Zhou Baohua, Wei Jiajun, Zhang Yanli, Liu Yue, Shan Shuhui, Ye Shan, Li Baohua, Fan Dongsheng, Luo Yongmei
Department of Neurology, Peking University Third Hospital, Beijing, China.
Nursing Department, Peking University Third Hospital, Beijing, China.
Front Neurol. 2022 Oct 21;13:986882. doi: 10.3389/fneur.2022.986882. eCollection 2022.
The purpose of this meta-analysis was to evaluate the effect of more intensive exercise training on the functional ability of patients with amyotrophic lateral sclerosis.
Randomized controlled trials on exercise training in amyotrophic lateral sclerosis patients were retrieved from PubMed, Embase, Web of Science, Cochrane Library and other databases, and meta-analysis was conducted using a fixed effect model or random effect model. Sensitivity analysis was used as a means to study heterogeneity.
A total of 8 randomized controlled trials involving 330 patients with amyotrophic lateral sclerosis were included in this study. The results showed that there was statistical significance in the influence of more intensive exercise training on amyotrophic lateral sclerosis Functional Rating Scale in the short term (0-4 months) and the medium term (5-8 months) ( < 0.05). There was no significant difference in the effect of the amyotrophic lateral sclerosis Functional Rating Scale-Revised in the short term (0-4 months) or long term (9-12 months) ( ≥ 0.05). In the medium term (5-8 months), there was statistical significance ( < 0.05). There was no significant difference in Forced vital capacity (FVC%) in the short term (0-4 months) ( > 0.05).
More intensive exercise training may slow the decline in functional score of amyotrophic lateral sclerosis patients, and more studies should be carried out in the future to verify the effect of more intensive exercise training in patients with amyotrophic lateral sclerosis.
本荟萃分析旨在评估强化运动训练对肌萎缩侧索硬化症患者功能能力的影响。
从PubMed、Embase、科学网、Cochrane图书馆和其他数据库中检索关于肌萎缩侧索硬化症患者运动训练的随机对照试验,并使用固定效应模型或随机效应模型进行荟萃分析。敏感性分析作为研究异质性的一种手段。
本研究共纳入8项涉及330例肌萎缩侧索硬化症患者的随机对照试验。结果显示,强化运动训练在短期(0 - 4个月)和中期(5 - 8个月)对肌萎缩侧索硬化症功能评定量表的影响具有统计学意义(<0.05)。在短期(0 - 4个月)或长期(9 - 12个月),修订后的肌萎缩侧索硬化症功能评定量表的效果无显著差异(≥0.05)。在中期(5 - 8个月),具有统计学意义(<0.05)。短期(0 - 4个月)用力肺活量(FVC%)无显著差异(>0.05)。
强化运动训练可能减缓肌萎缩侧索硬化症患者功能评分的下降,未来应开展更多研究以验证强化运动训练对肌萎缩侧索硬化症患者的效果。