Effects of (music-based) rhythmic auditory cueing training on gait and posture post-stroke: A systematic review & dose-response meta-analysis
Effects of (music-based) rhythmic auditory cueing training on gait and posture post-stroke: A systematic review & dose-response meta-analysis
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DOI：
10.1038/s41598-019-38723-3
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发表时间：
2019-02-18
影响因子：
4.6
通讯作者：
Ghai, Ishan
中科院分区：
文献类型：
--
作者：
Ghai, Shashank;Ghai, Ishan
中风后常见步态障碍。节律性听觉提示已被广泛应用于运动障碍的步态康复。然而，关于其对中风后步态和姿势恢复的影响的共识仍然是必要的。本研究进行了系统回顾和荟萃分析，以分析听觉提示对卒中后步态和姿势稳定性的影响。根据PRISMA指南检索了9个学术数据库。研究的合格标准是a）研究是随机对照试验或以英语、德语、印地语、旁遮普语或韩语发表的对照临床试验B）评价听觉提示对中风后时空步态和/或姿势稳定性参数的影响的研究c）PEDro量表评分>= 4分的研究。在1，471份记录中，38项研究（涉及968例患者）被纳入本综述。综述和荟萃分析显示，听觉提示训练对步态和姿势稳定性有有益影响。20-45分钟的训练量，每周3-5次，增强了步态表现，动态姿势稳定性，即速度（Hedge g：0.73），步长（0.58），节奏（0.75）和计时和走测试（-0.76）。这篇综述强烈建议将基于节律听觉提示的训练纳入卒中后步态和姿势康复。
Gait dysfunctions are common post-stroke. Rhythmic auditory cueing has been widely used in gait rehabilitation for movement disorders. However, a consensus regarding its influence on gait and postural recovery post-stroke is still warranted. A systematic review and meta-analysis was performed to analyze the effects of auditory cueing on gait and postural stability post-stroke. Nine academic databases were searched according to PRISMA guidelines. The eligibility criteria for the studies were a) studies were randomized controlled trials or controlled clinical trials published in English, German, Hindi, Punjabi or Korean languages b) studies evaluated the effects of auditory cueing on spatiotemporal gait and/or postural stability parameters post-stroke c) studies scored >= 4 points on the PEDro scale. Out of 1,471 records, 38 studies involving 968 patients were included in this present review. The review and meta-analyses revealed beneficial effects of training with auditory cueing on gait and postural stability. A training dosage of 20-45 minutes session, for 3-5 times a week enhanced gait performance, dynamic postural stability i.e. velocity (Hedge's g: 0.73), stride length (0.58), cadence (0.75) and timed-up and go test (-0.76). This review strongly recommends the incorporation of rhythmic auditory cueing based training in gait and postural rehabilitation, post-stroke.