文章摘要
王永欣,陈秀凤.肌内效贴对脑卒中患者下肢功能影响的Meta分析[J].中华物理医学与康复杂志,2021,43(2):170-176
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肌内效贴对脑卒中患者下肢功能影响的Meta分析
  
DOI:10.3760/cma.j.issn.0254-1424.2021.02.016
中文关键词: 肌内效贴  脑卒中  下肢  Meta分析
英文关键词: Kinesio taping  Stroke  Lower limbs  Meta-Analyses
基金项目:蚌埠医学院研究生科研创新计划项目(Byycx1947);安徽省科技攻关项目(1804h08020289)
作者单位
王永欣 蚌埠医学院附属淮南市第一人民医院淮南 232000 
陈秀凤 蚌埠医学院附属淮南市第一人民医院淮南 232000 
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中文摘要:
      目的 评价肌内效贴(KT)对脑卒中患者下肢功能的影响。 方法 计算机检索PubMed、Cochrane Library、Embase、中国知网、中国生物医学文献数据库、万方数据库、维普中文科技期刊数据库,选取2000年1月1日至2019年10月1日发表的关于KT对脑卒中患者下肢功能影响的随机对照试验研究。由2名研究者独立筛选文献,评价文献质量提取资料,采用Rev Man 5.3软件进行Meta分析。 结果 纳入13项随机对照研究,共932例患者。Meta分析结果显示,在下肢步行功能方面,实验组较对照组更能提高脑卒中患者的步行速度[MD=-3.06,95%CI(-4.46,-1.67),P=<0.0001],改善步行能力[MD=0.52,95%CI(0.27,0.77),P<0.0001];在平衡功能方面,实验组脑卒中患者的平衡能力[MD=7.74,95%CI(6.96,8.53),P<0.00001],预测跌倒能力[MD=7.74,95%CI(6.96,8.53),P<0.00001]均优于对照组;在肌力方面,可提高实验组脑卒中患者的股四头肌肌力[MD=0.35,95%CI(0.10,0.59),P=0.005],改善小腿三头肌肌力[MD=-0.38,95%CI(-0.50,-0.27),P<0.00001];提高下肢运动功能[SMD=0.69,95%CI(0.47,0.91),P<0.00001];改善患者日常活动能力,提高生活质量[MD=13,95%CI(10.41,15.58),P<0.00001]。 结论 KT有助于提高脑卒中患者的平衡能力、运动能力、肌力,改善生活质量。
英文摘要:
      Objective To review the effect of kinesio taping on the lower limb function of stroke survivors. Methods PubMed, Web of Science, Embase, the Cochrane Library, China′s National Knowledge Internet (CNKI), China Biology Medicine (CBM), Weipu Chinese Science and Technology Periodical Database and the WanFang Database were searched for reports of randomized and controlled trials (RCTs) testing the effect of kinesio taping on the lower limb function of stroke survivors published between January 1st, 2000 and October 1st, 2019. Two reviewers independently screened the reports, extracted data and assessed the risk of bias in the studies included. Version 5.3 of the RevMan software was used to analyze the extracted data. Results A total of 13 RCTs involving 932 patients were included. Meta-analysis showed that the experimental group was significantly superior to the control group in terms of the improvement in walking speed and function, balance, fall risk, quadriceps strength, leg triceps strength, and general lower limb motor functioning. Their ability in the activities of daily living was also better on average as was their general life quality. Conclusions Kinesio taping can improve stroke survivors′ balance, motor ability, muscle strength and life quality.
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