PDF(Pubmed)
Abstract：
Lateropulsion is a post-stroke phenomenon marked by an active push of the body across the midline towards the more affected side and/or a resistance of the weight shift towards the less affected side. Within the mechanisms of treatment, feedback systems have been shown to be effective. The aim of the present study was to create a body of knowledge by performing a literature review on the use of feedback mechanisms in the treatment of lateropulsion and to report two cases of lateropulsion patients who had undergone feedback-based treatment.
METHODS: The review was performed across five different databases (Embase, Medline/PubMed, Scopus, Web of Science, and PEDro) up to February 2024, and haptic feedback intervention was incorporated into the case series (with lateropulsion and ambulation capacity as the main variables).
RESULTS: In total, 211 records were identified and 6 studies were included after the review of the literature. The most used feedback modality was visual feedback. In the case series, positive results were observed from the intervention, particularly in the recovery of lateropulsion and balance, as well as in the improvement of gait for one patient. Patients demonstrated good adherence to the intervention protocol without adverse effects.
CONCLUSIONS: Visual feedback is the most commonly used feedback modality in lateropulsion patients but other mechanisms such as haptic feedback also are feasible and should be taken into account. Larger sample sizes, extended follow-up periods, and the isolation of feedback mechanisms must be established to clarify evidence.
METHODS: The review was performed across five different databases (Embase, Medline/PubMed, Scopus, Web of Science, and PEDro) up to February 2024, and haptic feedback intervention was incorporated into the case series (with lateropulsion and ambulation capacity as the main variables).
RESULTS: In total, 211 records were identified and 6 studies were included after the review of the literature. The most used feedback modality was visual feedback. In the case series, positive results were observed from the intervention, particularly in the recovery of lateropulsion and balance, as well as in the improvement of gait for one patient. Patients demonstrated good adherence to the intervention protocol without adverse effects.
CONCLUSIONS: Visual feedback is the most commonly used feedback modality in lateropulsion patients but other mechanisms such as haptic feedback also are feasible and should be taken into account. Larger sample sizes, extended follow-up periods, and the isolation of feedback mechanisms must be established to clarify evidence.
摘要：
横向撕脱是一种中风后现象，其特征是身体越过中线向受影响较大的一侧主动推动和/或重量向受影响较小的一侧转移的阻力。在治疗机制中，反馈系统已被证明是有效的。本研究的目的是通过对使用反馈机制进行文献综述来创建知识体系，并报告两例接受基于反馈的治疗的侧向撕脱患者。
方法：审查是在五个不同的数据库中进行的（Embase，Medline/PubMed，Scopus,WebofScience,和PEDro）至2024年2月，触觉反馈干预已纳入病例系列（以侧向撕脱和步行能力为主要变量）。
结果：总计，在文献回顾后，确定了211条记录，纳入了6项研究。最常用的反馈方式是视觉反馈。在案例系列中，从干预中观察到积极的结果，特别是在侧向撕脱和平衡的恢复中，以及改善一名患者的步态。患者表现出对干预方案的良好依从性，无不良反应。
结论：视觉反馈是侧撕脱患者最常用的反馈方式，但触觉反馈等其他机制也是可行的，应予以考虑。样本量较大,延长随访期，必须建立隔离反馈机制以澄清证据。
方法：审查是在五个不同的数据库中进行的（Embase，Medline/PubMed，Scopus,WebofScience,和PEDro）至2024年2月，触觉反馈干预已纳入病例系列（以侧向撕脱和步行能力为主要变量）。
结果：总计，在文献回顾后，确定了211条记录，纳入了6项研究。最常用的反馈方式是视觉反馈。在案例系列中，从干预中观察到积极的结果，特别是在侧向撕脱和平衡的恢复中，以及改善一名患者的步态。患者表现出对干预方案的良好依从性，无不良反应。
结论：视觉反馈是侧撕脱患者最常用的反馈方式，但触觉反馈等其他机制也是可行的，应予以考虑。样本量较大,延长随访期，必须建立隔离反馈机制以澄清证据。
