Ramoneda-Rabat Maria, Medina-Casanovas Josep, Nishishinya Aquino Maria Betina, Guerra-Balic Myriam
FPCEE-Blanquerna, Ramon Llull University, Barcelona, Spain.
Fundació Institut de Neurorehabilitació Guttmann, Badalona, Barcelona, Spain.
Sports Med Health Sci. 2024 Jun 7;7(2):85-101. doi: 10.1016/j.smhs.2024.06.004. eCollection 2025 Mar.
Impairments on body function, activities of daily living (ADL) and cognition are common after stroke. Eccentric resistance training (ERT) may be implemented to improve them. The primary objectives were to evaluate whether ERT improves body function, ADL and cognition after stroke. The secondary objectives were to evaluate whether ERT improves strength, gait, quality of life, and self-perceived health. Seven electronic databases were searched: Cochrane Central Register of Controlled Trials, Cochrane Stroke Group Trials Register, PubMed, Epistemonikos, Embase, SPORTDiscus, and WHO International Clinical Trials Registry Platform. Last search was run in December 2023, including studies since 2012. Selection criteria were studies with stroke participants of both sexes, aged 18 or more, with an intervention based on ERT. Accepted languages were English, Spanish or French. First search was done in pairs. Authors removed duplicate studies and those which did not meet inclusion criteria through title and abstracts. Finally, all authors, independently, screened the final search results and extracted data. Of 68 records identified, 15 were eligible and 6 were finally included (with moderate risk of bias), analyzing 159 participants. Body function (4 interventions, = 84), gait (4 interventions, = 115) and strength (3 interventions, = 78) showed significantly better results when ERT was performed. Meta-analysis could not be done because of the few studies and their heterogeneity. This review provided low-moderate quality evidence suggesting that ERT might be effective at improving body function, strength, and gait after stroke. Besides, no harm was documented, and it was well-accepted.
中风后身体功能、日常生活活动能力（ADL）和认知功能受损很常见。可实施离心阻力训练（ERT）来改善这些情况。主要目标是评估ERT是否能改善中风后的身体功能、ADL和认知功能。次要目标是评估ERT是否能改善力量、步态、生活质量和自我感知健康状况。检索了七个电子数据库：Cochrane对照试验中央登记册、Cochrane中风组试验登记册、PubMed、Epistemonikos、Embase、SPORTDiscus和世界卫生组织国际临床试验注册平台。最后一次检索于2023年12月进行，包括2012年以来的研究。选择标准为针对年龄18岁及以上的中风患者、基于ERT干预的研究。接受的语言为英语、西班牙语或法语。首次检索由两人一组进行。作者通过标题和摘要去除重复研究以及不符合纳入标准的研究。最后，所有作者独立筛选最终检索结果并提取数据。在确定的68条记录中，15条符合条件，最终纳入6条（偏倚风险为中度），分析了159名参与者。进行ERT时，身体功能（4项干预，n = 84）、步态（4项干预，n = 115）和力量（3项干预，n = 78）显示出明显更好的结果。由于研究数量少且存在异质性，无法进行荟萃分析。本综述提供了低至中等质量的证据，表明ERT可能对改善中风后的身体功能、力量和步态有效。此外，未记录到有害影响，且ERT被广泛接受。
