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身心运动对脑卒中幸存者平衡功能的影响:一项随机对照试验的荟萃分析。

Effects of Mind⁻Body Movements on Balance Function in Stroke Survivors: A Meta-Analysis of Randomized Controlled Trials.

机构信息

Department of Physical Education, Wuhan University of Technology, Wuhan 430070, China.

Department of Sports Science and Physical Education, the Chinese University of Hong Kong, Shatin, Hong Kong, China.

出版信息

Int J Environ Res Public Health. 2018 Jun 20;15(6):1292. doi: 10.3390/ijerph15061292.


DOI:10.3390/ijerph15061292
PMID:29925770
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6025433/
Abstract

: We performed a systematic review with meta-analysis and meta-regression to determine if mind⁻body movements (MBM) could be effective in rehabilitating balance function among stroke survivors. : A literature search was conducted using major Chinese and English electronic databases from an inception until January 2018. Randomized controlled studies were included in our meta-analysis. Data was independently extracted by two review authors using a pre-developed table and confirmed by a third party to reach a consensus. Pooled effect size (Hedge’s ) was computed while the random-effect model was set. : The meta-analytic results showed a significant benefit of the MBM intervention on increased balance function compared to the control groups (Hedge’s = 1.59, 0.98 to 2.19, < 0.001, ² = 94.95%). Additionally, the meta-regression indicated that the total number of sessions (β = 0.00142, 95% 0.0039 to 0.0244, = 0.0067) and dose of weekly training (β = 0.00776, 95% 0.00579 to 0.00972, = 0.00) had significantly positive effects on balance function. : The study encouraging findings indicate the rehabilitative effect of a MBM intervention for balance function in stroke survivors. However, there were significant limitations in the design among several of the included trials. Additional studies with more robust methodologies are needed to provide a more definitive conclusion.

摘要

我们进行了系统的评价和荟萃回归分析,以确定身心运动(MBM)是否可以有效地恢复中风幸存者的平衡功能。从开始到 2018 年 1 月,我们使用主要的中文和英文电子数据库进行了文献检索。我们的荟萃分析纳入了随机对照研究。两位综述作者使用预先制定的表格独立提取数据,并由第三方确认以达成共识。设置随机效应模型后,计算了合并效应大小(Hedge’s )。荟萃分析结果表明,与对照组相比,MBM 干预对增加平衡功能有显著益处(Hedge’s = 1.59,95%置信区间 0.98 至 2.19,< 0.001,² = 94.95%)。此外,荟萃回归表明,总疗程数(β=0.00142,95%置信区间 0.0039 至 0.0244,= 0.0067)和每周训练剂量(β=0.00776,95%置信区间 0.00579 至 0.00972,= 0.00)对平衡功能有显著的正向影响。研究结果令人鼓舞,表明 MBM 干预对中风幸存者平衡功能有康复作用。然而,纳入的几项试验在设计上存在显著局限性。需要更多具有更强方法学的研究来提供更明确的结论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8238/6025433/1eb0cf33671b/ijerph-15-01292-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8238/6025433/12784e4b0070/ijerph-15-01292-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8238/6025433/10833dca508c/ijerph-15-01292-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8238/6025433/1eb0cf33671b/ijerph-15-01292-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8238/6025433/12784e4b0070/ijerph-15-01292-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8238/6025433/10833dca508c/ijerph-15-01292-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8238/6025433/1eb0cf33671b/ijerph-15-01292-g003.jpg

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[2]
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[3]
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World J Psychiatry. 2024-10-19

[4]
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[5]
An RCT-reticulated meta-analysis of six MBE therapies affecting college students' negative psychology.

iScience. 2023-6-9

[6]
Efficacy of Traditional Chinese Exercise in Improving Gait and Balance in Cases of Parkinson's Disease: A Systematic Review and Meta-analysis.

Front Aging Neurosci. 2022-6-30

[7]
Use of Complementary and Alternative Medicine and Adherence to Medication Therapy Among Stroke Patients: A Meta-analysis and Systematic Review.

Front Pharmacol. 2022-6-3

[8]
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Neural Plast. 2022

[9]
Trends in Research on Traditional Chinese Health Exercises for Improving Cognitive Function: A Bibliometric Analysis of the Literature From 2001 to 2020.

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[10]
Correlation Between Cognition and Balance Among Middle-Aged and Older Adults Observed Through a Tai Chi Intervention Program.

Front Psychol. 2020-4-6

本文引用的文献

[1]
Effect of Yang-Style Tai Chi on Gait Parameters and Musculoskeletal Flexibility in Healthy Chinese Older Women.

Sports (Basel). 2017-7-17

[2]
A Systematic Review With Meta-Analysis of Mindful Exercises on Rehabilitative Outcomes Among Poststroke Patients.

Arch Phys Med Rehabil. 2018-5-5

[3]
Mindfulness-Based Baduanjin Exercise for Depression and Anxiety in People with Physical or Mental Illnesses: A Systematic Review and Meta-Analysis.

Int J Environ Res Public Health. 2018-2-12

[4]
A Systematic Review and Meta-Analysis of Mindfulness-Based (Baduanjin) Exercise for Alleviating Musculoskeletal Pain and Improving Sleep Quality in People with Chronic Diseases.

Int J Environ Res Public Health. 2018-1-25

[5]
A Review Study on the Beneficial Effects of Baduanjin.

J Altern Complement Med. 2018-4

[6]
Yoga for stroke rehabilitation.

Cochrane Database Syst Rev. 2017-12-8

[7]
The Effect of Taichi Practice on Attenuating Bone Mineral Density Loss: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Int J Environ Res Public Health. 2017-9-1

[8]
A Systematic Review and Meta-Analysis Baduanjin Qigong for Health Benefits: Randomized Controlled Trials.

Evid Based Complement Alternat Med. 2017

[9]
Tai chi for health benefits in patients with multiple sclerosis: A systematic review.

PLoS One. 2017-2-9

[10]
Prevalence of Mindfulness Practices in the US Workforce: National Health Interview Survey.

Prev Chronic Dis. 2017-1-5

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