首页|期刊导航|神经损伤与功能重建|运动想象疗法对脑卒中患者运动功能影响的系统评价再评价

运动想象疗法对脑卒中患者运动功能影响的系统评价再评价OA

Efficacy of Motor Imagery Therapy on Post-stroke Motor Dysfunction:an Overview of Systematic Reviews

中文摘要英文摘要

目的:再评价运动想象疗法(motor imagery therapy,MIT)治疗卒中后运动功能障碍疗效的系统评价(systematic review,SR)或Meta分析.方法:计算机检索国内外数据库中关于MIT治疗卒中后运动功能障碍的SR/Meta分析,检索时限为建库至2023年9月.通过AMSTAR 2评价工具、PRISMA 2020规范和GRADE系统对纳入研究进行文献质量和证据质量评价.结果:最终纳入11篇文献.AMSTAR 2评价显示有2篇中等质量(18.18%)、2篇低质量(18.18%)以及7篇极低质量文献(63.64%).PRISMA 2020规范显示3篇文献(27.27%)报告相对完整,8篇文献(72.73%)报告存在一定缺陷.GRADE证据评级显示共涉及49个结局指标,其中2个中等质量(4.08%)、24个低质量(48.98%)和23个极低质量证据(63.64%).结论:MIT有助于卒中后肢体运动功能、平衡功能和日常生活能力的恢复.

Objective:To conduct a systematic re-evaluation of systematic reviews(SR)or Meta-analyses on the efficacy of motor imagery therapy(MIT)in treating post-stroke motor dysfunction.Methods:A computerized search was conducted in domestic and international databases for SR/Meta-analyses on MIT for post-stroke motor dysfunction,with the search period spanning from the establishment of the databases to September 2023.The AMSTAR 2 tool,PRISMA 2020 guidelines,and GRADE system were employed to evaluate the quality of the included studies in terms of literature quality and evidence quality.Results:Ultimately,11 studies were included.According to the AMSTAR 2 assessment,there were 2 studies of moderate quality(18.18%),2 studies of low quality(18.18%),and 7 studies of very low quality(63.64%).The PRISMA 2020 guidelines indicated that 3 studies(27.27%)had relatively complete reporting,while 8 studies(72.73%)had certain reporting deficiencies.The GRADE evidence grading revealed a total of 49 outcome indicators,among which 2 were of moderate quality(4.08%),24 were of low quality(48.98%),and 23 were of very low quality evidence(63.64%).Conclusion:MIT contributes to the recovery of limb motor function,balance function,and activities of daily living in post-stroke patients.

冯露叶;周珊珊;杨媛媛;王德花;杨榕;汤继芹

山东中医药大学康复医学院 济南 250355||贵州健康职业学院康养系 贵州铜仁 554300山东中医药大学康复医学院 济南 250355山东中医药大学康复医学院 济南 250355山东中医药大学康复医学院 济南 250355山东中医药大学康复医学院 济南 250355山东中医药大学康复医学院 济南 250355||山东中医药大学第一临床医学院 济南 250355

医药卫生

运动想象疗法脑卒中运动功能康复系统评价Meta分析

motor imagery therapystrokemotor functionrehabilitationsystematic reviewmeta-analysis

《神经损伤与功能重建》 2026 (3)

138-144,7

山东省中医药科技发展计划项目(针刺与重复经颅磁刺激治疗脑中风后轻度认知功能障碍的循证研究,No.2017-011)山东中医药大学科研创新团队基金资助项目(经方治疗重大疾病作用机理与疗效评价科研创新团队,No.220316)教育部产学合作协同育人项目(言语治疗学课程创新创业教育研究——以《言语康复产品开发》为例,No.202002137071)

10.16780/j.cnki.sjssgncj.20240971

评论