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脊髓损伤人群的抗阻训练和肌肉力量:系统评价和荟萃分析。

Resistance Training and Muscle Strength in people with Spinal cord injury: A systematic review and meta-analysis.

机构信息

Department of Physical Education, Federal University of Viçosa, Campus Viçosa, Viçosa, Minas Gerais State, Brazil.

Department of Nursing and Physical Therapy, University of Leon, Campus Ponferrada, Ponferrada, Leon, Spain.

出版信息

J Bodyw Mov Ther. 2022 Jan;29:154-160. doi: 10.1016/j.jbmt.2021.09.031. Epub 2021 Oct 12.

DOI:10.1016/j.jbmt.2021.09.031
PMID:35248264
Abstract

INTRODUCTION

Spinal cord injuries (SCI) have physiological, emotional, and economic consequences in the lives of affected people. Resistance training (RT) is efficient in improving several physiological factors, quality of life, and body composition.

EVIDENCE ACQUISITION

Due to the scarce literature on RT analyzed separately, the objective of this systematic review is to analyze the effects of RT with no association to other techniques, in aspects related to the quality of life and body composition of people The research for the articles was carried out in the Pubmed, Cochrane, and Web of Science databases using the terms "Spinal cord injuries" AND "Resistance Training" OR "Strength training". Given the scarcity of evidence on the subject, no deadline was set for the study to be eligible for analysis.

EVIDENCE SYNTHESIS

The research for the articles was carried out in November of 2020 and returned 349 results, of which 220 remained after the elimination of duplicates, with 145 being excluded after title analysis. Seventy-five abstracts were analyzed and 70 studies were excluded, leaving 5 complete articles for a thorough analysis with SCI. Despite the I being 87%, the meta-analysis revealed an overall effect of Z = 4.79 (P < 0.00001).

CONCLUSIONS

After analyzing the main results, we concluded that RT is feasible, secure, and promotes significant improvements in maximum strength, local muscular endurance, power, and muscular isometric voluntary contraction in people with spinal cord injury.

摘要

引言

脊髓损伤(SCI)会给患者的生活带来生理、心理和经济方面的影响。抗阻训练(RT)在改善多项生理因素、生活质量和身体成分方面非常有效。

证据获取

由于针对 RT 的文献很少,因此本系统综述的目的是分析不与其他技术相关的 RT 对与生活质量和身体成分相关的方面的影响。研究人员在 Pubmed、Cochrane 和 Web of Science 数据库中使用了“Spinal cord injuries”和“Resistance Training”或“Strength training”这两个术语进行检索。鉴于该主题的证据稀缺,研究没有设定截止日期,只要符合条件就可以进行分析。

证据综合

文章的检索工作于 2020 年 11 月进行,共检索到 349 篇结果,其中 220 篇为重复结果,经过标题分析后有 145 篇被排除。分析了 75 篇摘要,排除了 70 项研究,最后有 5 篇完整的 SCI 相关文章纳入深入分析。尽管 I2 为 87%,但荟萃分析显示,总体效应 Z=4.79(P<0.00001)。

结论

在分析了主要结果后,我们得出结论,RT 是可行、安全的,并且可以显著提高脊髓损伤患者的最大力量、局部肌肉耐力、力量和肌肉等长自主收缩能力。

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