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触觉反馈干预对中风后步态和平衡障碍的影响:一项系统评价和荟萃分析。

Effects of Haptic Feedback Interventions in Post-Stroke Gait and Balance Disorders: A Systematic Review and Meta-Analysis.

作者信息

Gomez-Risquet Maria, Cáceres-Matos Rocío, Magni Eleonora, Luque-Moreno Carlos

机构信息

Facultad de Enfermería, Fisioterapia y Podología, Universidad de Sevilla, 41009 Sevilla, Spain.

CTS-1137 "Neurological Physiotherapy, Innovative Neurorehabilitation & Neurodevelopment Disorders (NEUROPhysiUS)" Research Group, Universidad de Sevilla, 41009 Seville, Spain.

出版信息

J Pers Med. 2024 Sep 14;14(9):974. doi: 10.3390/jpm14090974.

Abstract

: Haptic feedback is an established method to provide sensory information (tactile or kinesthetic) about the performance of an activity that an individual can not consciously detect. After a stroke, hemiparesis usually leads to gait and balance disorders, where haptic feedback can be a promising approach to promote recovery. The aim of the present study is to understand its potential effects on gait and balance impairments, both after interventions and in terms of immediate effects. : This research was carried out using the following scientific databases: Embase, Scopus, Web of Science, and Medline/PubMed from inception to May 2024. The Checklist for Measuring quality, PEDro scale, and the Cochrane collaboration tool were used to assess the methodological quality and risk of bias of the studies. : Thirteen articles were chosen for qualitative analysis, with four providing data for the meta-analysis. The findings did not yield definitive evidence on the effectiveness of haptic feedback for treating balance and gait disorders following a stroke. : Further research is necessary in order to determine the effectiveness of haptic feedback mechanisms, with larger sample sizes and more robust methodologies. Longer interventions and pre-post design in gait training with haptic feedback are necessary.

摘要

触觉反馈是一种既定的方法,用于提供有关个体无法有意识察觉的活动表现的感官信息(触觉或动觉)。中风后,偏瘫通常会导致步态和平衡障碍,而触觉反馈可能是促进恢复的一种有前景的方法。本研究的目的是了解其对步态和平衡障碍的潜在影响,包括干预后的影响以及即时影响。

本研究使用了以下科学数据库

自创建至2024年5月的Embase、Scopus、Web of Science和Medline/PubMed。使用测量质量清单、PEDro量表和Cochrane协作工具来评估研究的方法学质量和偏倚风险。

选择了13篇文章进行定性分析,其中4篇为荟萃分析提供了数据。研究结果并未得出关于触觉反馈治疗中风后平衡和步态障碍有效性的确切证据。

为了确定触觉反馈机制的有效性,需要进行进一步的研究,采用更大的样本量和更稳健的方法。在使用触觉反馈的步态训练中,需要更长时间的干预和前后设计。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cdb0/11433178/7355029418a3/jpm-14-00974-g001.jpg

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