Chiaramonte Rita, Bonfiglio Marco, Leonforte Pierfrancesco, Coltraro Giovanna Loriana, Guerrera Claudia Savia, Vecchio Michele
Department of Biomedical and Biotechnological Sciences, Section of Pharmacology, University of Catania, 95123 Catania, Italy.
Provincial Health Department of Siracusa, 96014 Sicily, Italy.
J Funct Morphol Kinesiol. 2022 Jul 7;7(3):53. doi: 10.3390/jfmk7030053.
This systematic review aims to reveal the effectiveness of proprioceptive exercise combined with dual-task training in stroke patients. The research was conducted using PubMed, Cochrane Library, Web of Science, and Scopus databases to evaluate studies of rehabilitation interventions with proprioceptive and dual-task exercises in patients with stroke. The keywords for the search were: "stroke" AND "proprioception" OR "proprioceptive" AND "rehabilitation" OR "training" OR "exercises" AND "dual-task" OR "task-performance" with the following inclusion criteria: comparative studies of rehabilitation interventions with proprioceptive and dual-task exercises in stroke patients. Of the 104,014 studies identified, 23 were included according to the inclusion criteria. Proprioceptive and dual-task exercises stimulate and promote postural balance, gait, and quality of life and reduce the risk of falls in stroke patients compared with traditional rehabilitation programs. In conclusion, this systematic review suggests that proprioceptive exercise combined with dual-task training is needed to improve balance and recover gait. Moreover, it provides a comprehensive overview of the literature on the various proprioceptive treatments with contextual dual-task exercises for imbalance after stroke, providing a guide for choosing a complete rehabilitation protocol that combines these two techniques.
本系统评价旨在揭示本体感觉训练结合双任务训练对脑卒中患者的有效性。研究通过检索PubMed、Cochrane图书馆、Web of Science和Scopus数据库，以评估针对脑卒中患者进行本体感觉和双任务训练的康复干预研究。检索关键词为：“stroke” AND “proprioception” OR “proprioceptive” AND “rehabilitation” OR “training” OR “exercises” AND “dual-task” OR “task-performance”，纳入标准为：关于脑卒中患者本体感觉和双任务训练康复干预的对比研究。在检索出的104014项研究中，根据纳入标准纳入了23项研究。与传统康复方案相比，本体感觉和双任务训练能刺激并促进脑卒中患者的姿势平衡、步态及生活质量，并降低跌倒风险。总之，本系统评价表明，需要采用本体感觉训练结合双任务训练来改善平衡和恢复步态。此外，它全面综述了有关脑卒中后失衡的各种本体感觉治疗与情境双任务训练的文献，为选择结合这两种技术的完整康复方案提供了指导。
