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传统中医运动对中风患者身心健康的影响:一项荟萃分析。

Effect of traditional Chinese exercises on the physical and mental health of stroke patients: a meta-analysis.

作者信息

Shao Yan, Han Jing-Yuan, Li Hai-Long, Ren Zhu-Ping, Yang Hui

机构信息

China Academy of Athletics, Beijing Sport University, Beijing, China.

Chinese Exercise for Life Enhancement Division, Chinese Martial Arts College, Beijing Sport University, Beijing, China.

出版信息

Front Neurol. 2024 Oct 16;15:1455679. doi: 10.3389/fneur.2024.1455679. eCollection 2024.

Abstract

BACKGROUND

This meta-analysis aimed to investigate the effects of traditional Chinese exercises on stroke and explore the dose-response relationship between the type of exercise and exercise duration with respect to physical and mental health.

METHODS

We searched PubMed, Web of Science, EBSCO, China National Knowledge Infrastructure (CNKI), Wan Fang Database, and China Science and Technology Journal Database to identify published randomized controlled trials (RCTs) related to stroke patients and traditional Chinese exercise that met the evaluation criteria, from the inception of the database until September 2022. After assessing the quality of the literature, we used RevMan5.4 for data analysis.

RESULTS

A total of 27 RCTs were included. The results of the meta-analysis revealed that motor function [MD = 4.79, 95% CI: (4.14, 5.43),  < 0.001], balance function [MD = 5.25, 95% CI: (3.93, 6.56),  < 0.001], and mental health [MD = -2.42, 95% CI: (-3.92 to -0.92),  = 0.002] were significantly better in the experimental group than in the control group.

CONCLUSION

Traditional Chinese exercises have a positive effect on the physical and mental health of stroke patients, with the most significant benefit observed in balance function. While traditional Chinese exercises improve exercise capacity and mental health in stroke patients, these improvements are not directly correlated with longer practice time, and there appear to be certain limitations regarding duration.

摘要

背景

本荟萃分析旨在研究传统中医疗法对中风的影响,并探讨运动类型和运动时长与身心健康之间的剂量反应关系。

方法

我们检索了PubMed、Web of Science、EBSCO、中国知网(CNKI)、万方数据库和中国科技期刊数据库,以确定从数据库建立至2022年9月期间发表的、符合评估标准的与中风患者和传统中医疗法相关的随机对照试验(RCT)。在评估文献质量后,我们使用RevMan5.4进行数据分析。

结果

共纳入27项RCT。荟萃分析结果显示,实验组的运动功能[MD = 4.79,95%CI:(4.14,5.43),P < 0.001]、平衡功能[MD = 5.25,95%CI:(3.93,6.56),P < 0.001]和心理健康[MD = -2.42,95%CI:(-3.92至-0.92),P = 0.002]均显著优于对照组。

结论

传统中医疗法对中风患者的身心健康有积极影响,其中对平衡功能的益处最为显著。虽然传统中医疗法可改善中风患者的运动能力和心理健康,但这些改善与更长的练习时间无直接关联,并在时长方面似乎存在一定局限性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f3c/11525336/9cdfdc0e22f7/fneur-15-1455679-g001.jpg

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