Department of Physical and Rehabilitation Medicine, Faculty of Medicine, Medical University of Plovdiv, "Sv. Georgi" University Hospital, Plovdiv, Bulgaria.
NeuroRehabilitation. 2023;52(2):311-313. doi: 10.3233/NRE-230000.
Many stroke survivors are both sedentary and physically inactive, even those who have adequate mobility. This increases cardiometabolic risk and has impacts on physical and other functions.
The aim of this Cochrane Review summary is to discuss from a rehabilitation perspective the results of the Cochrane review investigating the effects of the interventions designed to reduce sedentary behavior after stroke on mortality, secondary vascular events, cardiovascular risk, adverse events and sedentary behavior.
The review authors searched for randomized controlled trials that had been published up to December 2019, comparing the effects of the interventions aimed to reduce sedentary behavior in patients after stroke with usual care, no intervention, sham intervention.
The results of the review showed that the interventions included did not affect the number of deaths or the incidence of recurrent cardiovascular or cerebrovascular events, falls or other adverse events in stroke patients. Evidence for their impact on sedentary behavior is currently inconclusive.
The evidence about reducing sedentary behavior in patients after stroke is incomplete, since research in this field is relatively new. Practitioners may also encourage reduction in sitting during daytime by considering interventions for other therapeutic targets (e.g. increasing physical activity and mobility), besides the studied interventions that proved to be safe and harmless.
许多中风幸存者久坐不动且身体不活跃，即使那些行动能力足够的人也是如此。这增加了心脏代谢风险，并对身体和其他功能产生影响。
本 Cochrane 综述摘要旨在从康复的角度讨论 Cochrane 综述的结果，该综述调查了旨在减少中风后久坐行为的干预措施对死亡率、二次血管事件、心血管风险、不良事件和久坐行为的影响。
综述作者搜索了截至 2019 年 12 月发表的随机对照试验，比较了旨在减少中风后患者久坐行为的干预措施与常规护理、无干预、假干预的效果。
综述结果表明，所纳入的干预措施并未影响中风患者的死亡人数或复发性心血管或脑血管事件、跌倒或其他不良事件的发生率。目前，关于它们对久坐行为影响的证据尚无定论。
减少中风后患者久坐行为的证据尚不完全，因为该领域的研究相对较新。从业者还可以通过考虑针对其他治疗目标（例如增加身体活动和活动能力）的干预措施来减少白天的久坐时间，除了已证明安全无害的研究干预措施之外。
