Faculty of Health Sciences, Australian Catholic University; Physiotherapy Department, Bankstown-Lidcombe Hospital.
Faculty of Health Sciences, The University of Sydney, Sydney, Australia.
J Physiother. 2018 Apr;64(2):84-90. doi: 10.1016/j.jphys.2018.02.012. Epub 2018 Mar 27.
Does progressive resistance training improve strength and activity after stroke? Does any increase in strength carry over to activity?
Systematic review of randomised trials with meta-analysis.
Adults who have had a stroke.
Progressive resistance training compared with no intervention or placebo.
The primary outcome was change in strength. This measurement had to be of maximum voluntary force production and performed in muscles congruent with the muscles trained in the intervention. The secondary outcome was change in activity. This measurement had to be a direct measure of performance that produced continuous or ordinal data, or with scales that produced ordinal data.
Eleven studies involving 370 participants were included in this systematic review. The overall effect of progressive resistance training on strength was examined by pooling change scores from six studies with a mean PEDro score of 5.8, representing medium quality. The effect size of progressive resistance training on strength was 0.98 (95% CI 0.67 to 1.29, I=0%). The overall effect of progressive resistance training on activity was examined by pooling change scores from the same six studies. The effect size of progressive resistance training on activity was 0.42 (95% CI -0.08 to 0.91, I=54%).
After stroke, progressive resistance training has a large effect on strength compared with no intervention or placebo. There is uncertainty about whether these large increases in strength carry over to improvements in activity.
PROSPERO CRD42015025401. [Dorsch S, Ada L, Alloggia D (2018) Progressive resistance training increases strength after stroke but this may not carry over to activity: a systematic review. Journal of Physiotherapy 64: 84-90].
渐进式抗阻训练能否提高中风后的力量和活动能力？力量的任何增加是否能转化为活动能力的提高？
随机试验的系统评价和荟萃分析。
曾中风的成年人。
渐进式抗阻训练与无干预或安慰剂比较。
主要结局是力量的变化。这种测量必须是最大自愿力的产生，并且在与干预中训练的肌肉一致的肌肉中进行。次要结局是活动的变化。这种测量必须是直接测量产生连续或序数数据的运动，或使用产生序数数据的量表。
这项系统评价共纳入了 11 项涉及 370 名参与者的研究。通过汇总 6 项研究的变化分数，这些研究的 PEDro 评分平均为 5.8 分，代表中等质量，评估了渐进式抗阻训练对力量的总体影响。渐进式抗阻训练对力量的效应量为 0.98（95%CI 0.67 至 1.29，I=0%）。通过汇总同一 6 项研究的变化分数，评估了渐进式抗阻训练对活动的总体影响。渐进式抗阻训练对活动的效应量为 0.42（95%CI -0.08 至 0.91，I=54%）。
中风后，与无干预或安慰剂相比，渐进式抗阻训练对力量的影响较大。目前尚不确定这些力量的大幅增加是否能转化为活动能力的提高。
PROSPERO CRD42015025401。[Dorsch S, Ada L, Alloggia D（2018 年）渐进式抗阻训练增加中风后力量，但这可能不会转化为活动能力：系统评价。《物理治疗杂志》64：84-90]。
