不同物理康复干预措施对糖尿病周围神经病变患者静态姿势控制的影响:系统评价。

Effect of diverse physical rehabilitative interventions on static postural control in diabetic peripheral neuropathy: a systematic review.

机构信息

Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, King Khalid University , Abha, Kingdom of Saudi Arabia.

出版信息

Physiother Theory Pract. 2020 Jun;36(6):679-690. doi: 10.1080/09593985.2018.1491078. Epub 2018 Jul 6.

Abstract

There are diverse forms of rehabilitative techniques available to improve postural control in diabetic peripheral neuropathy but little is known about the efficacy of these techniques. The primary focus of this review is to find out the effectiveness of diverse rehabilitative interventions in improving postural control in type 2 induced diabetic peripheral neuropathy. : Two reviewers independently scrutinized the included studies. The selected studies underwent quality assessment by PEDro scale. Randomized Controlled Trial (RCT) having a score of 4 or more were included in the review. A search was conducted in PUBMED, MEDLINE, CINAHL, EMBASE, PROQUEST, Science Direct, Cochrane Library, Physiotherapy Evidence Database (PEDro) and Google Scholar. The Medical Subject Headings (MeSH) related to the interventions were also taken into account. : A total of 563 studies were identified and finally 8 studies were included in the review process. The included studies were 3 in task-specific balance training, 1 in treadmill, 1 in strengthening, 2 in whole body vibration, and 1 study in pilates analyzing posture using static posturography. No RCTs were reportedly found under tai chi and yoga. : Interventions related to task-specific approach in balance training, treadmill, strengthening, WBV showed improvement in static postural control. Intervention with pilates did not show any beneficial effects. However, there still remains a need for quality trials as the results of these studies were ambivalent in interpretation and quality of the studies were limited by small sample size and higher attrition rates.

摘要

有多种康复技术可用于改善糖尿病周围神经病变患者的姿势控制,但这些技术的疗效知之甚少。本次综述的主要重点是找出各种康复干预措施在改善 2 型糖尿病诱导的周围神经病变患者姿势控制方面的有效性。

两名审查员独立审查了纳入的研究。使用 PEDro 量表对选定的研究进行了质量评估。评分达到 4 分或以上的随机对照试验 (RCT) 纳入了本综述。在 PUBMED、MEDLINE、CINAHL、EMBASE、PROQUEST、Science Direct、Cochrane 图书馆、物理治疗证据数据库 (PEDro) 和 Google Scholar 中进行了检索。还考虑了与干预措施相关的医学主题词 (MeSH)。

共确定了 563 项研究,最终有 8 项研究纳入了综述过程。纳入的研究中有 3 项是针对特定任务的平衡训练,1 项是跑步机,1 项是强化训练,2 项是全身振动,1 项是使用静态姿势描记术分析姿势的普拉提。没有报告在太极和瑜伽下进行的 RCT。

与平衡训练、跑步机、强化训练、全身振动相关的干预措施显示出对静态姿势控制的改善。普拉提干预没有显示出任何有益的效果。然而,由于这些研究的结果在解释上存在矛盾,而且研究的质量受到样本量小和较高的失访率的限制,因此仍然需要进行高质量的试验。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索