功能性力量训练对痉挛型脑瘫儿童肌肉力量和活动能力的影响——系统回顾和荟萃分析。

IF 1.1 4区医学 Q4 CLINICAL NEUROLOGY

Developmental Neurorehabilitation Pub Date : 2023-05-01 DOI:10.1080/17518423.2023.2218905

Kirthana Shilesh, Suruliraj Karthikbabu, Pratiksha Tilak Rao

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引用次数: 0

摘要

目的:探讨功能性力量训练(FST)对痉挛型脑瘫(CP)患儿肌肉力量和活动能力的影响。方法:截至2022年3月，对8个数据库进行筛选，以评估FST对痉挛性CP儿童的力量、活动能力、平衡和耐力的影响。使用Downs和Black检查表和Cochrane偏倚风险工具评估研究质量，然后进行荟萃分析。结果:选取了12项具有中高水平证据的干预研究。干预措施包括使用自由重量或体重的开放式和封闭式链练习，每周进行大约三次，持续12周。FST被发现对肌肉力量(股四头肌、腘绳肌和足底屈肌)和活动度(GMFM D和E)有中等到较大的、统计学上显著的积极影响，只有四项研究显示在随访评估中保持了收益。结论:FST对痉挛性CP患儿的肌肉力量和活动能力有积极作用，但FST后持续作用的证据有限。

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The Impact of Functional Strength Training on Muscle Strength and Mobility in Children with Spastic Cerebral Palsy - A Systematic Review and Meta-Analysis.

Objective: To review the effects of functional strength training (FST) on muscle strength and mobility in children with spastic cerebral palsy (CP).

Methods: Eight databases were screened through March 2022 for studies assessing the impact of FST on strength, mobility, balance, and endurance in children with spastic CP. Study quality was assessed using the Downs and Black checklist and Cochrane Risk of Bias tools, followed by a meta-analysis.

Results: Twelve intervention studies of moderate-to-high-level evidence were selected. The interventions included open and closed chain exercises using free weights or body weight, administered approximately thrice a week for 12 weeks. The FST was found to have a moderate-to-large, statistically significant, positive effect on muscle strength (quadriceps, hamstrings, and plantar flexors) and mobility (GMFM D and E), with only four studies showing maintenance of gains during follow-up assessment.

Conclusion: FST has a positive effect on muscle strength and mobility in children with spastic CP, but evidence of sustained effects following FST is limited.

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来源期刊

Developmental Neurorehabilitation CLINICAL NEUROLOGY-PEDIATRICS

CiteScore

3.10

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Developmental Neurorehabilitation aims to enhance recovery, rehabilitation and education of people with brain injury, neurological disorders, and other developmental, physical and intellectual disabilities. Although there is an emphasis on childhood, developmental disability can be considered from a lifespan perspective. This perspective acknowledges that development occurs throughout a person’s life and thus a range of impairments or diseases can cause a disability that can affect development at any stage of life.