改善后天性脑损伤后运动功能的对侧控制功能性电刺激：系统回顾与元分析》（Contralaterally Controlled Functional Electrical Stimulation for Improving Motor Function after Acquired Brain Injury: a Systematic Review and Meta-analysis）。

IF 3.6 2区医学 Q1 REHABILITATION

Archives of physical medicine and rehabilitation Pub Date : 2024-12-01 DOI:10.1016/j.apmr.2024.03.001

Shan Xie MS , Yuqian Zhang MD , Jing Li MS , Zhefan Wu BS , Yulong Bai MD

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引用次数: 0

摘要

目的系统评估对侧控制功能性电刺激（CCFES）对获得性脑损伤（ABI）后运动功能的影响：数据来源：我们检索了Pubmed、Embase、Cochrane对照试验中央注册、物理治疗证据数据库（PEDro）、Web of Science、SinoMed、CNKI、中国科技期刊VIP数据库和万方数据库，检索时间从开始至2023年12月：如果研究是评估CCFES与常规康复或常规电刺激相比对ABI后运动功能影响的随机对照试验，则纳入研究。两名独立审稿人筛选了894篇文章纳入研究：提取的数据包括研究信息、样本量、研究人群、干预措施、评估的测量方法和测试间隔：本研究共纳入 24 项试验，28 对干预-对照，1148 名中风患者。Meta分析表明，CCFES组在Fugl-Meyer评估量表（FMA）方面比对照组有更显著的改善（标准化平均差（SMD）=0.66，95%置信区间（CI）=0.44-0.88，PC结论）：我们的综合证据表明，CCFES 可改善中风患者的运动功能。未来还需要更多针对其他脑损伤患者的研究实验来证明CCFES的治疗效果，并为CCFES的统一标准做出贡献。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Contralaterally Controlled Functional Electrical Stimulation for Improving Motor Function After Acquired Brain Injury: A Systematic Review and Meta-analysis

Objective

To systematically evaluate the effect of contralaterally controlled functional electrical stimulation (CCFES) on motor function after acquired brain injury (ABI).

Data Sources

We searched the PubMed, Embase, Cochrane Central Register of Controlled Trials, Physiotherapy Evidence Database (PEDro), Web of Science, SinoMed, CNKI, VIP Database for Chinese Technical Periodicals and Wanfang Database, from inception to December 2023.

Study Selection

Studies were included if they were randomized controlled trials assessing the effect of CCFES on motor function compared with routine rehabilitation or routine electrical stimulation after ABI. Two independent reviewers screened 894 articles for inclusion.

Data Extraction

The extracted data included study information, sample size, study population, interventions, measurement evaluated, and the test interval.

Data Synthesis

This study included 24 trials with 28 intervention-control pairs and 1148 participants with stroke. Meta-analysis showed that the CCFES group demonstrated more significant improvement than the control group in the Fugl-Meyer Assessment Scale (FMA) (standardized mean difference [SMD]=0.66, 95% confidence interval [CI]=0.44-0.88, P<.001), active range of motion (AROM) (SMD=0.77, 95% CI=0.54-1.01, P<.001), modified Barthel Index (MBI) (SMD=0.55, 95% CI=0.29-0.81, P<.001), Motricity Index (MI) (SMD=0.60, 95% CI=0.26-0.94, P<.001) surface electromyography (sEMG) (SMD=0.81, 95% CI=0.56-1.06, P<.001), and Functional Ambulation Category (FAC) (SMD=0.53, 95% CI=0.24-0.83, P<.001). The CCFES group showed no significant improvement over the control group in the Action Research Arm Test (ARAT) (SMD=0.24, 95% CI=-0.10-0.58, P=.17).

Conclusions

Our synthesized evidence suggests that CCFES could improve motor function in patients with stroke. More RCTs with other patients with brain injury are required to provide future evidence on the therapy effect of CCFES and make a contribution to the uniform standard of CCFES.

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来源期刊

Archives of physical medicine and rehabilitation 医学-康复医学

CiteScore

6.20

自引率

4.70%

发文量

495

审稿时长

38 days

期刊介绍： The Archives of Physical Medicine and Rehabilitation publishes original, peer-reviewed research and clinical reports on important trends and developments in physical medicine and rehabilitation and related fields. This international journal brings researchers and clinicians authoritative information on the therapeutic utilization of physical, behavioral and pharmaceutical agents in providing comprehensive care for individuals with chronic illness and disabilities. Archives began publication in 1920, publishes monthly, and is the official journal of the American Congress of Rehabilitation Medicine. Its papers are cited more often than any other rehabilitation journal.