目的:本研究旨在评估带有双任务练习的本体感觉训练策略对慢性中风患者步态的影响。
方法:系统评价。
方法:慢性中风。
方法:根据PRISMA指南和PICOS标准进行搜索。PubMed,WebofScience,和Scopus数据库从2020年11月至2022年2月进行了系统搜索,以获得合格的临床试验。两名独立审稿人彻底筛选了潜在文章的相关性,并评估了方法质量。根据等级,PICOS标准,以及偏差工具的Cochrane风险,作者纳入了有关本体感觉训练中双重任务对慢性卒中患者步态参数的有效性的文章.
结果:在3075项确定的研究中,11篇文章符合纳入标准:7篇为随机临床试验,1不是随机的,和3个是观察性研究。证据的整体质量,使用等级框架进行评估,很高,表明对系统评价的结果有很高的信心。论文涉及393名中风患者;241名接受了本体感受训练的双重任务,152名参与者参加了其他中风康复;在双重任务组中,71从事认知任务,170人参加了运动任务。本体感觉训练中的双重任务提高了步态速度,节奏,跨步时间,步幅长度,和步长。观察到效果最好,每周训练3次,共4周,每节课持续30分钟,在速度上,节奏,步幅长度,和步长。
结论:目前的证据表明,本体感受训练策略和双任务练习可以改善慢性卒中患者的步行能力。具体来说,它提高了步态速度,临床严重程度的关键指标。
OBJECTIVE: This study aims to assess the impact of proprioceptive training strategies with dual-task exercises on gait in people with chronic stroke.
METHODS: Systematic
review.
METHODS: Chronic stroke.
METHODS: Searches were conducted in accordance with PRISMA guidelines and PICOS criteria. PubMed, Web of Science, and Scopus databases were systematically searched from November 2020 to February 2022, for eligible clinical trials. Two independent reviewers thoroughly screened potential articles for relevance and assessed the methodology quality. In accordance with the GRADE, PICOS criteria, and Cochrane risk of bias tools, the authors included articles concerning the effectiveness of dual-task in proprioceptive training on gait parameters in people with chronic stroke.
RESULTS: Of 3075 identified studies, 11 articles met the inclusion criteria: 7 were randomized clinical trials, 1 was not randomized, and 3 were observational studies. The overall quality of evidence, assessed using the GRADE framework, was high, indicating a high level of confidence in the systematic
review\'s findings. The papers involved 393 stroke patients; 241 underwent dual-task in proprioceptive training, with 152 participants in other stroke rehabilitation; within the dual-task group, 71 engaged in cognitive tasks, and 170 participated in motor tasks. dual-task in proprioceptive training improved gait speed, cadence, stride time, stride length, and step length. The best effects were observed with training 3 times a week for 4 weeks, with each session lasting 30 minutes, on speed, cadence, stride length, and step length.
CONCLUSIONS: Current evidence suggests that proprioceptive training strategies with dual-task exercises improved walking abilities in people with chronic stroke. Specifically, it enhanced gait speed, a key indicator of clinical severity.