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太极拳对脑卒中患者平衡功能和运动能力的影响:一项Meta分析

The Influences of Tai Chi on Balance Function and Exercise Capacity among Stroke Patients: A Meta-Analysis.

作者信息

Zheng Xinhu, Wu Xiaoyang, Liu Zuhong, Wang Jing, Wang Keyang, Yin Jilin, Wang Xing

机构信息

Shanghai University of Sport, Shanghai 200438, China.

Jiaxing University, Jiaxing 314001, China.

出版信息

Evid Based Complement Alternat Med. 2021 Feb 24;2021:6636847. doi: 10.1155/2021/6636847. eCollection 2021.

Abstract

OBJECTIVE

This study aims to explore the influences of Tai Chi on the balance function and exercise capacity among stroke patients.

METHODS

Databases including PubMed, Embase, WOS (Web of Science), the Cochrane Library, CNKI (China National Knowledge Infrastructure), Wanfang Data, VIP (VIP database), and CBM (China Biology Medicine disc) were retrieved to gather the figures of randomized controlled trials on the balance function and exercise capacity among stroke patients. Then relevant data were input and analyzed in Review Manager 5.3.

RESULTS

Nineteen papers were included and analyzed in this study. According to the combined effect size, the balance function of stroke patients improved significantly: the Berg Balance Function Scale score [MD = 7.67, 95% CI (3.44, 11.90)]; standing and walking test scores [MD = 3.42, 95% CI (4.22, -2.63)]; gravity swing area [MD = 0.79, 95% CI (1.48, 0.10)]; and gravity swing speed [MD = -5.43, 95% CI (-7.79, 3.08)]. In addition, the exercise capacity improved significantly as well: the FMA (Fugl-Meyer Assessment Scale) scale score [MD = 4.15, 95% CI (1.68, 6.63)]. There are no significant influences or changes of other related results.

CONCLUSIONS

Stroke patients are able to improve their balance functions and exercise capacities prominently when they do Tai Chi exercise once or twice a week and ≥5 times/week and >30 ≤ 60 min/time.

摘要

目的

本研究旨在探讨太极拳对中风患者平衡功能和运动能力的影响。

方法

检索包括PubMed、Embase、WOS(科学引文索引)、Cochrane图书馆、CNKI(中国知网)、万方数据、维普数据库和中国生物医学文献数据库在内的数据库,收集有关中风患者平衡功能和运动能力的随机对照试验数据。然后将相关数据输入Review Manager 5.3进行分析。

结果

本研究纳入并分析了19篇论文。根据合并效应量,中风患者的平衡功能显著改善:伯格平衡功能量表评分[MD = 7.67,95%CI(3.44,11.90)];站立和行走测试评分[MD = 3.42,95%CI(4.22,-2.63)];重心摆动面积[MD = 0.79,95%CI(1.48,0.10)];以及重心摆动速度[MD = -5.43,95%CI(-7.79,3.08)]。此外,运动能力也显著提高:Fugl-Meyer评估量表评分[MD = 4.15,95%CI(1.68,6.63)]。其他相关结果无显著影响或变化。

结论

中风患者每周进行1至2次及≥5次、每次>30≤60分钟的太极拳锻炼时,其平衡功能和运动能力能显著提高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a8a/7932789/6f1c9dce1d73/ECAM2021-6636847.001.jpg

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