胡益娟,钟冬灵,陈强,等.镜像疗法改善脑卒中后下肢功能障碍患者下肢功能和日常生活活动能力的Meta分析[J].中华物理医学与康复杂志,2019,41(5):378-383
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| 镜像疗法改善脑卒中后下肢功能障碍患者下肢功能和日常生活活动能力的Meta分析 |
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| DOI：DOI:10.3760/cma.j.issn.0254-1424.2019.05.018 |
| 中文关键词: 脑卒中 镜像疗法 下肢 运动功能 日常生活活动 Meta分析 |
| 英文关键词: Stroke Mirror therapy Lower extremities Motor function Activities of daily living Meta-analyses |
| 基金项目:国家自然科学基金（81674047） |
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| 中文摘要: |
| 目的 采用Meta分析软件分析镜像治疗对脑卒中后下肢功能障碍患者下肢运动功能和日常生活活动能力的影响，并评价镜像治疗对脑卒中患者的临床疗效。 方法 检索Medline、PubMed、OT seeker、Cochrane library、万方、维普和中国知网等数据库从2008年12月至2018年12月研究镜像疗法对脑卒中后下肢功能障碍患者下肢运动功能和日常生活活动能力的随机对照试验。按照Cochrane手册5.1.0版对符合纳入标准的文献质量进行评估，采取RevMan 5.2版软件进行分析。 结果 纳入研究14项，Meta分析结果显示，镜像疗法可改善脑卒中后下肢功能障碍患者简化Fugl-Meyer下肢评分 (SMD=0.80, 95% CI=0.53~1.07,P<0.01)、下肢功能性步行分级（FAC）(RR=2.02, 95% CI=1.53~2.67, P<0.01)和改良的Barthel指数得分(MBI)(SMD=0.83, 95% CI=0.67~1.00, P<0.00001)。 结论 镜像疗法可改善脑卒中后下肢功能障碍患者患侧的下肢运动功能及其日常生活活动能力。 |
| 英文摘要: |
| Objective To meta-analyze the effect of mirror therapy on the lower limb motor function and activities of daily living of stroke survivors so as to evaluate its clinical efficacy. Methods Medline, PubMed, OT seeker, the Cochrane library, the Wanfang database, the VIP database and the CNKI were searched for reports of randomized and controlled trials (RCTs) of the effect of mirror therapy on the lower limb motor function and activities of daily living of stroke survivors published between December 2008 and December 2018. Strict inclusion and exclusion criteria were applied, and the quality of the documents was comprehensively assessed according to version 5.1.0 of the Cochrane manual. The results were analyzed using version 5.2 of the RevMan software suite. Results Fourteen trials were included. Meta-analysis showed that mirror therapy had been shown to improve the patients′ scores of Fugl-Meyer assessment (FMA), functional ambulance category (FAC) and modified Barthel index (MBI). Conclusion Mirror therapy can improve the motor function of the affected lower extremities of stroke survivors and their ability in the activities of daily living. |
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