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运动想象疗法对脑卒中后上肢运动功能障碍及ADL疗效的Meta分析

王睿月 侯兵 张晓雪 窦娜

中医康复2024,Vol.1Issue(1):58-64,7.
中医康复2024,Vol.1Issue(1):58-64,7.DOI:10.19787/j.issn.2097-3128.2024.01.012

运动想象疗法对脑卒中后上肢运动功能障碍及ADL疗效的Meta分析

Meta-analysis of Motor Imagery Therapy on Upper Limb Motor Dysfunction and ADL after Stroke

王睿月 1侯兵 1张晓雪 1窦娜1

作者信息

  • 1. 华北理工大学,河北唐山 063210
  • 折叠

摘要

Abstract

Objective:To systematically evaluate the efficacy of motor imagery therapy(MI)on upper limb motor dysfunction and activities of daily living(ADL)after stroke.Methods:PubMed,EMBASE,Web of Science,the Cochrane Library,CNKI,Wanfang Data,CBM and VIP were searched.Randomized controlled trials(RCT)of MI intervention on upper limb motor function and ADL in stroke patients were collected.The search deadline was March 2022.The literature was screened according to the inclusion and exclusion criteria and the data of the required evaluation indicators were extracted.RevMan 5.3 software was used for Meta analysis.Results:A total of 16 RCTs involving 932 patients were included.The results of Meta-analysis showed that compared with the control group,the FMA-UE score[MD=6.93,95%CI(4.99,8.87),P<0.00001],ARAT score[MD=6.32,95%CI(1.86,10.78),P=0.005]and MBI score[MD=8.44,95%CI(5.94,10.94),P<0.00001]in the experimental group showed that MI had better effect on upper limb motor function and ADL disorder in stroke patients.Subgroup analysis showed that the efficacy of MI in patients with stroke within 6 months was better than that in the control group,but there was no significant difference between the two groups in patients with stroke over 6 months.Conclusion:MI can improve upper limb motor function and ADL in patients with stroke,and the effect of intervention on upper limb mo-tor dysfunction is better within 6 months after stroke.

关键词

运动想象疗法/脑卒中/Meta分析

Key words

motor imagery therapy/stroke/meta-analysis

分类

医药卫生

引用本文复制引用

王睿月,侯兵,张晓雪,窦娜..运动想象疗法对脑卒中后上肢运动功能障碍及ADL疗效的Meta分析[J].中医康复,2024,1(1):58-64,7.

基金项目

教育部产学合作协同育人项目(编号:202101268001) (编号:202101268001)

华北理工大学研究生创新项目(2023S16) (2023S16)

中医康复

1008-1879

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