水疗对脑卒中幸存者平衡和步态的影响：系统评价和荟萃分析。
Effect of aquatic therapy on balance and gait in stroke survivors: A systematic review and meta-analysis.
机构信息
Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India.
Research Division, Institute of Mental Health, Singapore.
出版信息
Complement Ther Clin Pract. 2020 May;39:101110. doi: 10.1016/j.ctcp.2020.101110. Epub 2020 Jan 30.
BACKGROUND
The evidence on aquatic therapy (AT) for improving balance and gait deficits post-stroke is unclear. Therefore, this study aimed to determine the effect of AT on balance and gait in stroke survivors.
METHODS
We searched CINAHL, PubMed, Web of Science, Aqua4balance, Ewac, Cochrane, and EMBASE databases from inception to 1 November 2019.
RESULTS
Eleven studies with 455 participants were included for the review. Meta-analysis showed that AT was effective for improving balance (MD 3.23, 95% CI 1.06, 5.39; p = 0.004; I = 61%) and gait speed (MD 0.77, 95% CI 0.25, 1.29; p = 0.004; I = 0%) when delivered alone. AT was effective in improving cadence (MD 4.41, 95% CI 0.82, 8.00; p = 0.02; I = 68%) when delivered as an adjunct to land-based therapy.
CONCLUSION
AT may be used to improve balance and gait after stroke; however, the evidence to support its use is still low.
背景
关于水疗（AT）改善脑卒中后平衡和步态缺陷的证据尚不清楚。因此，本研究旨在确定 AT 对脑卒中幸存者平衡和步态的影响。
方法
我们从建库到 2019 年 11 月 1 日在 CINAHL、PubMed、Web of Science、Aqua4balance、Ewac、Cochrane 和 EMBASE 数据库中进行了检索。
结果
纳入了 11 项研究，共 455 名参与者。Meta 分析表明，AT 单独应用时可有效改善平衡（MD 3.23，95%CI 1.06，5.39；p=0.004；I=61%）和步态速度（MD 0.77，95%CI 0.25，1.29；p=0.004；I=0%）。作为陆地治疗的辅助手段，AT 可有效改善步频（MD 4.41，95%CI 0.82，8.00；p=0.02；I=68%）。
结论
AT 可用于改善脑卒中后的平衡和步态；然而，支持其使用的证据仍然不足。
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