太极拳运动对脑卒中患者运动功能和睡眠质量的影响：一项荟萃分析。
The effect of Tai Chi exercise on motor function and sleep quality in patients with stroke: A meta-analysis.
作者信息
Li Yufeng, Zhang Yajing, Cui Chuyun, Liu Yaqian, Lei Mengjie, Liu Tingting, Meng Lina, Jin Changde
机构信息
Department of Nursing, School of Tianjin University of Traditional Chinese Medicine, China, No.312 Anshan West Road, Nankai District, Tianjin 300193, China.
出版信息
Int J Nurs Sci. 2017 Jul 5;4(3):314-321. doi: 10.1016/j.ijnss.2017.06.001. eCollection 2017 Jul 10.
OBJECTIVE
The meta-analysis is to objectively evaluate the efficacy of Tai Chi exercise for motor function and sleep quality in patients with stroke.
METHODS
Randomized controlled trials(RCTs) about the effects of Tai Chi versus a non-exercise or conventional rehabilitation exercise control group on motor function and sleep quality in patients with stroke were searched from multiple electronic databases(PubMed, Web of Science, the Cochrane Library, EMBASE, AMED, CBM, CNKI, Wanfang and VIP) until August 2016. Two investigators independently screened eligible studies, extracted data, and assessed the methodological quality by using the quality evaluation criteria for RCTs recommended by Cochrane Handbook. Then meta-analysis was performed by RevMan5.3 software.
RESULTS
A total of 17 RCTs with 1209 participants were included. The meta-analysis indicated that there was a significant difference on improving the balance function( < 0.001) and ability of daily activity ( = 0.0003) of patients with stroke between Tai Chi group and control group. However, no significant effect was found on Tai Chi for walking function and sleep quality( > 0.05).
CONCLUSION
Tai Chi exercise can significantly improve the balance function and ability of daily activities of patients with stroke, and there are no significant differences in walking function and sleep quality. Therefore, lots of multicenter, large-sample, higher quality randomized controlled trials are needed to verify the effects of Tai Chi exercise in improving walking function and sleep quality for patients with stroke.
目的
本荟萃分析旨在客观评价太极拳锻炼对脑卒中患者运动功能和睡眠质量的疗效。
方法
从多个电子数据库（PubMed、科学网、考克兰图书馆、EMBASE、AME D、中国生物医学文献数据库、中国知网、万方数据和维普资讯）检索关于太极拳与非运动或传统康复锻炼对照组对脑卒中患者运动功能和睡眠质量影响的随机对照试验（RCT），检索截至2016年8月。两名研究者独立筛选合格研究、提取数据，并采用考克兰手册推荐的RCT质量评价标准评估方法学质量。然后使用RevMan5.3软件进行荟萃分析。
结果
共纳入17项RCT，1209名参与者。荟萃分析表明，太极拳组与对照组在改善脑卒中患者平衡功能（P<0.001）和日常活动能力（P=0.0003）方面存在显著差异。然而，未发现太极拳对步行功能和睡眠质量有显著影响（P>0.05）。
结论
太极拳锻炼可显著改善脑卒中患者的平衡功能和日常活动能力，在步行功能和睡眠质量方面无显著差异。因此，需要大量多中心、大样本、高质量的随机对照试验来验证太极拳锻炼对改善脑卒中患者步行功能和睡眠质量的效果。
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