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等速肌力训练对脑卒中后患者肌肉力量、活动度和步态的影响:系统评价和荟萃分析。

Effects of isokinetic muscle strengthening on muscle strength, mobility, and gait in post-stroke patients: a systematic review and meta-analysis.

机构信息

1 Departamento de Fisioterapia, Instituto de Ciências da Saúde, Curso de Fisioterapia, Universidade Federal da Bahia (UFBA), Salvador, Brazil.

2 Physiotherapy Research Group, Universidade Federal da Bahia (UFBA), Salvador, Brazil.

出版信息

Clin Rehabil. 2019 Mar;33(3):381-394. doi: 10.1177/0269215518815220. Epub 2018 Nov 28.


DOI:10.1177/0269215518815220
PMID:30484329
Abstract

OBJECTIVE:: To investigate whether isokinetic muscle strengthening improves muscle strength, mobility, and gait in post-stroke patients. METHODS:: We searched for randomized controlled trials at PubMed/Medline, SciELO, PEDro, and Cochrane Central Register of Controlled Trials, from the earliest date available to June 2018. Randomized controlled trials that examined the effects of isokinetic muscle strengthening versus other rehabilitation interventions or control in post-stroke patients were included. Study quality was evaluated using the PEDro scale. Weighted mean difference (WMD) and 95% confidence intervals (CIs) were calculated, and heterogeneity was assessed using the I test. RESULTS:: In total, 13 studies (347 patients) focusing on the use of isokinetic in rehabilitation following stroke were included. All trials were of low-to-moderate quality. Isokinetic muscle strengthening improved muscle strength WMD 0.8 (95% CI: 0.2, 1.4; N = 96), mobility WMD -2.03 seconds (95% CI: -2.9, -1.1; N = 111) and gait speed WMD 0.9 m/s (95% CI: 0.05, 1.8; N = 87). CONCLUSION:: Isokinetic muscle strengthening seems to be a useful strategy for improving muscle strength, mobility, and gait in post-stroke patients.

摘要

目的:探讨等速肌肉强化是否能改善脑卒中患者的肌肉力量、活动能力和步态。

方法:我们在 PubMed/Medline、SciELO、PEDro 和 Cochrane 对照试验中心注册库检索了截至 2018 年 6 月的随机对照试验。纳入了比较等速肌肉强化与其他康复干预或对照组治疗脑卒中后患者的随机对照试验。使用 PEDro 量表评估研究质量。计算加权均数差(WMD)和 95%置信区间(CI),并使用 I ²检验评估异质性。

结果:共纳入了 13 项(347 例患者)关于脑卒中后康复中使用等速的研究。所有试验的质量均为低到中等。等速肌肉强化可改善肌肉力量(WMD:0.8,95%CI:0.2,1.4;N=96)、活动能力(WMD:-2.03 秒,95%CI:-2.9,-1.1;N=111)和步态速度(WMD:0.9 米/秒,95%CI:0.05,1.8;N=87)。

结论:等速肌肉强化似乎是改善脑卒中患者肌肉力量、活动能力和步态的有效策略。

相似文献

[1]
Effects of isokinetic muscle strengthening on muscle strength, mobility, and gait in post-stroke patients: a systematic review and meta-analysis.

Clin Rehabil. 2018-11-28

[2]
High Intensity Exercise for Walking Competency in Individuals with Stroke: A Systematic Review and Meta-Analysis.

J Stroke Cerebrovasc Dis. 2019-9-27

[3]
Water-Based Exercise on Functioning and Quality of Life in Poststroke Persons: A Systematic Review and Meta-Analysis.

J Stroke Cerebrovasc Dis. 2019-9-18

[4]
Effects of mirror therapy on walking ability, balance and lower limb motor recovery after stroke: a systematic review and meta-analysis of randomized controlled trials.

Clin Rehabil. 2018-4-12

[5]
Noninvasive brain stimulation combined with other therapies improves gait speed after stroke: a systematic review and meta-analysis.

Top Stroke Rehabil. 2019-4

[6]
Effects of Respiratory Muscle Training on Respiratory Function, Respiratory Muscle Strength, and Exercise Tolerance in Patients Poststroke: A Systematic Review With Meta-Analysis.

Arch Phys Med Rehabil. 2016-11

[7]
The effect of whole body vibration on balance, gait performance and mobility in people with stroke: a systematic review and meta-analysis.

Clin Rehabil. 2015-7

[8]
Overground gait training for individuals with chronic stroke: a Cochrane systematic review.

J Neurol Phys Ther. 2009-12

[9]
Six hours of task-oriented training optimizes walking competency post stroke: a randomized controlled trial in the public health-care system of South Africa.

Clin Rehabil. 2018-3-13

[10]
The effects of transcutaneous electrical nerve stimulation on strength, proprioception, balance and mobility in people with stroke: a randomized controlled cross-over trial.

Clin Rehabil. 2013-3-15

引用本文的文献

[1]
Wearable Ultrasound-Imaging-Based Visual Feedback (UVF) Training for Ankle Rehabilitation of Chronic Stroke Survivors: A Proof-of-Concept Randomized Crossover Study.

Biosensors (Basel). 2025-6-6

[2]
Isokinetic Muscle Strengthening of the Lower Limbs in People with Stroke: A Systematic Review of Randomized Controlled Trials.

J Clin Med. 2025-3-25

[3]
The effects of exercise interventions on depressive symptoms in stroke patients: a systematic review and meta-analysis.

Front Physiol. 2025-3-17

[4]
Research on design and control methods of a lightweight upper limb joint isokinetic rehabilitation training equipment.

Front Bioeng Biotechnol. 2024-9-3

[5]
Effects of individualized lower limb isokinetic strengthening in clinical rehabilitation of older post-stroke patients: A retrospective study.

J Rehabil Med. 2023-8-7

[6]
Combining Intensive Rehabilitation With a Nonfunctional Isokinetic Strengthening Program in Adolescents With Cerebral Palsy: Protocol for a Randomized Controlled Trial.

JMIR Res Protoc. 2023-5-3

[7]
Effects of whole-body vibration training on lower limb motor function and neural plasticity in patients with stroke: protocol for a randomised controlled clinical trial.

BMJ Open. 2022-6-28

[8]
Necessity and Content of Swing Phase Gait Coordination Training Post Stroke; A Case Report.

Brain Sci. 2021-11-12

[9]
Training muscle activation patterns of the lower paretic extremity using directional exertion improves mobility in persons with hemiparesis: a pilot study.

BMC Biomed Eng. 2021-10-29

[10]
Alterations in intermuscular coordination underlying isokinetic exercise after a stroke and their implications on neurorehabilitation.

J Neuroeng Rehabil. 2021-7-3

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