Effect of Traditional Chinese Exercise on Gait and Balance for Stroke: A Systematic Review and Meta-Analysis.
Effect of Traditional Chinese Exercise on Gait and Balance for Stroke: A Systematic Review and Meta-Analysis.
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DOI：
10.1371/journal.pone.0135932
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发表时间：
2015
期刊：
影响因子：
3.7
通讯作者：
Wang XQ
中科院分区：
文献类型：
--
作者：
Chen BL;Guo JB;Liu MS;Li X;Zou J;Chen X;Zhang LL;Yue YS;Wang XQ
本研究对中医传统运动疗法治疗脑卒中的疗效进行系统评价。研究来自PubMed、Embase、科克伦图书馆、EBSCO、Web of Science和CNKI。只有随机对照试验被留下来评估中国传统运动对中风患者的影响，并且对研究数据或语言没有限制。主要结局为贝格平衡评分（BBS）、功能性步行量表。采用随机效应模型计算合并平均差（MD）和95%置信区间（CI）。共有9项研究（820名受试者）符合纳入标准，而8项研究（704名受试者）用作荟萃分析的数据来源，所有试验均在2004年至2013年期间发表。BBS结果显示，在短期内，中医运动对脑卒中患者平衡功能的改善效果优于其他训练或不训练[MD（95%CI）= 11.85 [5.41，18.30]，P < 0.00001]。在短期体能测试、功能性步行量表、稳定极限等方面，传统运动与其他运动或不运动组在平衡（p<0.05）、步态（p<0.05）方面差异有显著性。此外，有一篇文章表明，与太极拳练习相比，其他形式（专注于平衡的物理治疗练习）显着改善了中风患者的平衡能力（贝格测试= 0.01，Romberg和单腿站立）。在我们的Meta分析中，本研究的积极发现表明，传统的中国运动对平衡能力在短期内有有益的影响。然而，我们根据极端异质性得出结论，需要更好质量和更大样本量的证据。由于结果的不一致性，缺乏足够好的证据来证明中国传统运动对中风患者步态的影响。 http://www.crd.york.ac.uk/PROSPERO PROSPERO注册号：CRD 42013006474。
A systematic review is conducted to determine the effect of traditional Chinese exercise for patients with stroke. Studies are obtained from PubMed, Embase, Cochrane Library, EBSCO, Web of Science, and CNKI. Only randomized controlled trials were left to evaluate the effects of traditional Chinese exercise for patients with stroke, and with no limits on study data or language. The primary outcome was the Berg balance score (BBS), Functional walking scale. And a random-effects model was used to calculate the pooled mean difference (MD) with 95% confidence interval (CI). A total of 9 studies on 820 participants conform to the inclusion criteria, whereas eight studies on 704 participants are used as data sources for the meta-analysis, all trials were published between 2004 and 2013. The BBS indicates that the efficacy of traditional Chinese exercise on balance of patients with stroke is better than that of other training or no training in short term [MD (95%CI) = 11.85 [5.41, 18.30], P < 0.00001]. And the short physical performance battery, Functional walking scale, limit of stability were observed significant differences on balance (p<0.05) and gait (p<0.05) between traditional Chinese exercise and other exercises or no exercise. In addition, there is an article showed that some other form (physiotherapy exercises focused on balance) significantly improved balance ability for stroke patients compared to tai chi chuan practice (Berg test = 0.01, Romberg, and standing on one leg). In our meta analysis, the positive findings of this study suggest traditional Chinese exercise has beneficial effects on the balance ability in short term. However, we drew the conclusion according to the extreme heterogeneity, and evidence of better quality and from a larger sample size is required. Because of the inconsistent outcomes, there are short of enough good evidence for patients with stroke to prove the effects of traditional Chinese exercise on gait. http://www.crd.york.ac.uk/PROSPERO PROSPERO registration number: CRD42013006474.