Mobilization with movement is effective for improving ankle range of motion and walking ability in individuals after stroke: A systematic review with meta-analysis.
Lucas R Nascimento, Augusto Boening, Isabella Ribeiro, Maria Eduarda Dos Santos, Marcelo Benevides, Cíntia H Santuzzi
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引用次数: 0
Abstract
Background: Mobilization with movement has been recommended to improve foot mobility in people with ankle impairments and could improve walking after stroke.
Objective: To examine the effects of the addition of mobilization with movement to commonly used exercises in physiotherapy for improving ankle range of motion and walking in people who have had a stroke.
Design: Systematic review of randomized controlled trials.
Settings: Not applicable.
Participants: Ambulatory adults at any time after stroke.
Intervention: The experimental intervention was exercises plus ankle mobilization with movement, in comparison with exercises alone.
Results: Six trials, involving 160 participants, were included. The mean PEDro score of the trials was 6 (range 4 to 7). Mobilization with movement in addition to exercises improved range of motion by 4° (95% CI 2 to 6), walking speed by 0.08 m/s (95% CI 0.05 to 0.11), cadence by 9 steps/min (95% CI 7 to 12), and step length by 5 cm (95% CI 3 to 7) more than exercises alone. The quality of evidence was low for range of motion and moderate for walking outcomes.
Conclusion: This systematic review provided evidence that the addition of mobilization with movement to commonly used exercises in neurological rehabilitation increases ankle dorsiflexion, and benefits are carried over to improving walking speed, cadence, and step length in moderately disabled individuals with chronic stroke.
背景：运动动员被推荐用于改善踝关节损伤患者的足部活动能力，并可改善中风后的行走能力：研究在物理治疗常用运动的基础上增加运动动员对改善中风患者踝关节活动范围和行走的效果：设计：随机对照试验的系统回顾：不适用：干预：实验干预为运动加踝关节运动，与单纯运动进行比较：主要结果：踝关节活动范围：测量：步行参数（即步行速度、步幅、步长）：结果：共纳入六项试验，涉及 160 名参与者。试验的平均 PEDro 得分为 6（范围为 4 至 7）。与单独锻炼相比，在锻炼的基础上配合运动，运动幅度增加了4°（95% CI 2至6），行走速度增加了0.08米/秒（95% CI 0.05至0.11），步频增加了9步/分钟（95% CI 7至12），步长增加了5厘米（95% CI 3至7）。运动范围的证据质量较低，步行结果的证据质量中等：本系统综述提供的证据表明，在神经康复的常用练习中增加运动动员可增加踝关节背屈，并可改善慢性中风中度残疾患者的步行速度、步幅和步长：prospero（CRD42023405130）。
期刊介绍：
Topics covered include acute and chronic musculoskeletal disorders and pain, neurologic conditions involving the central and peripheral nervous systems, rehabilitation of impairments associated with disabilities in adults and children, and neurophysiology and electrodiagnosis. PM&R emphasizes principles of injury, function, and rehabilitation, and is designed to be relevant to practitioners and researchers in a variety of medical and surgical specialties and rehabilitation disciplines including allied health.
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