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目的：分析局部振动对脑卒中偏瘫患者躯体运动功能的影响。方法：从中国知网、万方、维普、中国生物医学数据库、Pubmed、Cochrane Library、Embase及Scopus数据库检索脑卒中偏瘫患者接受局部振动训练的相关文献，检索文献时间段为2013年1月-2022年12月，经过筛选文献、提取数据后运用Revman 5.4进行数据分析。结果：本研究共纳入13篇文章，共526人。Meta分析结果显示，与常规康复训练相比，局部振动可改善脑卒中偏瘫患者的运动功能(SMD=1.04,95%CI:0.70, 1.37)、自理能力(SMD=0.96,95%CI:0.23, 1.69)及步行能力(SMD=1.27,95%CI:0.35, 2.19)。亚组分析结果显示，干预时间≤4周或>4周，局部振动均能改善脑卒中偏瘫患者的运动功能，而且在>4周亚组中，该效应更大(SMD=1.25,95%CI:0.84, 1.66)。结论：局部振动能有效改善脑卒中偏瘫患者的躯体运动功能，且治疗效果随干预时间的延长而提高。
Abstract：Objective: To analyze the effect of local vibration on motor function in stroke patients with hemiplegia.Methods: Relevant literature of local vibration training on stroke hemiplegic patients was retrieved from CNKI, Wanfang, VIP, China Biomedical Database, Pubmed, Cochrane Library, Embase and Scopus databases from January 2013 to December 2022. After literature screening and data extraction, Revman 5.4 was used for data analysis. Results: There were 13 studies with a total of 526 participants were included in this study. The results of meta-analysis showed that local vibration could improve the motor function of stroke patients with hemiplegia(SMD=1.04, 95%CI: 0.70, 1.37), self-care ability(SMD=0.96, 95%CI: 0.23, 1.69) and walking ability(SMD=1.27,95%CI: 0.35, 2.19), when compared to conventional rehabilitation training. The results of subgroup analysis showed that local vibration improved motor function in stroke patients with hemiplegia both in intervention duration ≤4 weeks group and >4 weeks group, and with greater effect in the latter(SMD=1.25, 95%CI: 0.84, 1.66).Conclusion: Local vibration can effectively improve the physical motor function of stroke patients with hemiplegia, and the therapeutic effect increases with the extension of intervention time.
[1] Ma Q F,Li R,Wang L J,et al.Temporal trend and attributable risk factors of stroke burden in China,1990-2019:an analysis for the Global Burden of Disease Study 2019[J].Lancet Public Health,2021,6(12):e897-e906.
[2] Tu W J,Zhao Z P,Yin P,et al.Estimated burden of stroke in China in 2020[J].JAMA Netw Open,2023,6(3):e231455.
[3] 刘华，徐冬梅，邓小渝，等.低频神经肌肉电刺激辅助治疗老年脑卒中后偏瘫肌痉挛对肌张力恢复的影响[J].中国老年学杂志，2023,43(5):1114-1117.
[4] 张伟，李瑞青，谷玉静，等.局部振动与体外冲击波治疗对脑卒中后偏瘫患者小腿三头肌痉挛和步行能力的影响[J].中华物理医学与康复杂志，2022,44(4):318-323.
[5] 张伟，冯晓东，任彬彬，等.局部振动结合肌电生物反馈治疗对脑卒中后偏瘫患者步行能力的影响[J].中华物理医学与康复杂志，2019,41(11):850-852.
[6] Cigdem Karacay B,Sahbaz T,Gurtekin B,et al.Effectiveness of whole-body vibration exercise and core stabilization exercise in chronic non-specific low back pain:a randomized-controlled study[J].Turk J Phys Med Rehabil,2022,68(2):184-194.
[7] Chen Y L,Jiang L J,Cheng Y Y,et al.Focal vibration of the plantarflexor and dorsiflexor muscles improves poststroke spasticity:a randomized single-blind controlled trial[J].Ann Phys Rehabil Med,2023,66(3):101670.
[8] 王武浩，张广鹏，谢海江，等.坐式太极拳对Brunnstrom Ⅱ期脑卒中患者上肢运动功能的影响研究[J].成都体育学院学报，2023,49(2):82-87.
[9] 周权，曹波.运动疗法联合中频电治疗脑梗死后肩手综合征的疗效观察[J].心脑血管病防治，2023,23(3):50-52.
[10] Zhuang J Y,Ding L,Shu B B,et al.Associated mirror therapy enhances motor recovery of the upper extremity and daily function after stroke:a randomized control study[J].Neural Plast,2021,2021:7266263.
[11] 伦亿禧，王强，毛勇，等.运动想象疗法对后遗症期脑卒中患者下肢运动功能的影响[J].中华物理医学与康复杂志，2023,45(2):131-133.
[12] 李贝贝，孟昭莉.运动干预对糖尿病前期人群糖脂代谢影响的网状Meta分析[J].中国体育科技，2023,59(1):92-103.
[13] Costantino C,Galuppo L,Romiti D.Short-term effect of local muscle vibration treatment versus sham therapy on upper limb in chronic post-stroke patients:a randomized controlled trial[J].Eur J Phys Rehabil Med,2017,53(1):32-40.
[14] Calabrò R S,Naro A,Russo M,et al.Is two better than one?Muscle vibration plus robotic rehabilitation to improve upper limb spasticity and function:a pilot randomized controlled trial[J].PLoS One,2017,12(10):e0185936.
[15] Annino G,Alashram A R,Alghwiri A A,et al.Effect of segmental muscle vibration on upper extremity functional ability poststroke:a randomized controlled trial[J].Medicine,2019,98(7):e14444.
[16] Choi H S,Lee B M.A complex intervention integrating prism adaptation and neck vibration for unilateral neglect in patients of chronic stroke:a randomised controlled trial[J].Int J Environ Res Public Health,2022,19(20):13479.
[17] Etoh S,Noma T,Takiyoshi Y,et al.Effects of repetitive facilitative exercise with neuromuscular electrical stimulation,vibratory stimulation and repetitive transcranial magnetic stimulation of the hemiplegic hand in chronic strokepatients[J].Int J Neurosci,2016,126(11):1007-1012.
[18] 袁小敏，琚红艳.重复局部肌肉振动疗法对脑卒中偏瘫早期患者上肢功能恢复的效果[J].中国康复理论与实践，2018,24(8):938-941.
[19] 陈钊德，龙耀斌，梁天佳，等.局部振动对脑卒中后偏瘫患者上肢痉挛和功能障碍的影响[J].中华物理医学与康复杂志，2015,37(8):600-601.
[20] 刘勇，谭同才，沈一吉，等.局部振动联合虚拟现实技术对脑卒中上肢运动功能的疗效观察[J].中国康复医学杂志，2021,36(8):1000-1003.
[21] 席建明，门薇，刘承梅，等.局部肌肉振动疗法对偏瘫患者步行及平衡功能的临床疗效[J].中国康复，2019,34(8):411-413.
[22] 袁丽，李航真，胥泽华，等.触觉振动反馈训练对脑卒中后偏瘫患者平衡及行走功能的影响[J].中华物理医学与康复杂志，2022,44(10):888-893.
[23] 梁天佳，龙耀斌，周开斌，等.谐振治疗对脑卒中偏瘫上肢痉挛和运动功能的影响[J].实用医学杂志，2017,33(10):1628-1630.
[24] Baronchelli F,Zucchella C,Serrao M,et al.The effect of robotic assisted gait training with lokomat? on balance control after stroke:systematic review and meta-analysis[J].Front Neurol,2021,12:661815.
[25] Paolucci T,Pezzi L,La Verde R,et al.The focal mechanical vibration for balance improvement in elderly-a systematic review[J].Clin Interv Aging,2021,16:2009-2021.
[26] 周人龙，张洪蕊，刘陵鑫，等.局部振动治疗对急性期脑卒中患者下肢本体感觉及运动功能的疗效观察[J].中国康复，2022,37(2):109-112.
[27] 肖悦，许光旭.振动治疗在脑卒中后肢体痉挛中的应用进展[J].中国康复医学杂志，2019,34(6):742-746.
[28] Borges H,de Freitas S,Liebano R,et al.Hemiplegic shoulder pain affects ipsilesional aiming movements after stroke:a cross-sectional study[J].Physiother Theory Pract,2022:1-12.
[29] Casale R,Hansson P.The analgesic effect of localized vibration:a systematic review.Part 1:the neurophysiological basis[J].Eur J Phys Rehabil Med,2022,58(2):306-315.
[30] Calabrò R S,Billeri L,Porcari B,et al.When two is better than one:a pilot study on transcranial magnetic stimulation plus muscle vibration in treating chronic pelvic pain in women[J].Brain Sci,2022,12(3):396.
[31] Savci C,?zkan B,A?iksari K,et al.Effectiveness of two different methods on the perceived pain and satisfaction during intramuscular antibiotic injection:ShotBlocker and local vibration[J].Clin Nurs Res,2022,31(5):812-819.
[32] Tahir S,Baig M O,Rathore F A,et al.The emerging role of focal muscle vibration in rehabilitation of neurological disorders[J].J Pak Med Assoc,2022,72(10):2126-2128.
[33] Chandrashekhar R,Wang H W,Dionne C,et al.Wearable focal muscle vibration on pain,balance,mobility,and sensation in individuals with diabetic peripheral neuropathy:a pilot study[J].Int J Environ Res Public Health,2021,18(5):2415.
基本信息:
中图分类号:R743.3;R493
引用信息:
[1]张瑾,孙妍.局部振动对脑卒中偏瘫患者躯体运动功能影响的Meta分析[J].巴楚医学,2024,7(01):111-117.
基金信息:
四川省科技厅重点研发项目(No:2023YFS0068)
2024-03-27
2024-03-27