视频游戏对脑卒中偏瘫患者康复效果的Meta分析

发布时间：2018-07-16 16:13

【摘要】：目的通过Meta分析评价视频游戏对脑卒中患者神经功能与生活能力的影响。方法计算机检索国内外有关视频游戏对脑卒中偏瘫患者神经功能与生活能力影响的随机对照试验,经质量评价后,采用Rev Man 5.3软件进行Meta分析。结果共纳入15项随机对照试验,包括588例患者。Meta分析结果显示:视频游戏可以改善脑卒中偏瘫患者的上下肢运动功能、功能独立性以及日常生活活动能力。与传统康复治疗时间相等时,采用视频游戏与传统康复治疗相结合的方式对患者日常生活活动能力的作用效果优于单纯传统康复治疗法;在传统康复治疗基础上额外增加一定时间的视频游戏训练,对改善脑卒中偏瘫患者肢体运动功能、日常生活活动能力的效果优于单纯传统康复治疗。结论视频游戏辅助传统康复治疗法可改善脑卒中患者的神经功能,提高日常生活活动能力,其效果优于单纯传统康复治疗。
[Abstract]:Objective to evaluate the effect of video games on neurological function and life ability of stroke patients by meta-analysis. Methods A randomized controlled trial on the effects of video games on neurological function and life ability of stroke hemiplegic patients at home and abroad was searched by computer. After quality evaluation, Meta-analysis was carried out with Rev Man 5.3 software. Results A total of 15 randomized controlled trials including 588 patients. Meta-analysis showed that video games could improve the motor function functional independence and ADL ability of stroke hemiplegic patients. When the time of traditional rehabilitation therapy is equal, the effect of video game combined with traditional rehabilitation therapy on the activity of daily life of patients is better than that of traditional rehabilitation therapy alone. On the basis of traditional rehabilitation therapy, the effect of video game training on improving limb motor function and daily living ability of stroke hemiplegic patients is better than that of traditional rehabilitation therapy alone. Conclusion Video game assisted traditional rehabilitation therapy can improve the neurological function and activity of daily life of stroke patients, and its effect is better than that of traditional rehabilitation therapy alone.
【作者单位】：解放军第二军医大学护理系临床护理学教研室;
【基金】：上海市科学技术委员会优秀学术带头人计划(16XD1403200) 上海市青年科技英才扬帆计划(16YF1414700)
【分类号】：R473.74

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