《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (2): 183-188.

• 论文 • 上一篇    下一篇

不同步态训练方法对慢性不完全性脊髓损伤患者步行功能效果的Meta分析

李建民，郝正玮，赵雅宁   

  1. 1.河北联合大学附属医院神经外科，河北唐山市063009；2.河北省唐山市人民医院，河北唐山市063001；3.河北联合大学护理康复学院，河北唐山市063009。
  • 收稿日期:2012-05-14 修回日期:2012-07-02 出版日期:2013-02-25 发布日期:2013-02-25

Efficacy of Different Gait Training on Walking for Chronic Incomplete Spinal Cord Injury: A Meta-Analysis

LI Jian-min, HAO Zheng-wei, ZHAO Ya-ning.   

  1. Department of Neurosurgery, the Affiliated Hospital of Hebei United University, Tangshan 063009, Hebei, China
  • Received:2012-05-14 Revised:2012-07-02 Published:2013-02-25 Online:2013-02-25

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被引次数

6

摘要： 目的用Meta 分析方法评价不同步态训练方法对慢性不完全性脊髓损伤患者步行功能的临床效果。方法通过PubMed、CNKI、万方数据库和Google 学术搜索引擎检索关于慢性不完全性脊髓损伤患者步态训练的随机对照试验的临床疗效，按照循证医学系统的评价方法，逐一评价纳入研究的质量，提取有效的数据，采用RevMan 4.2 软件进行相关的Meta 分析。结果经过Meta 分析，步态训练能改善慢性不完全性脊髓损伤患者的步行功能，尤其是提高步行速度；减重步行训练结合功能性电刺激(FES)的疗效较为肯定，治疗师辅助训练和机器人辅助训练的效果尚不肯定。结论步行训练能够改善步行功能，提高步行速度。但是目前关于康复训练临床试验研究的高质量文献较少，证据仍不充分。

关键词: 脊髓损伤, 步态训练, 随机对照试验, Meta分析, 功能性电刺激, 人工辅助训练, 机器人辅助训练

Abstract: Objective To review the efficacy of different rehabilitation training on walking locomotion for chronic incomplete spinal cord injury (SCI) by Meta-analysis. Methods PubMed, CNKI, Wanfang Database, and Google academic search were applied to search for clinical trials on chronic incomplete spinal cord injury to review the efficacy of gait training. Meta-analysis was to assess the clinical trials by Rev-Man 4.2. Results Gait training improved the walking speed for chronic incomplete spinal cord injury. The efficacy of partial body weight support treadmill training combined with functional electrical stimulation was confirmed. The efficacy of artificial aided training and robot-aided training remained uncertain. Conclusion Gait training was effective to improve walking ability for chronic incomplete spinal cord injury, but the evidence was insufficient.

Key words: spinal cord injury, gait training, randomized controlled trials, Meta-analysis, functional electrical stimulation, artificial aidedtraining, robot-aided training