摘要
目的:探索体外冲击波治疗脑卒中后下肢痉挛的疗效。方法:计算机检索PubMed、Cochrane Library、Embase、CNKI、WanFangData、CBM,搜集体外冲击波治疗脑卒中后下肢痉挛的随机对照试验,检索时限为建库至2023年5月。以改良Ashworth量表(modified Ashworthscale,MAS)、Fugl-Meyer评定量表(Fugl-Meyer assessment,FMA)、关节活动度(range ofmotion,ROM)为结局指标,用Cochrane手册进行偏倚风险评估,采用RevMan 5.4软件进行Meta分析。结果:最终纳入11篇文献,共508例患者。与对照组相比,干预组患者MAS(MD=-0.32,95%CI-0.41~-0.23,P<0.05)、FMA(MD=2.05,95%CI 1.32~2.78,P<0.05)、ROM(MD=1.69,95%CI 0.52~2.86,P<0.05)有显著改善。结论:体外冲击波对脑卒中后下肢痉挛具有积极作用。
Objective:To explore the effect of extracorporeal shock wave therapy on lower limb spasticity after stroke.Methods:A systematic literature review was conducted in PubMed,the Cochrane Library,Embase,CNKI,WanFang,and CBM databases to identify randomized controlled trials on extracorporeal shock wave therapy for lower limb spasticity after stroke.The search included all records from database inception until May 2023.The outcome measures included the modified Ashworth scale(MAS),Fugl-Meyer assessment(FMA)and range of motion(ROM).The risk of bias was assessed using the Cochrane Handbook and meta-analysis was performed using RevMan 5.4 statistical software.Results:A total of 11 articles with 508 patients were included.Compared with the control group,the intervention group showed significant improvements in MAS[MD=-0.32,95%CI(-0.41,-0.23),P<0.05],FMA[MD=2.05,95%CI(1.32,2.78),P<0.05]and ROM[MD=1.69,95%CI(0.52,2.86),P<0.05].Conclusion:Extracorporeal shock wave therapy has a positive effect on lower limb spasticity after stroke.
作者
柯美华
王玉龙
耿红荔
张清芳
洪雅晴
支亮
龙建军
KE Meihua;WANG Yulong;GENG Hongli;ZHANG Qingfang;HONG Yaqing;ZHI Liang;LONG Jianjun(School of Rehabilitation Medicine,Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Department of Rehabilitation,Shenzhen Second People's Hospital,Guangdong 518035,China)
出处
《神经损伤与功能重建》
2024年第9期511-517,共7页
Neural Injury and Functional Reconstruction
基金
深圳市三名工程“南京医科大学励建安团队”资助项目(No.SZSM202111010)。
关键词
体外冲击波
卒中
下肢痉挛
META分析
extracorporeal shock wave
stroke
lower limb spasticity
meta-analysis
