Department of Sports Science and Physical Education, The Chinese University of Hong Kong, Shatin, Hong Kong, China.
Depression Clinical and Research Program, Massachusetts General Hospital, Harvard University, Boston, MA 02114, USA.
Int J Environ Res Public Health. 2018 Apr 11;15(4):721. doi: 10.3390/ijerph15040721.
: The effects of stroke are both physical and mental in nature and may have serious implications on the overall well-being of stroke survivors. This analytical review aims to critically evaluate and statistically synthesize the existing literature regarding the effects of mind-body (MB) exercises on mood and functional capabilities in patients with stroke. : A structured literature review was performed in both English (PubMed, PEDro, and Cochrane Library) and Chinese (Wanfang and CNKI (Chinese National Knowledge Information Database)) databases. Sixteen randomized controlled trials were considered eligible for meta-analysis. Based on the random effects model, we used the pooled effect size to determine the magnitude of rehabilitative effect of MB exercise intervention on depression, anxiety, activities of daily living, and functional mobility among stroke survivors. The sum PEDro score ranged from five to nine points (fair-to-good methodological quality), but the absence of concealed allocation and blinded assessors were reported in most studies. : The aggregated results showed that MB exercise intervention is associated with significantly improved ADL (Hedges' g = 1.31, 95% CI 0.85 to 1.77, < 0.001, ² = 79.82%) and mobility (Hedges' g = 0.67, 95% CI 0.25 to 1.09, < 0.001, ² = 69.65%), and reduced depression (Hedges' g = -0.76, 95% CI -1.16 to -0.35, < 0.001, ² = 74.84%). : as add-on treatments, the MB exercises may potentially improve depression, activities of daily living, and mobility of these post-stroke patients. Future studies with more robust methodology will be needed to provide a more definitive conclusion.
：中风的影响既有身体上的，也有精神上的，可能对中风幸存者的整体健康产生严重影响。本分析性综述旨在批判性地评估和综合现有的关于身心（MB）锻炼对中风患者情绪和功能能力影响的文献。：在英文（PubMed、PEDro 和 Cochrane Library）和中文（万方和中国国家知识信息数据库（CNKI））数据库中进行了结构化文献综述。有 16 项随机对照试验被认为符合荟萃分析的条件。基于随机效应模型，我们使用汇总效应大小来确定 MB 运动干预对中风幸存者抑郁、焦虑、日常生活活动和功能移动能力的康复效果的大小。PEDro 总分范围为 5 至 9 分（方法质量为良好至中等），但大多数研究都没有报告隐藏的分配和盲法评估者。：汇总结果表明，MB 运动干预与日常生活活动（Hedges' g = 1.31，95%CI 0.85 至 1.77，<0.001，² = 79.82%）和移动能力（Hedges' g = 0.67，95%CI 0.25 至 1.09，<0.001，² = 69.65%）显著改善有关，并且降低了抑郁（Hedges' g = -0.76，95%CI -1.16 至 -0.35，<0.001，² = 74.84%）。：作为附加治疗，MB 运动可能潜在地改善这些中风后患者的抑郁、日常生活活动和移动能力。需要更严格的方法学的未来研究将提供更明确的结论。
