不同传统健身功法对脑卒中患者运动功能与日常活动能力影响的Meta分析  

A Network Meta-Analysis of the Effects of Different Traditional Fitness Practices on Motor Function and Activities of Daily Living in Stroke Patients

作　　者：刘云阳 王舜[1] LIU Yunyang;WANG Shun(School of Physical Education,Huaibei Normal University,Huaibei 235000,China)

机构地区：[1]淮北师范大学体育学院,安徽淮北235000

出　　处：《湖北民族大学学报（医学版）》2024年第4期14-20,30,共8页Journal of Hubei Minzu University(Medical Edition)

基　　金：安徽省社科规划一般项目(AHSKY2021D84);安徽省社会科学创新发展研究课题(2021CX186);安徽省教育厅科学研究项目重大项目(2023AH040049)。

摘　　要：目的运用Meta分析太极拳、八段锦、易筋经、五禽戏4种中国传统健身功法改善脑卒中患者运动功能与日常生活活动能力。方法系统检索中国知网、万方、Pubmed、Web of Science等数据库,获取关于传统健身功提高脑卒中患者运动功能与日常生活活动能力的随机对照试验(RCTs),检索时间均为自建库至2024年3月20日。对所纳入的研究进行文献质量评价与偏倚风险评估,采用Stata 15.1软件进行数据合并及网状Meta分析。结果共纳入36篇文献,包含37项RCTs。①Meta分析结果显示:与常规康复疗法相比,4种传统健身功显著提升了卒中患者的平衡能力(BBS)、下肢运动能力(FMA)、功能性步行能力(FAC)、日常生活活动能力(BI)评分。②累积概率排序结果显示,平衡能力方面:五禽戏>八段锦>易筋经>太极拳>常规康复;下肢运动能力方面:五禽戏>八段锦>太极拳>易筋经>常规康复;功能性步行能力方面:八段锦>太极拳>五禽戏>常规康复;日常生活活动能力方面:八段锦>五禽戏>易筋经>太极拳>常规康复。结论4种传统健身功法对脑卒中患者的运动功能与日常生活活动能力均具有一定疗效。其中,五禽戏在改善患者平衡能力和下肢运动能力上更具优势;八段锦在改善患者功能性步行能力与日常生活活动能力上更具优势。Objective To compare the effects of four traditional Chinese fitness practices-Tai Chi,Baduanjin,Yijinjing,and Wuqinxi-on improving motor function and activities of daily living in stroke patients using a network meta-analysis.Methods Systematic searches were conducted in databases such as CNKI,Wanfang,PubMed,and Web of Science to identify randomized controlled trials(RCTs)published on traditional fitness practices improving motor function and activities of daily living in stroke patients,with retrieval dates from the establishment of each database to March 20,2024.The studies included were evaluated for quality and bias risk,and data were combined and analyzed using Stata 15.1 software for network meta-analysis.Results A total of 36 studies with 37 trials were included.Meta-analysis results showed that compared to conventional rehabilitation therapy,the four traditional fitness practices significantly improved stroke patients’balance(BBS),lower limb motor function(FMA),functional walking ability(FAC),and activities of daily living(BI)scores.Cumulative probability ranking showed:For balance ability:Wuqinxi>Baduanjin>Yijinjing>Tai Chi>Conventional rehabilitation.For lower limb motor function:Wuqinxi>Baduanjin>Tai Chi>Yijinjing>Conventional rehabilitation.For functional walking ability:Baduanjin>Tai Chi>Wuqinxi>Conventional rehabilitation.For activities of daily living:Baduanjin>Wuqinxi>Yijinjing>Tai Chi>Conventional rehabilitation.Conclusion The four traditional fitness practices demonstrated certain therapeutic effects on improving motor function and activities of daily living in stroke patients.Among them,Wuqinxi was most advantageous in improving balance and lower limb motor function,while Baduanjin was more effective in improving functional walking ability and activities of daily living.Due to the limitations of the number and quality of included studies,these conclusions need to be further validated by more high-quality research.

关 键 词：健身功法 脑卒中 网状Meta 平衡能力 运动功能 日常生活活动能力 

分 类 号：R247.4[医药卫生—中医临床基础]