Choi Hyoseon, Kim Hyun Jung
Department of Rehabilitation Medicine, Nowon Eulji Medical Center, Eulji University School of Medicine, Seoul, Korea.
Brain Neurorehabil. 2024 Nov 21;17(3):e19. doi: 10.12786/bn.2024.17.e19. eCollection 2024 Nov.
This meta-analysis aimed to evaluate the effect of constraint-induced movement therapy (CIMT) on arm function and daily living compared with conventional rehabilitation in stroke patients with hemiplegia. We searched three international electronic databases-MEDLINE, Embase, and the Cochrane Library-for relevant studies. The risk of bias was evaluated using Cochrane's Risk of Bias version 1.0, and the certainty of evidence was assessed using the Grading of Recommendations, Assessment, Development, and Evaluations method. A total of 34 randomized controlled trials (RCTs) were included herein. Specifically, 21 RCTs regarding arm motor function, 13 on upper limb motor impairment, and 12 on activities of daily living (ADL) performance were analyzed. The results of the meta-analysis demonstrated that CIMT was significantly more effective than conventional therapy in improving arm motor function, reducing upper limb motor impairment, and enhancing ADL performance. CIMT should be implemented and tailored to the strength of the affected upper limb to improve upper limb function and ADL performance in post-stroke patients with hemiplegia.
本荟萃分析旨在评估与传统康复相比，强制性运动疗法（CIMT）对偏瘫中风患者手臂功能和日常生活的影响。我们检索了三个国际电子数据库——MEDLINE、Embase和Cochrane图书馆——以查找相关研究。使用Cochrane偏倚风险1.0版评估偏倚风险，并使用推荐分级、评估、制定和评价方法评估证据的确定性。本文共纳入34项随机对照试验（RCT）。具体而言，分析了21项关于手臂运动功能的RCT、13项关于上肢运动障碍的RCT以及12项关于日常生活活动（ADL）表现的RCT。荟萃分析结果表明，在改善手臂运动功能、减少上肢运动障碍和提高ADL表现方面，CIMT比传统疗法显著更有效。应实施CIMT并根据受影响上肢的力量进行调整，以改善中风后偏瘫患者的上肢功能和ADL表现。
