强制性运动疗法对国内脑卒中患者下肢运动功能影响的Meta分析  

Constraint-induced movement therapy for lower limbs after stroke in China:A meta-analysis

作　　者：王盛强[1] 高春华[1] 肖锋[1] 黄杰[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院康复医学科,武汉430030

出　　处：《中国康复》2013年第5期348-350,共3页Chinese Journal of Rehabilitation

摘　　要：目的:系统评价强制性运动疗法(CIMT)对国内脑卒中患者下肢运动功能康复的效果。方法:计算机检索中国生物医学期刊数据库、万方数据库、中文科技期刊全文数据库、中文科技期刊全文数据库、维普数据库等,辅以手工检索相关期刊,纳入CIMT治疗脑卒中患者下肢运动功能障碍的随机对照试验,进行资料提取和质量评价,采用RevMan5.0软件进行Meta分析。结果:共有9项临床研究入选,517个病例。挑选使用频率较高的Berg平衡量表(BBS)、改良Barthel指数(MBI)、Fugl-Meyer运动功能(FMA)评分法、10m最大步行速度(MWS)4种效应指标进行分析。Meta分析结果显示,与常规康复训练相比,CIMT治疗使BBS、MBI、FMA、MWS各项评分更高。结论:CIMT在一定程度上较常规康复疗法更有效地提高国内脑卒中患者下肢运动功能。Objective：To evaluate the effectiveness of constraint-induced movement therapy （CIMT） in the treatment of the lower limbs after stroke in China.Methods：Published accounts of trials of these techniques were located through electronic searches of the following databases：CMB,CNKI,and VIP.Other relevant journals were also artificially searched.The methodological quality of included studies was evaluated,and data analyses were performed with the Cochrane Collaboration＇s software RevMan 5.0.Results：A total of 9 RCTs involving 517 patients were found.BBS,MBI,FMA and MWS rating scales which were high frequently used were chosen for statistical analysis.Meta-analysis showed that CIMT got higher points than conventional rehabilitation.Conclusion：CIMT promotes lower limbs rehabilitation after strike effectively.

关 键 词：强制性运动疗法 脑卒中 META分析 

分 类 号：R743.3[医药卫生—神经病学与精神病学]