摘要
目的评价镜像疗法对脑卒中患者下肢运动、平衡功能和步行功能的干预效果。方法检索PubMed、Cochrane Library、EMbase、Medline complete、中国知网、万方、维普和中国生物医学文献数据库中,镜像疗法对脑卒中患者下肢功能干预效果的随机对照试验,对符合质量标准的研究采用RevMan 5.3软件进行Meta分析。结果共纳入12篇文献,共590例。镜像疗法能改善脑卒中患者Fugl-Meyer评定量表下肢部分评分(MD=6.67,95%CI 5.60~7.74;Z=12.20,P<0.001)、Brunnstrom分期(MD=0.55,95%CI 0.28~0.82;Z=3.98,P<0.001)、Berg平衡量表评分(MD=3.45,95%CI 1.40~5.50;Z=3.30,P=0.001)、简易平衡评定系统测试评分(MD=1.49,95%CI 0.65~2.33;Z=3.48,P<0.001)、Brunnel平衡量表评分(MD=0.66,95%CI 0.10~1.22;Z=2.32,P=0.02),对10米步行试验(MD=0.03,95%CI-0.04~0.11;Z=0.88,P=0.38)、计时起立-行走测试(MD=-1.43,95%CI-4.31~1.45;Z=0.97,P=0.33)结果无明显影响。结论镜像疗法可改善脑卒中患者下肢运动功能,轻微改善平衡功能,对步行功能的疗效仍需进一步证实。
Objective To evaluate the effect of mirror therapy on lower-limb motor,balance and walking of stroke patients.Methods Randomized controlled trails(RCTs)about mirror therapy for lower limb function after stroke were recalled in PubMed,Cochrane Library,EMbase,Medline complete,CNKI,Wanfang Data,VIP and CBMdisc.Meta-analysis was conducted using RevMan 5.3 software for eligible RCTs.Results A total of twelve studies were retrieved,including 590 patients.Mirror therapy improved the scores of Fugl-Meyer Assessment-Lower Extremity(MD=6.67,95%CI 5.60 to 7.74;Z=12.20,P<0.001),Brunnstrom stages(MD=0.55,95%CI 0.28 to 0.82;Z=3.98,P<0.001),Berg Balance Scale(MD=3.45,95%CI 1.40 to 5.50;Z=3.30,P=0.001),mini-BESTest(MD=1.49,95%CI 0.65 to 2.33;Z=3.48,P<0.001),Brunnel Balance Assessment(MD=0.66,95%CI 0.10 to 1.22;Z=2.32,P=0.02).However,it was not significant for 10-meter Walking Test(MD=0.03,95%CI-0.04 to 0.11;Z=0.88,P=0.38)and Timed"Up and Go"Test(MD=-1.43,95%CI-4.31 to 1.45;Z=0.97,P=0.33).Conclusion Mirror therapy can improve lower extremity motor function after stroke significantly,and somehow for balance.Further research is needed to explore its effects on walking.
作者
吴静华
吴菊芬
匡丹
俞惠
华皎
WU Jing-hua;WU Ju-fen;KUANG Dan;YU Hui;HUA Jiao(Nursing Department,the Affiliated Hospital of Jiangnan University(Wuxi Third People's Hospital),Wuxi,Jiangsu 214041,China)
出处
《中国康复理论与实践》
CSCD
北大核心
2020年第9期1015-1023,共9页
Chinese Journal of Rehabilitation Theory and Practice
基金
无锡市卫生计生委科研青年项目(No.Q201610)。
作者简介
吴静华(1971-),女,汉族,江苏无锡市人,主管护师,主要研究方向:康复护理;通讯作者:华皎,女,主任护师,E-mail:1210580319@qq.com。
