Effects of visual feedback therapy on postural control in bilateral standing after stroke: a systematic review.
Effects of visual feedback therapy on postural control in bilateral standing after stroke: a systematic review.
复制标题
视觉反馈疗法对中风后双侧站立姿势控制的影响：系统评价。
DOI：
10.1080/16501970500344902
复制
发表时间：
2006
影响因子：
3.5
通讯作者：
G. Kwakkel
中科院分区：
文献类型：
--
作者：
R. V. van Peppen;Michiel Kortsmit;E. Lindeman;G. Kwakkel
目的
确定与常规治疗相比，卒中后双侧站立视觉反馈治疗是否改善了姿势控制，并评估视觉反馈治疗对步态和步态相关活动影响的一般性。
设计
系统综述。
方法
进行了计算机辅助文献检索。随机对照试验和对照临床试验，比较视觉反馈治疗与传统的平衡治疗，包括到2005年4月。每项研究的方法学质量均采用物理治疗证据数据库量表进行评估。根据现有的异质性，通过使用固定或随机效应模型计算汇总效应量来汇总具有共同结局变量的研究。
结果
在78项研究中，有8项纳入了定性和定量分析，涉及214例受试者。方法学质量为3 ~ 6分。荟萃分析表明，对于体重分布和姿势摇摆，以及平衡和步态表现以及步态速度，视觉反馈治疗的汇总效应量无显著性。
结论
视觉反馈治疗在双侧站立时的附加值与常规治疗相比，对麻痹和非麻痹腿之间的重量分布对称性、双侧站立时的姿势摇摆、步态和步态相关活动没有统计学显著影响。视觉反馈疗法不应优于传统疗法。问题仍然是，中风患者站立时体重分布的不对称性与平衡控制之间到底有什么关系。
OBJECTIVE
To establish whether bilateral standing with visual feedback therapy after stroke improves postural control compared with conventional therapy and to evaluate the generalization of the effects of visual feedback therapy on gait and gait-related activities.
DESIGN
A systematic review.
METHODS
A computer-aided literature search was performed. Randomized controlled trials and controlled clinical trials, comparing visual feedback therapy with conventional balance treatments were included up to April 2005. The methodological quality of each study was assessed with the the Physiotherapy Evidence Database scale. Depending on existing heterogeneity, studies with a common variable of outcome were pooled by calculating the summary effect-sizes using fixed or random effects models.
RESULTS
Eight out of 78 studies, presenting 214 subjects, were included for qualitative and quantitative analysis. The methodological quality ranged from 3 to 6 points. The meta-analysis demonstrated non-significant summary effect-sizes in favour of visual feedback therapy for weight distribution and postural sway, as well as balance and gait performance, and gait speed.
CONCLUSION
The additional value of visual feedback therapy in bilateral standing compared with conventional therapy shows no statistically significant effects on symmetry of weight distribution between paretic and non-paretic leg, postural sway in bilateral standing, gait and gait-related activities. Visual feedback therapy should not be favoured over conventional therapy. The question remains as to exactly how asymmetry in weight distribution while standing is related to balance control in patients with stroke.
影响因子：
11
作者：
TATEMICHI, TK;DESMOND, DW;BAGIELLA, E
通讯作者：
BAGIELLA, E