想象在帕金森病康复中的疗效：系统评价和荟萃分析的方案。

The efficacy of imagery in the rehabilitation of people with Parkinson's disease: protocol for a systematic review and meta-analysis.

机构信息

School of Health Sciences, Western Sydney University, Penrith, NSW, Australia.

Translational Health Research Institute, Western Sydney University, Penrith, NSW, Australia.

出版信息

Syst Rev. 2022 Aug 8;11(1):158. doi: 10.1186/s13643-022-02041-z.

DOI:10.1186/s13643-022-02041-z

PMID:35934713

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9358873/

Abstract

BACKGROUND

Parkinson's disease (PD) is a neurodegenerative disorder of the nervous system that affects movement. Individuals with PD commonly experience difficulty initiating movements, slowness of movements, decreased balance, and decreased standing ability. It has been shown that these motor symptoms adversely affect the independence of individuals with PD. Imagery is the cognitive process whereby a motor action is internally reproduced and repeated without overt physical movement. Recent studies support the use of imagery in improving rehabilitation outcomes in the PD population. However, these data have inconsistencies and have not yet been synthesised. The study will review the evidence on the use of imagery in individuals with PD and to determine its efficacy in improving rehabilitation outcomes.

METHODS

Randomised controlled clinical trials comparing the effects of imagery and control on activities, body structure and function, and participation outcomes for people with PD will be included. A detailed computer-aided search of the literature will be performed from inception to June 2021 in the following databases: MEDLINE, EMBASE, CINAHL, PsycINFO, Cochrane Library, Web of Science, and Scopus. Two independent reviewers will screen articles for relevance and methodological validity. The Physiotherapy Evidence Database (PEDro) scale will be utilised to evaluate the risk of bias of selected studies. Data from included studies will be extracted by two independent reviewers through a customised, pre-set data extraction sheet. Studies using imagery with comparable outcome measures will be pooled for meta-analysis using the random effect model with 95% CI. If individual studies are heterogeneous, a descriptive review will analyse variance in interventions and outcomes. A narrative data analysis will be considered where there is insufficient data to perform a meta-analysis.

DISCUSSION

Several studies investigating imagery in the PD population have drawn dissimilar conclusions regarding its effectiveness in rehabilitation outcomes and clinical applicability. Therefore, this systematic review will gather and critically appraise all relevant data, to generate a conclusion and recommendations to guide both clinical practice and future research on using imagery in the rehabilitation of people with PD.

FUNDING

This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

SYSTEMATIC REVIEW REGISTRATION

PROSPERO registration number CRD42021230556.

摘要

背景

帕金森病（PD）是一种神经系统退行性疾病，会影响运动。PD 患者通常会出现运动启动困难、运动缓慢、平衡能力下降和站立能力下降等问题。这些运动症状会对 PD 患者的独立性产生不利影响。表象是一种认知过程，通过该过程，无需明显的身体运动即可在内部复制和重复运动动作。最近的研究支持在 PD 患者中使用表象来改善康复效果。然而，这些数据存在不一致性，尚未进行综合分析。本研究将综述表象在 PD 患者中的使用证据，并确定其在改善康复效果方面的功效。

方法

将纳入比较表象与对照在 PD 患者活动、身体结构和功能以及参与结果方面影响的随机对照临床试验。将从研究开始到 2021 年 6 月，在以下数据库中进行详细的计算机辅助文献检索：MEDLINE、EMBASE、CINAHL、PsycINFO、Cochrane 图书馆、Web of Science 和 Scopus。两名独立的审查员将根据相关性和方法学有效性筛选文章。将使用 Physiotherapy Evidence Database（PEDro）量表评估选定研究的偏倚风险。两名独立的审查员将通过自定义的预设数据提取表提取纳入研究的数据。将使用具有可比结局测量的表象进行 meta 分析，使用随机效应模型和 95%置信区间进行汇总。如果个别研究存在异质性，则将对干预措施和结局的差异进行描述性综述分析。如果没有足够的数据进行 meta 分析，则将考虑进行叙述性数据分析。