中风后运动对心肺功能或运动效率的比较效果:随机对照试验的网络荟萃分析。

IF 2.2 4区 医学 Q1 REHABILITATION
Fubing Zha, Qiong Wen, Mingchao Zhou, Linlin Shan, Yulong Wang
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引用次数: 0

摘要

目的该网络荟萃分析(NMA)旨在比较不同运动对脑卒中后患者心肺功能或运动效率的有效性并对其进行排序:对随机对照试验(RCT)进行了网络荟萃分析。搜索了 PubMed、Embase、Cochrane Library 和 Web of Science。结果:总共有 36 项研究被纳入随机对照试验(RCT),包括有氧运动(AE)、阻力运动(RE)、任务导向训练(TOT)、步态训练(GT)、呼吸运动(BE)和常规康复训练(RRT)等单项或组合运动对 6 分钟步行测试(6MWT)、峰值耗氧量(VO2peak)、最大耗氧量(VO2max)、静息心率(HRrest)、静息收缩压(SBPrest)和静息舒张压(DBPrest)的影响:共有 36 项研究被纳入荟萃分析。AEGT(AE + GT)(63.06%)改善卒中后患者 6MWT 表现的可能性最大。根据最小临床显著性差异(MCID)评估,RRTRE(RRT + RE)是对6MWT表现最有利的运动。AERE(AE + RE)在提高脑卒中后患者VO2峰值和降低HRrest方面的可能性最大:结论:不同类型的运动都能改善中风患者的心肺功能。结论:不同类型的运动对改善脑卒中患者的心肺功能都有益处,需要进一步研究确定最佳运动方案,使脑卒中后患者的康复干预效果最大化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparative Effectiveness of Exercise on Cardiorespiratory Function or Exercise Efficiency After Stroke: A Network Meta-analysis of Randomized Control Trials.

Objective: The network meta-analysis was to compare and rank the effectiveness of different exercises on cardiorespiratory function or exercise efficiency in poststroke patients.

Design: A network meta-analysis of randomized controlled trials was conducted. PubMed, Embase, Cochrane Library, and Web of Science were searched. The impact of exercises including individual and combination of aerobic exercise, resistance exercise, task-oriented training, gait training, breathing exercise, and regular rehabilitation training on 6-min walk test, peak oxygen consumption, maximum oxygen consumption, resting heart rate, resting systolic blood pressure, and resting diastolic blood pressure were assessed.

Results: In total, 36 studies were included in the meta-analysis. Aerobic exercise + GT (63.06%) had the highest likelihood of improving 6-min walk test performance in poststroke patients. Regular rehabilitation training + resistance exercise was the most favorable exercise in terms of 6-min walk test performance assessing by minimum clinically significant difference. Aerobic exercise + resistance exercise had the highest likelihood of improving peak oxygen consumption and reducing resting heart rate in poststroke patients.

Conclusion: Different types of exercise demonstrated the benefits of improving cardiorespiratory function in stroke patients. Further research is needed to determine the best exercise regimen to maximize the benefits of rehabilitation interventions for poststroke patients.

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来源期刊
CiteScore
4.60
自引率
6.70%
发文量
423
审稿时长
1 months
期刊介绍: American Journal of Physical Medicine & Rehabilitation focuses on the practice, research and educational aspects of physical medicine and rehabilitation. Monthly issues keep physiatrists up-to-date on the optimal functional restoration of patients with disabilities, physical treatment of neuromuscular impairments, the development of new rehabilitative technologies, and the use of electrodiagnostic studies. The Journal publishes cutting-edge basic and clinical research, clinical case reports and in-depth topical reviews of interest to rehabilitation professionals. Topics include prevention, diagnosis, treatment, and rehabilitation of musculoskeletal conditions, brain injury, spinal cord injury, cardiopulmonary disease, trauma, acute and chronic pain, amputation, prosthetics and orthotics, mobility, gait, and pediatrics as well as areas related to education and administration. Other important areas of interest include cancer rehabilitation, aging, and exercise. The Journal has recently published a series of articles on the topic of outcomes research. This well-established journal is the official scholarly publication of the Association of Academic Physiatrists (AAP).
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