斯和布莱克检查表对所选文章的方法学质量进行评分。
共纳入16项研究，涉及426名参与者。总体而言，研究的内部效度和报告质量为中等至良好，而效能和外部效度较差。干预措施包括运动疗法、电刺激、功能性电刺激、机器人训练和重复经颅磁刺激。大多数研究报告干预后肌肉力量、手臂和手部功能、日常生活活动能力或生活质量有所改善。
颈脊髓损伤后，包括运动疗法、电刺激、上肢功能性电刺激在内的训练可改善肌肉力量、上肢功能以及日常生活活动能力或生活质量。需要进一步研究重复经颅磁刺激和机器人训练对上肢功能的影响。
