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中风后痉挛性瘫痪的非药物治疗:2000年至2024年全球研究的文献计量分析

Non-Pharmacological Therapies for Post-Stroke Spastic Paralysis: A Bibliometric Analysis of Global Research from 2000 to 2024.

作者信息

Zhang Ziyi, Yin Lili, Huang Jingjie, Wang Qiuxuan, Sun Shanshan, Tan Shuoshuo

机构信息

Tianjin University of Traditional Chinese Medicine, Tianjin, 300000, People's Republic of China.

National Clinical Research Center of Chinese Medicine Acupuncture, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, 300193, People's Republic of China.

出版信息

J Multidiscip Healthc. 2024 Dec 14;17:5949-5965. doi: 10.2147/JMDH.S507752. eCollection 2024.

DOI:10.2147/JMDH.S507752
PMID:39698067
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11654215/
Abstract

OBJECTIVE

This study aims to explore the research landscape, hot topics, and future trends of non-pharmacological therapies for post-stroke spastic paralysis globally from 2000 to 2024 through a bibliometric analysis.

METHODS

We conducted a search in the Web of Science Core Collection database to analyze literature related to non-pharmacological therapies for post-stroke spastic paralysis published between 2000 and 2024. Tools including CiteSpace, VOSviewer, Bibliometrix, Scimago, and R language were used to identify and analyze countries, institutions, journals, references, keywords, as well as the most commonly used therapies and acupuncture points. The results were presented in the form of knowledge maps.

RESULTS

The bibliometric analysis identified a total of 297 publications. Over the study period, the number of publications showed an overall upward trend. China had the highest number of publications. The journal Archives of Physical Medicine and Rehabilitation published the most articles. The most frequently occurring keywords were "stroke", "reliability", and "muscle spasticity." The most commonly used therapy was "acupuncture.".

CONCLUSION

From 2000 to 2024, non-pharmacological therapies have shown positive effects in improving post-stroke spastic paralysis; however, more rigorously designed large-scale, high-quality randomized controlled trials are needed to confirm their long-term efficacy and mechanisms. Moving forward, international and domestic research institutions should strengthen collaboration to produce more impactful research and further explore individualized, precision rehabilitation treatment plans.

摘要

目的

本研究旨在通过文献计量分析,探索2000年至2024年全球范围内中风后痉挛性瘫痪非药物治疗的研究概况、热点话题和未来趋势。

方法

我们在科学网核心合集数据库中进行检索,以分析2000年至2024年发表的与中风后痉挛性瘫痪非药物治疗相关的文献。使用CiteSpace、VOSviewer、Bibliometrix、Scimago和R语言等工具来识别和分析国家、机构、期刊、参考文献、关键词,以及最常用的治疗方法和穴位。结果以知识图谱的形式呈现。

结果

文献计量分析共确定了297篇出版物。在研究期间,出版物数量总体呈上升趋势。中国的出版物数量最多。《物理医学与康复档案》杂志发表的文章最多。出现频率最高的关键词是“中风”“可靠性”和“肌肉痉挛”。最常用的治疗方法是“针灸”。

结论

2000年至2024年期间,非药物治疗在改善中风后痉挛性瘫痪方面显示出积极效果;然而,需要更严格设计的大规模、高质量随机对照试验来证实其长期疗效和作用机制。展望未来,国际和国内研究机构应加强合作,开展更具影响力的研究,并进一步探索个性化、精准的康复治疗方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02ae/11654215/4426688a27a6/JMDH-17-5949-g0008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02ae/11654215/836d46bebaca/JMDH-17-5949-g0001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02ae/11654215/f00791f04ed1/JMDH-17-5949-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02ae/11654215/8c779cbb9784/JMDH-17-5949-g0006.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02ae/11654215/4426688a27a6/JMDH-17-5949-g0008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02ae/11654215/836d46bebaca/JMDH-17-5949-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02ae/11654215/f21601883c16/JMDH-17-5949-g0002.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02ae/11654215/b3a717440e98/JMDH-17-5949-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02ae/11654215/f00791f04ed1/JMDH-17-5949-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02ae/11654215/8c779cbb9784/JMDH-17-5949-g0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02ae/11654215/bc06460a94ff/JMDH-17-5949-g0007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02ae/11654215/4426688a27a6/JMDH-17-5949-g0008.jpg

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本文引用的文献

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Deciphering the mechanistic impact of acupuncture on the neurovascular unit in acute ischemic stroke: Insights from basic research in a narrative review.解析针刺对急性缺血性脑卒中神经血管单元的作用机制:基于基础研究的叙述性综述。
Ageing Res Rev. 2024 Nov;101:102536. doi: 10.1016/j.arr.2024.102536. Epub 2024 Oct 9.
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A reliable and valid assessment of upper limb movement quality after stroke: the observational Drinking Task Assessment.一种可靠且有效的脑卒中后上肢运动质量评估方法:观察性饮液任务评估。
J Rehabil Med. 2024 Oct 9;56:jrm40362. doi: 10.2340/jrm.v56.40362.
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Chronic stroke survivors underestimate their upper limb motor ability in a simple 2D motor task.
慢性中风幸存者在简单的二维运动任务中会低估自己的上肢运动能力。
J Neuroeng Rehabil. 2024 Oct 1;21(1):175. doi: 10.1186/s12984-024-01471-1.
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Short-term intervention effect analysis of neuromuscular joint facilitation in patients who experienced stroke with shoulder subluxation: a clinical randomized controlled trial.神经肌肉关节促进技术对脑卒中伴肩关节半脱位患者的短期干预效果分析:一项临床随机对照试验
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Comparing the effects of different acupoint-stimulating therapies in mitigating post-stroke spasticity and motor dysfunction in older stroke survivors: A network meta-analysis of randomized trials.比较不同穴位刺激疗法在减轻老年脑卒中幸存者卒中后痉挛和运动功能障碍方面的效果:一项随机试验的网络荟萃分析。
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Effects of photobiomodulation on pain, lactate and muscle performance (ROM, torque, and EMG parameters) of paretic upper limb in patients with post-stroke spastic hemiparesis-a randomized controlled clinical trial.光生物调节对脑卒中后痉挛性偏瘫患者患侧上肢疼痛、乳酸和肌肉性能(ROM、扭矩和肌电图参数)的影响:一项随机对照临床试验。
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