体重支持式跑步机训练联合功能性电刺激与单纯体重支持式跑步机训练对改善脑卒中患者步态参数的效果差异：一项系统评价与Meta分析
The difference between the effectiveness of body-weight-supported treadmill training combined with functional electrical stimulation and sole body-weight-supported treadmill training for improving gait parameters in stroke patients: A systematic review and meta-analysis.
作者信息
Wang Jiaqi, Zhao Liangyu, Gao Yan, Liu Chenchen, Dong Xiaosheng, He Xiqian
机构信息
School of Physical Education, Shandong University, Jinan, China.
School of Medical Information Engineering, Jining Medical University, Jining, China.
出版信息
Front Neurol. 2022 Nov 9;13:1003723. doi: 10.3389/fneur.2022.1003723. eCollection 2022.
BACKGROUND
Body-weight-supported treadmill training (BWSTT) combined with functional electrical stimulation (FES) is considered an effective intervention method to improve gait parameters in stroke patients. In this article, we compared the effect of BWSTT combined with FES and BWSTT only on gait parameters in stroke patients.
METHODS
Two researchers searched for literature published before January 5, 2021, in seven Chinese and English databases including PubMed, Web of Science, Cochrane Library, Ovid, CNKI, Wanfang Data, and VIP. Meta-analysis was then performed on various data collected, namely, 10 Meters Walking Test (10MWT), gait speed, Fugl-Meyer Assessment (FMA), Berg Balance Scale (BBS), Modified Barthel Index (MBI), Comprehensive Spasticity Scale (CSS), Functional Ambulation Category (FAC), and Ankle Range of Motion (AROM).
RESULTS
A total of 14 studies were included in the meta-analysis, in which 945 stroke patients participated. In these 14 studies, the participants were randomly divided into a test group and a control group. The test group received BWSTT combined with FES, while the control group received BWSTT only. Meta-analysis showed that when compared to BWSTT, BWSTT combined with FES had a better effect on FAC, AROM, 10MWT, CSS, MBI, FMA, gait speed, and BBS of stroke patients. However, the effect of BWSTT combined with FES on BBS was not significant in the medium exercise group when compared to that of BWSTT. Also, the effect of BWSTT combined with FES on gait speed was not significant in the large exercise group when compared to that of BWSTT only.
CONCLUSION
BWSTT combined with FES is more effective than BWSTT only for improving gait parameters in stroke patients.
SYSTEMATIC REVIEW REGISTRATION
https://www.crd.york.ac.uk/prospero/#recordDetails, CRD42022299636.
背景
体重支持式跑步机训练（BWSTT）联合功能性电刺激（FES）被认为是改善中风患者步态参数的一种有效干预方法。在本文中，我们比较了BWSTT联合FES与单纯BWSTT对中风患者步态参数的影响。
方法
两名研究人员在包括PubMed、Web of Science、Cochrane图书馆、Ovid、中国知网、万方数据和维普在内的七个中英文数据库中检索了2021年1月5日前发表的文献。然后对收集到的各种数据进行荟萃分析，即10米步行测试（10MWT）、步态速度、Fugl-Meyer评估（FMA）、伯格平衡量表（BBS）、改良巴氏指数（MBI）、综合痉挛量表（CSS）、功能性步行分类（FAC）和踝关节活动范围（AROM）。
结果
荟萃分析共纳入14项研究，945名中风患者参与其中。在这14项研究中，参与者被随机分为试验组和对照组。试验组接受BWSTT联合FES，而对照组仅接受BWSTT。荟萃分析表明，与BWSTT相比，BWSTT联合FES对中风患者的FAC、AROM、10MWT、CSS、MBI、FMA、步态速度和BBS有更好的效果。然而，与BWSTT相比，BWSTT联合FES在中等运动组中对BBS的影响不显著。此外，与单纯BWSTT相比，BWSTT联合FES在大运动组中对步态速度的影响不显著。
结论
BWSTT联合FES在改善中风患者步态参数方面比单纯BWSTT更有效。
系统评价注册
https://www.crd.york.ac.uk/prospero/#recordDetails，CRD42022299636。
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