Phadke Chetan P, Vierira Luciana, Mathur Sunita, Cipriano Gerson, Ismail Farooq, Boulias Chris
Spasticity Research Program, West Park Healthcare Centre, Toronto, Ontario, Canada.
Faculty of Health, York University, Toronto, Ontario, Canada.
Top Spinal Cord Inj Rehabil. 2019 Winter;25(1):83-96. doi: 10.1310/sci18-00020. Epub 2018 Dec 12.
Passive leg cycling is an important clinical tool available for rehabilitation after spinal cord injury (SCI). Passive cycling can be used to derive exercise-related benefits in patients with poor motor control. There have been a number of studies examining the effects of passive cycling on a variety of outcomes. There is need for a systematic assessment of the cycling parameters and the associated clinical changes in cardiovascular, neuromuscular, and musculoskeletal outcomes after passive cycling. : To assess the effectiveness of passive leg cycling interventions on cardiovascular, neuromuscular, and musculoskeletal outcomes post SCI, and to describe intensity, duration, and type of passive leg cycling post SCI. : PRISMA guided systematic review of literature based on searches in the following databases: PubMed/MEDLINE, PEDro, EMBASE, Cochrane Library, and Google Scholar. Peer-reviewed publications that were written in English were included if they described the effects of a single session or multiple sessions of passive leg cycling in persons post SCI. : Eleven papers were included: two were randomized controlled trials (RCTs), one was a crossover trial, and the rest were pre-post single-group designs. Three studies (including two RCTs) reported statistically significant benefits of multiple sessions of passive cycling on leg blood flow velocity, spasticity, reflex excitability and joint range of motion, and markers of muscle hypertrophy. About half of the single session studies showed statistically significant improvement in acute responses. : Multiple sessions of passive leg cycling showed benefits in three categories - cardiovascular, musculoskeletal, and neurological - with medium to large effect sizes.
被动腿部循环训练是脊髓损伤（SCI）后康复可用的一项重要临床工具。被动循环训练可用于运动控制较差的患者以获得与运动相关的益处。已有多项研究探讨了被动循环训练对各种结果的影响。有必要对被动循环训练后的循环参数以及心血管、神经肌肉和肌肉骨骼结果方面的相关临床变化进行系统评估。：评估被动腿部循环训练干预对脊髓损伤后心血管、神经肌肉和肌肉骨骼结果的有效性，并描述脊髓损伤后被动腿部循环训练的强度、持续时间和类型。：基于在以下数据库中的检索，按照PRISMA指南对文献进行系统综述：PubMed/MEDLINE、PEDro、EMBASE、Cochrane图书馆和谷歌学术。如果英文同行评审出版物描述了脊髓损伤患者单次或多次被动腿部循环训练的效果，则将其纳入。：纳入了11篇论文：2篇为随机对照试验（RCT），1篇为交叉试验，其余为前后单组设计。三项研究（包括两项RCT）报告了多次被动循环训练对腿部血流速度、痉挛、反射兴奋性和关节活动范围以及肌肉肥大标志物有统计学显著益处。约一半的单次训练研究显示急性反应有统计学显著改善。：多次被动腿部循环训练在心血管、肌肉骨骼和神经三个类别中显示出益处，效应大小为中等至较大。
