Alhwoaimel Norah, Turk Ruth, Warner Martin, Verheyden Geert, Thijs Liselot, Wee Seng Kwee, Hughes Ann-Marie
University of Southampton, Southampton, UK.
KU Leuven - University of Leuven, Department of Rehabilitation Sciences, Leuven, Belgium.
NeuroRehabilitation. 2018;43(4):395-412. doi: 10.3233/NRE-182446.
Post-stroke trunk control is reported to be associated with trunk performance and recovery of the upper limb, but the evidence for the influence of trunk exercise on both of these is unclear.
To evaluate the effect of trunk exercises on trunk performance post-stroke, and to determine if these exercises result in improved upper limb function.
A comprehensive search of the literature published between January 1990 and February 2017 was conducted using the following electronic databases; AMED, CINAHL, Cochrane Library, EMBASE, MEDLINE, PsychInfo and SPORTDiscus. Only randomized, controlled trials, published in English, evaluating the effect of trunk exercises on trunk performance and/or upper limb function post-stroke, were included.
A total of 17 studies involving 599 participants were analysed. Meta-analysis showed that trunk exercises had a large significant effect on trunk performance post-stroke. This effect varied from very large for acute stroke to medium for subacute and chronic stroke. None of the included studies had measured the effect of trunk exercise on upper limb impairment or functional activity.
Trunk exercises improve trunk performance for people with acute, subacute and chronic strokes. As yet there is no evidence to support the effect of trunk exercise on upper limb function.
据报道，中风后躯干控制与躯干表现及上肢恢复相关，但躯干运动对这两者影响的证据尚不清楚。
评估躯干运动对中风后躯干表现的影响，并确定这些运动是否能改善上肢功能。
使用以下电子数据库对1990年1月至2017年2月发表的文献进行全面检索：AMED、CINAHL、Cochrane图书馆、EMBASE、MEDLINE、PsychInfo和SPORTDiscus。纳入的仅为以英文发表的、评估躯干运动对中风后躯干表现和/或上肢功能影响的随机对照试验。
共分析了17项研究，涉及599名参与者。荟萃分析表明，躯干运动对中风后躯干表现有显著的较大影响。这种影响从急性中风时的非常大到亚急性和慢性中风时的中等程度不等。纳入的研究均未测量躯干运动对上肢损伤或功能活动的影响。
躯干运动可改善急性、亚急性和慢性中风患者的躯干表现。目前尚无证据支持躯干运动对上肢功能有影响。
