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多感觉运动锻炼改善平衡障碍患者的平衡能力:系统评价。

Multisensory Exercise Improves Balance in People with Balance Disorders: A Systematic Review.

机构信息

Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.

Institute of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.

出版信息

Curr Med Sci. 2021 Aug;41(4):635-648. doi: 10.1007/s11596-021-2417-z. Epub 2021 Aug 17.

Abstract

OBJECTIVE

To examine the effect of multisensory exercise on balance disorders.

METHODS

PubMed, Scopus and Web of Science were searched to identify eligible studies published before January 1, 2020. Eligible studies included randomized control trials (RCTs), non-randomized studies, case-control studies, and cohort studies. The methodological quality of the included studies was evaluated using JBI Critical Appraisal Checklists for RCTs and for Quasi-Experimental Studies by two researchers independently. A narrative synthesis of intervention characteristics and health-related outcomes was performed.

RESULTS

A total of 11 non-randomized studies and 9 RCTs were eligible, including 667 participants. The results supported our assumption that multisensory exercise improved balance in people with balance disorders. All of the 20 studies were believed to be of high or moderate quality.

CONCLUSION

Our study confirmed that multisensory exercise was effective in improving balance in people with balance disorders. Multisensory exercises could lower the risk of fall and enhance confidence level to improve the quality of life. Further research is needed to investigate the optimal strategy of multisensory exercises and explore the underlying neural and molecular mechanisms of balance improvement brought by multisensory exercises.

摘要

目的

研究多感觉运动训练对平衡障碍的影响。

方法

检索 PubMed、Scopus 和 Web of Science,以确定截至 2020 年 1 月 1 日发表的合格研究。合格研究包括随机对照试验(RCT)、非随机研究、病例对照研究和队列研究。两位研究者独立使用 JBI RCT 及准实验研究的批判性评价清单评估纳入研究的方法学质量。对干预特征和健康相关结局进行叙述性综合。

结果

共纳入 11 项非随机研究和 9 项 RCT,共 667 名参与者。结果支持我们的假设,即多感觉运动训练改善了平衡障碍者的平衡。所有 20 项研究都被认为质量较高或中等。

结论

我们的研究证实,多感觉运动训练对平衡障碍者的平衡有积极影响。多感觉运动训练可以降低跌倒风险,增强信心,从而提高生活质量。需要进一步研究以确定多感觉运动训练的最佳策略,并探索多感觉运动训练改善平衡的潜在神经和分子机制。

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