不同步态训练方法对慢性不完全性脊髓损伤患者步行功能效果的Meta分析

发布时间：2018-01-13 09:04

本文关键词：不同步态训练方法对慢性不完全性脊髓损伤患者步行功能效果的Meta分析　出处：《中国康复理论与实践》2013年02期 　论文类型：期刊论文

【摘要】：目的用Meta分析方法评价不同步态训练方法对慢性不完全性脊髓损伤患者步行功能的临床效果。方法通过PubMed、CNKI、万方数据库和Google学术搜索引擎检索关于慢性不完全性脊髓损伤患者步态训练的随机对照试验的临床疗效,按照循证医学系统的评价方法,逐一评价纳入研究的质量,提取有效的数据,采用RevMan 4.2软件进行相关的Meta分析。结果经过Meta分析,步态训练能改善慢性不完全性脊髓损伤患者的步行功能,尤其是提高步行速度;减重步行训练结合功能性电刺激(FES)的疗效较为肯定,治疗师辅助训练和机器人辅助训练的效果尚不肯定。结论步行训练能够改善步行功能,提高步行速度。但是目前关于康复训练临床试验研究的高质量文献较少,证据仍不充分。
[Abstract]:Objective to explore the clinical effects of different gait training methods of chronic incomplete spinal cord injury patients walking function using the Meta analysis method. The evaluation method through PubMed, CNKI, Wanfang database and Google academic search the clinical curative effect of randomised controlled trials on chronic incomplete spinal cord injury gait in patients with training engine, according to the evaluation methods of evidence-based medicine system one by one, to evaluate the quality of the included studies, extracted data were Meta analyzed by RevMan 4.2 software. Results the results of Meta analysis, gait training can improve chronic incomplete spinal cord injury patients walking function, especially the increase of walking speed; gait training combined with functional electrical stimulation (FES) effect obviously, the therapist assisted training and robot assisted training effect is still not sure. Conclusion walking training can improve walking function, high speed. However, there are few high quality literature on the clinical trials of rehabilitation training, and the evidence is still inadequate.

【作者单位】：河北联合大学附属医院神经外科;河北省唐山市人民医院;河北联合大学护理康复学院;
【分类号】：R651.2
【正文快照】： 脊髓损伤是一种导致终身残疾的严重损伤。尽管近年有关脊髓损伤的诊断、临床治疗取得了一定进展,但完全性脊髓损伤难以恢复,不完全性脊髓损伤仍会残留功能障碍[1],大部分患者可以恢复行走功能。减重步行训练(partial body weight support tread-mill training,BWSTT)是近年来

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