中国老年保健医学2023，Vol.21Issue(6)：35-41,7.DOI:10.3969/j.issn.1672-2671.2023.06.007
下肢渐进性抗阻训练对老年髋部骨折术后患者康复疗效的Meta分析
Meta-analysis of the efficacy of progressive resistance training of the lower limb on the rehabilitation of elderly patients with postoperative hip fractures
摘要
Abstract
Objective To evaluate the efficacy of progressive resistance training on the rehabilitation of postoperative hip fracture patients,with a view to providing an evidence-based basis for this measure in relevant populations.Methods Computerized searches of PubMed,Embase,Cochrane Library,China Knowledge Network,Wanfang database and Vipers database for randomized controlled trials on the application of progressive resistance training to postoperative patients with hip fractures were conducted for the period from database creation to May 2023.Information was screened,assessed and extracted from the literature by 2 investigators alone.The Cochrane Risk Assessment Tool was used to assess the quality of the included literature and Meta-analysis was performed using Rev Man 5.4 software.Results Showed that progressive resistance training was more effective than conventional rehabilitation in impro-ving hip function(MD =4.96,95%CI 3.75～6.16,P<0.0001),increasing the6-minute walk test distance(MD =81.39,95%CI 55.49～107.29,P<0.0001),improved balance(MD =5.01,95%CI 3.17～6.86,P<0.00001),reduced pain(SMD =-1.17,95%CI-1.68～-0.67,P<0.00001),accelerated fracture healing time(SMD =-0.82,95%CI-1.11～-0.53,P<0.00001).Conclusion The available evidence suggests that progressive resistance training can improve hip function,increase the 6-minute walk test distance,improve balance,reduce pain levels and accelerate fracture healing time in patients with hip fractures.However,due to the quantity and quality of the selected literature,more high-quality RCTs are needed for further validation.关键词
渐进性抗阻训练/老年/髋部骨折/髋关节功能/Meta分析Key words
Progressive resistance training/elderly/hip fracture/Meta-analysis引用本文复制引用
曾雯姝,鲁兰莫,李玉芊,刘孟莲,王峻..下肢渐进性抗阻训练对老年髋部骨折术后患者康复疗效的Meta分析[J].中国老年保健医学,2023,21(6):35-41,7.基金项目
云南省教育厅科技基金项目(移动应用辅助认知功能训练在预防老年髋部骨折术后谵妄的应用研究,编号:2023Y0492) （移动应用辅助认知功能训练在预防老年髋部骨折术后谵妄的应用研究,编号:2023Y0492）
