巴楚医学2024,Vol.7Issue(4):105-111,7.DOI:10.3969/j.issn.2096-6113.2024.04.015
经皮神经电刺激对脑卒中患者上肢功能影响的Meta分析
Effect of Transcutaneous Electrical Nerve Stimulation on Upper Limb Function in Stroke Patients:A Meta-Analysis
摘要
Abstract
Objective:To systematically evaluate the effect of transcutaneous electrical nerve stimulation(TENS)on upper limb function in stroke patients.Methods:A comprehensive search was conducted across eight databases,including CNKI,VIP,Wanfang,PubMed,Web of Science,EMBASE,Cochrane Library,and CINAHL,strictly adhering to the inclusion and exclusion criteria for literature screening.The quality of the included studies was assessed using the Cochrane system,and a meta-analysis was performed using Revman 5.4.1 software.Results:A total of 11 randomized controlled studies,including 559 patients were included.The meta-analysis showed that TENS could improve the Fugl-Meyer Upper Extremity Assessment(FMA-UE)scores(MD=5.77,95%CI:3.12,8.42),reduce the Modified Ashworth Scale(MAS)scores(MD=-0.38,95%CI:-0.65,-0.11),and increase the Modified Barthel Index(MBI)scores(MD=10.68,95%CI:8.28,13.09)in stroke patients with upper limb dysfunction.Subgroup analysis results indicated that hemiplegia was not a source of heterogeneity.Conclusion:TENS can improve the FMA-UE and MBI scores and reduce the MAS scores in stroke patients with upper limb dysfunction,having a positive impact on the recovery of upper limb function in these patients.关键词
经皮神经电刺激/脑卒中/上肢功能/meta分析Key words
transcutaneous electrical nerve stimulation(TENS)/stroke/upper limb function/meta-analysis分类
医药卫生引用本文复制引用
黄佳莉,何杨,刘静兰,王妮,邓红艳..经皮神经电刺激对脑卒中患者上肢功能影响的Meta分析[J].巴楚医学,2024,7(4):105-111,7.基金项目
中央引导地方科技发展专项基金项目(No:2022BGE237) (No:2022BGE237)
湖北高校省级教学研究项目(No:2021255) (No:2021255)
宜昌市科技创新项目(No:A24-2-017) (No:A24-2-017)