评估平衡表现时主导腿的作用。系统评价和荟萃分析。

The role of the dominant leg while assessing balance performance. A systematic review and meta-analysis.

机构信息

Bern University of Applied Sciences, Department of Health Professions, Section of Physiotherapy, Bern, Switzerland; School of Health Sciences, HES-SO Valais-Wallis, University of Applied Sciences and Arts Western Switzerland, Valais, Sion, Switzerland.

School of Health Sciences, HES-SO Valais-Wallis, University of Applied Sciences and Arts Western Switzerland, Valais, Leukerbad, Switzerland.

出版信息

Gait Posture. 2021 Feb;84:66-78. doi: 10.1016/j.gaitpost.2020.11.008. Epub 2020 Nov 19.

DOI:10.1016/j.gaitpost.2020.11.008

PMID:33278778

Abstract

BACKGROUND

Good balance is a pre-requisite for various activities of daily life and sports. Physiotherapists thus regularly assess and train patient's balance capacities. In order to interpret the test results of unilateral balance tests, a comparison with normative data is common. In patients who had an injury or a surgery, the performance of the injured leg is often compared with performance of the non-injured leg. Nevertheless, it remains unclear if unilateral balance performance differs between the dominant and non- dominant legs. If so, this should take into consideration when interpreting test results.

RESEARCH QUESTION

This meta-analysis summarized the current evidence to determine if the balance performance of healthy adults was influenced by the leg's dominance.

METHODS

Articles were searched in PubMed, CINAHL, Cochrane and Embase. Data from studies meeting the pre-defined inclusion criteria were extracted in a standardized form. A meta-analysis was conducted using a random effect model.

RESULTS

Forty-six studies were included. Their data were allocated in 7 categories of balance tests. Significant differences between the dominant and the non-dominant legs were not found in any of the categories (surface stable, eyes open: -0.04, 95 % CI -0.12 to 0.05, surface stable eyes closed: -0.06, 95 % CI -0.22 to 0.11, surface unstable, eyes open: -0.15, 95 % CI -0.38 to 0.07, surface unstable, eyes closed: -0.06, 95 % CI -0.27 to 0.15, BESS (Balance Error Scoring System): 0.03, 95 % CI -1.09 to 1.14, SEBT (Star Excursion Balance Test)/YBT (Y Balance Test): 0.06, 95 % CI -0.04 to 0.16, jump: 0.04, 95 % CI -0.28 to 0.36).

SIGNIFICANCE

Results indicate that balance performance is not influenced by the leg's dominance. This means that performances of both legs can be used as reference. Evidence is strong for the one leg stance. However, future studies are needed to confirm our results for stabilization tasks after a jump landing.

摘要

背景

良好的平衡能力是日常生活和运动各种活动的前提条件。因此，物理治疗师经常评估和训练患者的平衡能力。为了解读单侧平衡测试的测试结果，通常将其与参考数据进行比较。在受伤或接受手术的患者中，受伤腿的表现通常与未受伤腿的表现进行比较。然而，目前尚不清楚主导腿和非主导腿之间的单侧平衡表现是否存在差异。如果存在这种差异，则在解释测试结果时应予以考虑。

研究问题

本荟萃分析总结了目前的证据，以确定健康成年人的平衡表现是否受腿部优势的影响。

方法

在 PubMed、CINAHL、Cochrane 和 Embase 中搜索文章。以标准化表格形式提取符合预定义纳入标准的研究的数据。使用随机效应模型进行荟萃分析。

结果

共纳入 46 项研究。他们的数据被分配到 7 类平衡测试中。在任何类别中，主导腿和非主导腿之间均未发现显著差异（表面稳定，睁眼：-0.04，95%CI-0.12 至 0.05，表面稳定，闭眼：-0.06，95%CI-0.22 至 0.11，表面不稳定，睁眼：-0.15，95%CI-0.38 至 0.07，表面不稳定，闭眼：-0.06，95%CI-0.27 至 0.15，BESS（平衡错误评分系统）：0.03，95%CI-1.09 至 1.14，SEBT（星形偏移平衡测试）/YBT（Y 平衡测试）：0.06，95%CI-0.04 至 0.16，跳跃：0.04，95%CI-0.28 至 0.36）。