中国康复理论与实践2023，Vol.29Issue(12)：1377-1385,9.DOI:10.3969/j.issn.1006-9771.2023.12.002
基于ICD-11和ICF脊髓损伤患者运动康复干预方案及其健康效益:系统综述的系统综述
Exercise rehabilitation interventions for people with spinal cord injury and their health benefits:a systematic re-view of systematic reviews based on ICD-11 and ICF
摘要
Abstract
Objective Based on the International Classification of Diseases,Eleventh Revision(ICD-11)and the International Clas-sification of Functioning,Disability and Health(ICF),systematic reviews about the effects of different types of exercise rehabilitation and related interventions on body structure and function,activity and participation,and quality of life in people with spinal cord injury(SCI)were systematically reviewed. Methods Systematic reviews of exercise rehabilitation and health benefits in patients with spinal cord injury were searched from PubMed,Embase,EBSCO,Web of Science and CNKI,from January,2015 to January,2023. Results Eight English articles were included,from Canada,the United States,South Korea,Australia,Brazil and Nether-lands,derived from the fields of physical medicine and rehabilitation,neuromedicine and rehabilitation,and exer-cise intervention,with the publication date mainly concentrated from 2015 to 2021.A total of 165 randomized controlled trials were involved,with 2 746 participants,aged 18 to 65 years.The diseases were mainly spinal cord injury(complete or incomplete),quadriplegia,paraplegia(thoracic,lumbar and sacral injuries),and motor neuron injury(upper and lower).There were three main types of interventions:passive intervention,using sports assistive devices,such as powered exoskeleton-assisted robots,electric bicycles,etc.,and functional electrical stimulation;active interventions,such as stepping exercises;training on flat ground,outdoor walking,and activi-ties of daily living;mixed intervention(active&passive),such as combination of exercise and functional electri-cal stimulation,combination of exercise and motor assistive devices.The frequency of intervention was ten to 240 minutes a time,two to 18 times a week,with the intensity of low to vigorous,for one to 456 weeks.The in-tervention sites mainly involved families,community health service centers and sports venues.The health impact mainly involved improving cardiovascular and increasing blood flow velocity in the legs;improving musculosk-eletal structure,as well as muscle strength,tolerance and flexibility;relieving spasms and improving reflex excit-ability of the nervous system;increasing gait speed and walking distance;improving functional independence,such as bowel regularity;improving physical health,such as reducing spasticity and drug use(e.g.,baclofen),in-creasing the immune response to infection,and reducing the risk of disease(vascular dementia and respiratory disease);and improving psychological condition. Conclusion Based on ICD-11 and ICF,this study constructed a research framework for active or passive exercise rehabil-itation and related interventions in patients with spinal cord injury.Patients with spinal cord injury can improve their body structure and function,increase their activity and participation,and improve their quality of life and well-being through passive interventions(using motor assistive devices,functional electrical stimulation),active interventions(such as stepping exercises,outdoor walking,etc.),and mixed interventions(combining exercise and functional electrical stimulation,exercise and sports assistive devices).关键词
脊髓损伤/运动康复/物理治疗/系统综述Key words
spinal cord injury/exercise rehabilitation/physiotherapy/systematic review分类
医药卫生引用本文复制引用
张园,杨剑..基于ICD-11和ICF脊髓损伤患者运动康复干预方案及其健康效益:系统综述的系统综述[J].中国康复理论与实践,2023,29(12):1377-1385,9.基金项目
1.上海高校"立德树人"人文社会科学重点研究基地子项目(No.1100-41222-16057) （No.1100-41222-16057）
2.青少年体育教育研究上海市社会科学创新研究基地子项目(No.11001-412321-17006) （No.11001-412321-17006）
3.华东师范大学青少年运动促进健康研究院子项目 Supported by Shanghai University Key Research Base for Humanities and Social Sciences(No.1100-41222-16057),Shanghai Social Science Research Base for Youth Physical Education(No.11001-412321-17006),and East China Normal University Institute of Youth Sports Promoting Health （No.1100-41222-16057）
