正念干预改善运动员心理康复效果的系统综述和Meta分析

doi:10.3969/j.issn.1006-9771.2020.12.004

Abstract

Abstract:

Objective To evaluate the effect of mindfulness on psychological rehabilitation in athletes.Methods Literatures about mindfulness meditation for psychological rehabilitation of athletes were searched in Web of Science, EBSCO, PubMed, Medline, OpenDissertations, Psychology Behavioral Sciences Collection, Academic Search Premier, CNKI, VIP and Wanfang data from January 1st, 2010 to December 31st, 2019. The literature quality was evaluated, and the data were analyzed with Review Manager 5.3.Results Finally, 18 researches were included. The immediate effect size of mindfulness on psychological rehabilitation was medium to large (d= 0.69, 95%CI 0.53 to 0.86, P< 0.001). There was no significant difference in the follow-up effect of psychological rehabilitation between two groups (d= -0.08, 95%CI -0.33 to 0.16, P= 0.50). The immediate effect of mindfulness was significantly moderated by research quality (I² = 88.1%, P= 0.004).Conclusion Mindfulness could improve mood, promote flow, improve acceptance of negative experiences, improve the ability to act on the goal, and increase training investment for athletes, which is moderated by research quality.

Key words: mindfulness, athlete, psychological rehabilitation, meta-analysis

CLC Number:

R493

LIU Feng-bo,ZHANG Zhong-qiu,QIU Fu-bing,LI An-qiao,LIU Shu-qiang. Effect of Mindfulness on Psychological Rehabilitation of Athletes: A Systematic Review and Meta-analysis[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(12): 1390-1400.

Figures/Tables 14

作者	干预技术	干预核心内容	干预机制	对运动员心理康复的效果	结局指标
Aherne等^[8]	MT	活在当下、行为投入	改善注意障碍、改善应激障碍、去自我中心化	提高消极体验的接受性、促进流畅体验	正念水平、流畅体验
Ajilchi等^[21]	MSPE	活在当下、不判断、行为投入	改善注意障碍、改善情绪调节障碍、去自我中心化	提高消极体验的接受性、改善心境	正念水平、心理韧性、情绪
Baltar等^[22]	正念冥想	行为投入	改善注意障碍	提高消极体验的接受性、提高训练的投入程度	注意、正念水平
Briegel-Jones等^[23]	Sivananda yoga	活在当下、行为投入	改善注意障碍、去自我中心化	提高消极体验的接受性、促进流畅体验	正念水平、流畅体验
Dehghani等^[24]	MAC	不判断、接受、行为投入	改善注意障碍、改善应激障碍、改善情绪调节障碍	提高对目标的行动力、改善心境	经验性回避、焦虑
Goodman等^[25]	MAC+Yoga	不判断、接受、行为投入	改善注意障碍、改善应激障碍、改善情绪调节障碍	提高消极体验的接受性、提高对目标的行动力、提高训练的投入程度	正念水平、经验性回避、动机、应激、心理韧性
Josefsson等^[26]	MAC	不判断、接受、行为投入	改善注意障碍、改善应激障碍、改善情绪调节障碍	提高消极体验的接受性、改善心境	正念水平、情绪调节障碍
Li等^[27]	6-min brief mindfulness	行为投入	改善注意障碍	提高消极体验的接受性、改善心境	正念水平、睡眠、唤醒
Moen等^[28]	MT	活在当下、行为投入	改善注意障碍、去自我中心化	提高消极体验的接受性、提高训练的投入程度、改善心境	正念水平、应激、满意度、疲劳
Scott-Hamilton等^[29]	MiCBT	不判断、接受、行为投入	改善注意障碍、改善应激障碍、改善情绪调节障碍	提高消极体验的接受性、促进流畅体验、改善心境	流畅体验、焦虑、正念水平、自我同情
Scott-Hamilton等^[30]	MiCBT	不判断、接受、行为投入	改善注意障碍、改善应激障碍、改善情绪调节障碍	提高消极体验的接受性、促进流畅体验、改善心境	流畅体验、焦虑、正念水平、自我同情
Vidic等^[31]	平静冥想	活在当下、不判断、接受	改善注意障碍、改善情绪调节障碍、去自我中心化	提高消极体验的接受性、促进流畅体验	应激、应对
Zadeh等^[32]	MAC	不判断、接受、行为投入	改善注意障碍、改善应激障碍、改善情绪调节障碍	提高消极体验的接受性	正念水平
Zhang等^[33]	MAC	不判断、接受、行为投入	改善注意障碍、改善应激障碍、改善情绪调节障碍	提高消极体验的接受性、促进流畅体验	正念水平、接受体验、流畅体验
李伟康^[34]	MT	活在当下、不判断、行为投入	改善注意障碍、改善情绪调节障碍、去自我中心化	提高消极体验的接受性、促进流畅体验	阻滞、正念水平
刘海楠^[35]	MT	活在当下、不判断、接受	改善注意障碍、改善应激障碍、改善情绪调节障碍,去自我中心化	提高消极体验的接受性	心理韧性
刘涛等^[36]	MAIC	活在当下、不判断、接受、行为投入	改善注意障碍、改善应激障碍、改善情绪调节障碍,去自我中心化	提高训练的投入程度	训练态度
夏文倩^[37]	MAIC	活在当下、不判断、接受、行为投入	改善注意障碍、改善应激障碍、改善情绪调节障碍、去自我中心化	提高消极体验的接受性	正念水平、经验性回避

References 53

[1]	邱卓英, 郭键勋, 李伦. 健康服务体系中的康复[J]. 中国康复理论与实践, 2020, 26(1):1-14.
	Qiu Z Y, Kwok J, Li L, et al. Rehabilitation in Health Systems[J]. Chin J Rehabil Theory Pract, 2020, 26(1):1-14.
[2]	Foskett R L, Longstaff F. The mental health of elite athletes in the United Kingdom[J]. J Sci Med Sport, 2018, 21:765-770. doi: S1440-2440(17)31821-2 pmid: 29289498
[3]	Schuring N, Kerkhoffs G, Gray J, et al. The mental wellbeing of current and retired professional cricketers: an observational prospective cohort study[J]. Phys Sports Med, 2017, 45:463-469. doi: 10.1080/00913847.2017.1386069
[4]	Reardon C L, Hainline B, Aron C M, et al. Mental health in elite athletes: International Olympic Committee consensus statement (2019)[J]. Br J Sports Med, 2019, 53:667-699. doi: 10.1136/bjsports-2019-100715
[5]	邱卓英, 郭键勋, 杨剑, 等. 康复2030:促进实现«联合国2030年可持续发展议程»相关目标[J]. 中国康复理论与实践, 2017, 23(4):373-378.
	Qiu Z Y, Kwok J, Yang J, et al. Rehabilitation 2030: realization of United Nation Sustainable Development Goals 2030[J]. Chin J Rehabil Theory Pract, 2017, 23(4):373-378.
[6]	刘冯铂, 吴铭, 邱卓英, 等. 成年残疾人康复需求与康复服务发展研究[J]. 中国康复理论与实践, 2020, 26(5):497-501.
	Liu F B, Wu M, Qiu Z Y, et al. Unmet Needs and Services of Rehabilitation for adults with disabilities[J]. Chin J Rehabil Theory Pract, 2020, 26(5):497-501.
[7]	邱卓英, 李伦, 陈迪, 等. 基于世界卫生组织国际健康分类家族康复指南研究:理论架构和方法体系[J]. 中国康复理论与实践, 2020, 26(2):125-135.
	Qiu Z Y, Li L, Chen D, et al. Research on rehabilitation guidelines using World Health Organization Family International Classifications: framework and approaches[J]. Chin J Rehabil Theory Pract, 2020, 26(2):125-135.
[8]	Aherne C, Moran A P, Lonsdale C. The effect of mindfulness training on athletes' flow: an initial investigation[J]. Sport Psychol, 2011, 25(2):177-189. doi: 10.1123/tsp.25.2.177
[9]	Ströhle A. Sports psychiatry: mental health and mental disorders in athletes and exercise treatment of mental disorders[J]. Eur Arch Psychiatry Clin Neurosci, 2019, 269(5):485-498. doi: 10.1007/s00406-018-0891-5
[10]	Lutz A, Slagter H A, Dunne J D, et al. Attention regulation and monitoring in meditation[J]. Trends Cogn Sci, 2008, 12(4):163-169. doi: 10.1016/j.tics.2008.01.005
[11]	Kazdin A E. Mediators and mechanisms of change in psychotherapy research[J]. Annu Rev Clin Psychol, 2007, 3:1-27. doi: 10.1146/annurev.clinpsy.3.022806.091432
[12]	Shamseer L, Moher D, Clarke M, et al. Preferred reporting items for systematic review and Meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation[J]. Br Med J, 2015, 349:g7647. doi: 10.1136/bmj.g7647
[13]	姒刚彦. 运动员正念训练手册[M]. 北京:北京体育大学出版社, 2014.
	Si G Y. Handbook of Mindfulness Training for Athletes[M]. Beijing:Beijing Sport University Press, 2014.
[14]	陈灵君, 王颖, 朱毅. 基于正念的干预训练调节心理压力和自主神经活动的研究进展[J]. 中国康复理论与实践, 2020, 26(5):563-567.
	Chen L J, Wang Y, Zhu Y. Advance in mindfulness-based intervention for stress-induced autonomic nervous system activity (review)[J]. Chin J Rehabil Theory Pract, 2020, 26(5):563-567.
[15]	张丽娟, 宋艳丽, 董博, 等. 正念认知疗法对脑卒中吞咽困难的效果[J]. 中国康复理论与实践, 2018, 24(11):1361-1364.
	Zhang L J, Song Y L, Dong B, et al. Effect of mindfulness- based cognitive therapy on dysphagia after stroke[J]. Chin J Rehabil Theory Pract, 2018, 24(11):1361-1364.
[16]	张倩, 张宁, 刘金凤, 等. 正念干预治疗脑卒中患者抑郁效果的Meta分析[J]. 中国康复理论与实践, 2018, 24(12):1479-1484.
	Zhang Q, Zhang N, Liu J F, et al. Effect of mindfulness-based therapy on depression for stroke patients: a meta-analysis[J]. Chin J Rehabil Theory Pract, 2018, 24(12):1479-1484.
[17]	Li C X, Zhu Y X, Zhang M G, et al. Mindfulness and athlete burnout: a systematic review and meta-analysis[J]. Int J Environ Res Public Health, 2019, 16(3):1-13. doi: 10.3390/ijerph16010001
[18]	Petterson H, Olson B L. Effects of mindfulness-based interventions in high school and college athletes for reducing stress and injury, and improving quality of Life[J]. J Sport Rehabil, 2017, 26(6):578-587. doi: 10.1123/jsr.2016-0047 pmid: 27632857
[19]	Bühlmayer L, Birrer D, Röthlin P, et al. Effects of mindfulness practice on performance-relevant parameters and performance outcomes in sports: a meta-analytical review[J]. Sports Med, 2017, 47(11):2309-2321. doi: 10.1007/s40279-017-0752-9 pmid: 28664327
[20]	Strauss C, Cavanagh K, Oliver A, et al. Mindfulness-based interventions for people diagnosed with a current episode of an anxiety or depressive disorder: a meta-analysis of randomised controlled trials[J]. PLoS One, 2014, 9(4):e96110. doi: 10.1371/journal.pone.0096110
[21]	Ajilchi B, Amini H R, Ardakani Z P, et al. Applying mindfulness training to enhance the mental toughness and emotional intelligence of amateur basketball players[J]. Australas Psychiatry, 2019, 27(3):1-6.
[22]	Baltar Y C, Filgueiras A. The effects of mindfulness meditation on attentional control during off-season among football players[J]. SAGE Open, 2018, 8(2):1-9.
[23]	Briegel-Jones R M H, Knowles Z, Eubank M R, et al. A preliminary investigation into the effect of yoga practice on mindfulness and flow in elite youth swimmers[J]. Sport Psychol, 2013, 27:349-359. doi: 10.1123/tsp.27.4.349
[24]	Dehghani M, Saf A D, Vosoughi A, et al. Effectiveness of the mindfulness-acceptance-commitment-based approach on athletic performance and sports competition anxiety: a randomized clinical trial[J]. Electron Physician, 2018, 10(5):6749-6755. doi: 10.19082/6749
[25]	Goodman F R, Kashdan T B, Mallard T T, et al. A brief mindfulness and yoga intervention with an entire NCAA Division I athletic team: an initial investigation[J]. Psychol Conscious, 2014, 1(4):339-356.
[26]	Josefsson T, Ivarsson A, Gustafsson H, et al. Effects of mindfulness-acceptance-commitment (MAC) on sport-specific dispositional mindfulness, emotion regulation, and self-rated athletic performance in a multiple-sport population: an RCT Study[J]. Mindfulness, 2019, (10):1518-1529.
[27]	Li C, Kee Y H, Lam L S. Effect of brief mindfulness induction on university athletes' sleep quality following night training[J]. Front Psychol, 2018, 9:508. doi: 10.3389/fpsyg.2018.00508
[28]	Moen F, Abrahamsen F, Furrer P. The effects from mindfulness training on norwegian junior elite athletes in sport[J]. Int J Appl Sports Sci, 2015, 27(2):98-113.
[29]	Scott-Hamilton J, Schutte N S. The role of adherence in the effects of a mindfulness intervention for competitive athletes: changes in mindfulness, flow, pessimism, and anxiety[J]. J Clin Sport Psychol, 2016, 10(2):99-117. doi: 10.1123/jcsp.2015-0020
[30]	Scott-Hamilton J, Schutte N S, Brown R F. Effects of a mindfulness intervention on sports-anxiety, pessimism, and flow in competitive cyclists[J]. Appl Psychol Health Well Being, 2016, 8(1):85-103. doi: 10.1111/aphw.2016.8.issue-1
[31]	Vidic Z, Martin M, Oxhandler R. Mindfulness intervention with a U.S. women's NCAA Division I basketball team: impact on stress, athletic coping skills and perceptions of intervention[J]. Sport Psychol, 2017, 31(2):147-159. doi: 10.1123/tsp.2016-0077
[32]	Zadeh M M, Ajilchi B, Salman Z, et al. Effect of a mindfulness programme training to prevent the sport injury and improve the performance of semi-professional soccer players[J]. Australas Psychiatry, 2019, 27(6):589-595. doi: 10.1177/1039856219859288
[33]	Zhang C Q, Si G Y, Duan Y P, et al. The effects of mindfulness training on beginners' skill acquisition in dart throwing: a randomized controlled trial[J]. Psychol Sport Exerc, 2016, 22, 279-285. doi: 10.1016/j.psychsport.2015.09.005
[34]	李伟康. 正念训练对高校乒乓球运动员"choking"现象的影响研究[D]. 济南:山东师范大学, 2015.
	Li W K. Study on effectiveness of mindfulness on choking in table tennis players of college students[D]. Jinan: Shandong Normal Univ, 2015.
[35]	刘海楠. "接受"与"改变"—两种不同理念指导下的青少年运动员心理韧性干预研究[D]. 武汉:武汉体育学院, 2012.
	Liu H N. "Change" or "acceptance" — young athletes psychological intervention study of resilience under the guidance of two different concepts[D]. Wuhan: Wuhan Inst Phys Educ, 2012.
[36]	刘涛, 刘晓蕾, 郭伊纳, 等. 正念心理训练干预武术套路效果评价研究——以香港武术队为例[J]. 成都体育学院学报, 2016, 42(5):88-92, 106.
	Liu T, Liu X L, Guo Y N, et al. Effect of mindfulness intervention on wushu training and competition: the case of Hong Kong Wushu team[J]. J Chengdu Sport Univ, 2016, 42(5):88-92, 106.
[37]	夏文倩. 正念训练对江苏省体校青少年击剑运动员心理疲劳的干预效果研究[D]. 南京:南京体育学院, 2019.
	Xia W Q. Intervention effect of mindfulness training on staleness of young fencers in Jiangsu sports school[D]. Nanjing: Nanjing Sport Inst, 2019.
[38]	Weston K S, Wisløff U, Coombes J S. High-intensity interval training in patients with lifestyle-induced cardioMetabolic disease: a systematic review and Meta-analysis[J]. Br J Sports Med, 2013, 48(16):1227-1234. doi: 10.1136/bjsports-2013-092576
[39]	Cohen J. Statistical Power Analysis for the Behavioral Sciences[M]. 2nd ed. New Jersey: Lawrence Erlbaum Associates, 1988.
[40]	Higgins J P T, Thompson S G, Deeks J J, et al. Measuring inconsistency in meta-analyses[J]. Br Med J, 2003, 327(7414):557-560. doi: 10.1136/bmj.327.7414.557
[41]	Huedo-Medina T B, Sánchez-Meca J, Marín-Martínez F, et al. Assessing heterogeneity in meta-analysis: Q statistic or I² index?[J]. Psychol Methods, 2006, 11(2):193-206. pmid: 16784338
[42]	Berkeljon A, Baldwin S A. An introduction to meta-analysis for psychotherapy outcome research[J]. Psychother Res, 2009, 19(4-5):511-518. doi: 10.1080/10503300802621172 pmid: 20183404
[43]	Field A P. The problems in using fixed-effects models of meta-analysis on real-world data[J]. Underst Stat, 2003, 2(2):105-124. doi: 10.1207/S15328031US0202_02
[44]	Khoury B, Lecomte T, Fortin G, et al. Mindfulness-based therapy: a comprehensive meta-analysis[J]. Clin Psychol Rev, 2013, 33(6):763-771. doi: 10.1016/j.cpr.2013.05.005
[45]	Rothstein H R, Sutton A J, Borenstein M. Publication Bias in Meta-analysis: Prevention, Assessment and Adjustments[M]. Hoboken, NJ: John Wiley & Sons, 2005.
[46]	Egger M, Smith G D, Schneider M, et al. Bias in meta-analysis detected by a simple, graphical test[J]. Br Med J, 1997, 315(7109):629-634. doi: 10.1136/bmj.315.7109.629
[47]	Begg C B, Mazumdar M. Operating characteristics of a rank correlation test for publication bias[J]. Biometrics, 1994, 50(4):1088-1101. pmid: 7786990
[48]	Akobeng A K. Principles of evidence based medicine[J]. Arch Dis Child, 2005, 90(8):837-840. pmid: 16040884
[49]	Higgins J P T, Green S. Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0[M]. The Cochrane Collaboration, 2011.
[50]	Kahl K G, Winter L, Schweiger U. The third wave of cognitive behavioural therapies: what is new and what is effective?[J]. Curr Opin Psychiatry, 2012, 25(6):522-528. doi: 10.1097/YCO.0b013e328358e531
[51]	Eberth J, Sedlmeier P. The effects of mindfulness meditation: a meta-analysis[J]. Mindfulness, 2012, 3(3):174-189. doi: 10.1007/s12671-012-0101-x
[52]	Geschwind N, Peeters F, Drukker M, et al. Mindfulness training increases momentary positive emotions and reward experience in adults vulnerable to depression: a randomized controlled trial[J]. J Consult Clin Psychol, 2011, 79(5):618-628. doi: 10.1037/a0024595
[53]	Demarzo M M P, Montero-Marin J, Cuijpers P, et al. The efficacy of mindfulness-based interventions in primary care: a meta-analytic review[J]. Ann Fam Med, 2015, 13(6):573-582. doi: 10.1370/afm.1863

干预内容	心理康复方法
活在当下	注意力的焦点放在此时此刻正在执行的任务上,不去想过去和未来,全身心地投入到当下任务的完成过程之中
不判断	不判断内心体验和正在发生行为的好坏对错,只把它们当作事实存在
接受	接受消极内心体验的存在,不对它们做出反应,不刻意去消除、降低消极的情绪想法等,只是意识到它们的存在,任其自然而然地发生
行为投入	任务执行不受内心体验的影响,而是去做能够实现卓越表现的行为,即关注任务执行的流畅性及技术环节,不去期待和判断结果,也不去评价已经结束的动作,只是投入

结果变量	失安全系数		Egger检验			Begg检验
结果变量	N_fs	临界值	截距	SE	95%CI	Z值	P值
即刻效果	933	250	2.50	0.71	[1.07,3.93]	2.73	0.006
追踪效果	-248	40	19.25	15.12	[-22.72,61.21]	0.94	0.348

调节变量	k	n	d	95%CI	异质性
调节变量	k	n	d	95%CI	Q(df)	P	I²(%)	P_s.g.	I²_s.g.(%)
年龄(岁)								0.57	0.0
<22	29	933	0.62	[0.44,0.80]	42.06(25)	0.02	41
≥22	16	501	0.70	[0.46,0.95]	24.06(15)	0.06	38
干预周期								0.15	52.5
<8周	21	752	0.82	[0.63,1.00]	28.92(20)	0.09	31
≥8周	24	734	0.58	[0.32,0.84]	60.14(23)	<0.0001	62
家庭练习								0.66	0.00
是	19	705	0.74	[0.49,0.98]	40.75(18)	0.002	56
否	26	781	0.66	[0.42,0.89]	56.08(25)	0.0004	55
主试资质								0.12	57.7
有资质	29	855	0.80	[0.63,0.97]	8.01(28)	0.10	26
无资质	16	631	0.52	[0.21,0.83]	50.68(15)	<0.00001	70
实验类别								0.58	0.0
RCT	32	1245	0.68	[0.48,0.88]	83.13(31)	<0.00001	63
非RCT	13	241	0.78	[0.49,1.06]	12.75(12)	0.39	6
研究质量								0.004	88.1
<6分	26	555	0.98	[0.70,1.27]	50.19(23)	0.0009	54
≥6分	22	931	0.49	[0.32,0.67]	34.13(20)	0.003	41

Effect of Mindfulness on Psychological Rehabilitation of Athletes: A Systematic Review and Meta-analysis

RichHTML

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 14

References 53

Related Articles 15

Metrics

Comments

Recommended 0

干预机制	心理康复行为
改善注意障碍	帮助有效控制注意力,保持对当前任务的专注,并在注意力分散的时候让注意力重新回到当前任务上
改善应激障碍	提升身体觉知能力,帮助我们更加清楚身体在压力出现时的反应,这会帮助我们有效地应对任务执行过程中可能出现的阻滞(例如运动中的Choking)现象
改善情绪调节障碍	面对逆境和挫折或情绪起伏的时候,我们能够不去对这些刺激进行评判和反应,从而能够解决之前固有的情绪反应模式带来的负面影响
去自我中心化	使我们能够不以自我中心来觉知当下的压力情境,从“忘我”的角度来客观地觉知持续变化的事物,借此帮助我们从总是担心结果的定势中解脱出来

干预效果	心理康复表现
改善心境	促进积极情绪(幸福感等),改善消极情绪(应激、心理疲劳、焦虑等),提高情绪调节能力等
促进流畅体验	促进心理流畅体验的产生、帮助进入最佳心理状态等
提高消极体验的接受性	提高特质正念水平、心理弹性,改善应激和应对能力等
提高对目标的行动力	提高自我控制能力、避免经验性回避和任务执行过程中的阻滞现象等
提高训练的投入程度	集中注意能力、改善训练态度、提高参与动机和训练比赛满意度等

作者	年份	国家	n(实验组/ 对照组)	年龄(岁)	运动项目	实验类别	干预周期(周)	家庭练习	主试资质	PEDro
Aherne等^[8]	2011	爱尔兰	13(6/7)	21	球类、田径	RCT	6	N	N	4
Ajilchi等^[21]	2019	伊朗	30(15/15)	23	篮球	RCT	6	Y	Y	5
Baltar等^[22]	2018	巴西	40(20/20)	23.6	足球	RCT	12	N	N	8
Briegel-Jones等^[23]	2013	英国	21(10/11)	13.24	游泳	RCT	10	N	N	6
Dehghani等^[24]	2018	伊朗	29(14/15)	22.87	篮球	RCT	4	N	N	7
Goodman等^[25]	2014	美国	21(8/13)	20.23	NCAA Division I	对照实验	5	N	Y	5
Josefsson等^[26]	2019	瑞典	55(30/25)	20.9	球类、自行车、摔跤	RCT	7	N	Y	4
Li等^[27]	2018	中国	63(32/31)	21.16	越野、球类	RCT	1	Y	N	8
Moen等^[28]	2015	挪威	50(23/27)	18.5	冬季项目、射击、田径	RCT	12	Y	N	6
Scott-Hamilton等^[29]	2016	澳大利亚	12(12/0)	33.57	自行车、滑雪、游泳	控制实验	8	Y	Y	4
Scott-Hamilton等^[30]	2016	澳大利亚	47(27/20)	39.68	自行车	RCT	8	N	Y	6
Vidic等^[31]	2017	美国	13(13/0)	19.85	篮球	控制实验	16	N	Y	5
Zadeh等^[32]	2019	伊朗	45(23/22)	24.32	足球	RCT	7	Y	Y	8
Zhang等^[33]	2015	中国	43(22/21)	19.23	飞镖	RCT	7	Y	Y	8
李伟康^[34]	2015	中国	20(10/10)	?	乒乓球	RCT	12	N	N	4
刘海楠^[35]	2012	中国	33(14/19)	14.55	体操、跳水、网球	对照实验	11	N	N	4
刘涛等^[36]	2016	中国	12(7/5)	?	武术	对照实验	20	Y	Y	4
夏文倩^[37]	2019	中国	24(12/12)	17.13	击剑	RCT	8	N	N	4

[1]	GE Keke, FAN Yonghong, WANG Hangyu, DU Lilu, LI Changjiang, ZOU Min. Health benefit of mindfulness intervention for older adults with insomnia disorders: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 54-60.
[2]	WANG He, HAN Liang, KAN Mengfan, YU Shaohong. Efficacy of electrical stimulation on shoulder-hand syndrome after stroke: a systematic review and meta-analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1048-1056.
[3]	YU Ge, WANG Lu, CHEN Yaping. Effects of whole body vibration training on postural stability in chronic ankle instability: a meta-analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(4): 423-432.
[4]	ZHANG Liying, WANG Jiening, YU Xiaoming. Effect of robot-assisted training on upper limb motor in patients with stroke: a meta-analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(2): 156-166.
[5]	SUN Ximei, LIU Hua, CHAI Liangwei, LI Kaiyang, MA Jing. Effect of therapeutic exercise on functional disability and quality of life in patients with forward head posture and neck pain: a meta-analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(2): 214-222.
[6]	HU Qingkui, YIN Hang, JIA Shaohui, LIU Hui. Prevalence, types, risk factors and intervention strategies of sport injury for Paralympic athletes: a scoping review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(10): 1154-1163.
[7]	PENG Juan,WANG Jieping,HUANG Wei,FAN Bishuang,YU Jihua,ZENG Jin,HUANG Liheng,AN Lijuan,XU Fangyuan. Effects of threshold inspiratory muscle training on respiratory function, motor function and quality of life for patients with chronic obstructive pulmonary disease: a meta-analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(9): 1022-1031.
[8]	REN Kaixin,LI Lingcong,WANG Xiujing,MA Liying,WANG Zhenyu. Proportion of contextual effect of non-surgical treatments for rotator cuff injuries: a meta-analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(9): 1039-1048.
[9]	WANG Junsheng,WANG Chen,GUO Xiulan,JIANG Changhao. Relationship between mental health and sleep quality and its significance to psychological rehabilitation: a case study of shooting event athletes [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(7): 859-862.
[10]	XU Zhen,WANG Yidi,ZHANG Yue,WEN Yuhong. Effects of exercise intervention on fatigue for patients with multiple sclerosis: a meta-analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(5): 568-577.
[11]	ZHENG Wei,SUN Libing,HAO Chuanping,HUANG Wenqi,YOU Jing,GUO Yanhua. Effect of spinal manipulation therapy on chronic nonspecific neck pain: a meta-analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(2): 150-164.
[12]	CHAI Liangwei,LIU Hua,HUANG Qiuyu,SUN Ximei,LI Kaiyang,MA Jing. Effect of therapeutic exercise on posture control and muscular function around ankle in patients with functional ankle instability: a meta-analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(11): 1278-1287.
[13]	LI Xinxin,LIU Hui,MA Mujia. Reduction of risk of fall for aging adults participating in Tai Chi and other exercises: a meta-analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(10): 1169-1177.
[14]	KE Jingyue,MA Shengnan,ZHANG Xiaohui,LI Guqiang. Biomechanical differences of adolescent idiopathic scoliosis during static standing and level walking: a meta-analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(10): 1178-1189.
[15]	LIU Fengbo,ZHANG Zhongqiu,LI Anqiao,ZHOU Sheng,ZHANG Meng. Effects of mindfulness training on emotion and acceptance for people with disabilities: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(1): 105-110.