弹性抗阻运动对慢性阻塞性肺疾病康复疗效的Meta分析

doi:10.3969/j.issn.1006-9771.2021.08.006

Abstract

Abstract:

Objective To systematically evaluate the effects of elastic resistance exercise on patients with chronic obstructive pulmonary disease (COPD). Methods Randomized clinical trials about elastic resistance exercise for chronic obstructive pulmonary disease were searched in the Cochrane Library, PubMed, Web of Science, CNKI, VIP, Wanfang Database and Chinese Biomedical Literature Database from inception to September, 2020. Finally, eleven literatures were included, including 9 in English and 2 in Chinese, with a total of 485 patients. The quality of the articles was evaluated using the Cochrane Library systematic review criteria and Physiotherapy Evidence Database Scale, and the data were analyzed with RevMan 5.2. The system review was registered on PROSPERO (CRD42020208659). Results There was no significant difference in 6 Minute Walking Distance (6WMD) (MD = 1.19, 95%CI -7.02 to 9.39, P = 0.78), COPD Assessment Test (CAT) (MD = -0.43, 95%CI -2.42 to 1.57, P = 0.68) and the muscle strength (MD = 0.23, 95%CI -1.06 to 1.52, P = 0.73), with no high heterogeneity, between elastic resistance exercise group and the conventional resistance exercise group (such as weight training machine, weight training). There was no significant difference in 6MWD (MD = 18.30, 95%CI -8.92 to 45.52, P = 0.19) and CAT (MD = 0.59, 95%CI -3.78 to 2.60, P = 0.72) between the elastic resistance exercise group and the non-resistance exercise group, however, the heterogeneity between them was high. Conclusion Elastic resistance exercise may be potentially alternative to conventional resistance training. However, the effects of elastic resistance exercise on exercise endurance, quality of life and lung function are still unclear.

Key words: chronic obstructive pulmonary disease, elastic resistance exercise, pulmonary rehabilitation, meta-analysis

CAI Qian,ZHANG Xi,JING Chun-xiang,CAI Shu-bin,GUO Ming-kai,LI Ji-qiang. Effects of Elastic Resistance Exercise on Chronic Obstructive Pulmonary Disease: A Meta-analysis[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(8): 913-922.

Figures/Tables 8

纳入研究	国家	n(试验组/ 对照组)	年龄(岁,试验组/ 对照组)	干预措施		疗程	运动频率	运动强度	结局指标
纳入研究	国家	n(试验组/ 对照组)	年龄(岁,试验组/ 对照组)	试验组	对照组	疗程	运动频率	运动强度	结局指标
Chen^[12](2018)	中国	25/22	(69.04±8.07)/(64.95±11.59)	弹力带+宣教	宣教	12周	每次20~30 min,每周3次	每组8~12次重复,组间休息1~2 min,每周3次,Borg评分≥ 5时休息	②
Freire(2020)^[13]	巴西	32/16	(69.31±8.98)/(66.43±11.49)	弹力管或弹力带	举重训练机	12周	每次50 min,每周3次	根据受试者对努力的感知调整负荷。增加负荷的标准基于交谈开始时的RM	①②③
Nyberg(2015)^[14]	瑞典	22/22	(69.00±5.00)/(68.00±6.00)	弹力带+宣教	宣教	8周	每次40 min,每周3次	根据Borg量表,如果评分< 4并且进行≥ 20次重复,可通过改变松紧带的颜色增加阻力	①
O'Shea (2007)^[15]	澳大利亚	27/27	(66.90±7.00)/(68.40±9.90)	弹力带	无	12周	每周3次	3组8~12 RM。当参与者可以以正确的技术进行3组12 RM时,阻力水平(即弹力带颜色)增加	①
Ramos (2014)^[16]	巴西	17/17	(67±6.67)/ (66±5.19)	弹力管	举重训练机	8周	每次60 min,每周3次	执行2~7个单独的集合,每个集合由在抗疲劳试验20 s内达到的重复次数组成	①③
Ricci-Vitor (2018)^[17]	巴西	20/19	无/无	弹力管	举重训练机	8周	每次60 min,每周3次	通过疲劳阻力测试评估及确定方案	①③
Silva (2018)a^[20]	巴西	23/10	(72.02±6.07)/ (66.40±3.94)	弹力管或弹力带	举重训练机	12周	每次60 min,每周3次	使用弹力带或弹力管进行,运动负荷逐渐增加	①②
Silva (2018)b^[18]	巴西	24/11	(69.35±8.97)/ (64.88±11.17)	弹力管或弹力带	举重训练机	12周	每次60 min,每周3次	在前2周,负荷以完成两组15次重复为度;第4~6周,负荷以完成3组15次重复为度。第7~9周,负荷为3组10次重复。在最后3周,患者进行3组15次重复	③
Silva(2019)^[19]	巴西	9/10	(63±9)/ (65±8)	弹力管	举重训练机	12周	每次60 min,每周3次	负荷为(15±2) RM	①③
孙利(2019)^[21]	中国	53/47	(69.04±8.07)/ (64.95±11.59)	弹力带+常规治疗	常规治疗	12周	每次20~30 min,每周3次	每组练习8~12次	①②
向晋(2019)^[22]	中国	16/16	(59.00±6.60)/ (58.25±6.92)	弹力带+宣教	宣教	12周	每次15 min,每周1次	50% RM,Borg评分4分(中度呼吸困难)为起始运动强度	①②④

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研究	条目1	条目2	条目3	条目4	条目5	条目6	条目7	条目8	条目9	条目10	条目11	总分	质量
Chen 2018^[12]	是	是	否	是	否	否	是	是	否	是	是	6	高
Freire 2020^[13]	是	是	是	是	否	否	是	否	是	是	是	7	高
Nyberg 2015^[14]	否	是	是	是	否	否	是	是	是	是	是	8	高
O'Shea 2007^[15]	是	是	是	是	否	否	是	否	是	是	是	7	高
Ramos 2014^[16]	否	是	是	是	否	否	否	否	否	是	是	5	中
Ricci-Vitor 2018^[17]	是	是	否	是	否	否	否	否	否	是	是	4	中
Silva 2018a^[20]	否	是	否	否	否	否	否	否	否	是	是	3	低
Silva 2018b^[18]	是	是	是	是	否	否	否	否	否	是	是	5	中
Silva2019^[19]	是	是	否	是	否	否	否	否	否	是	是	4	中
孙利2019^[21]	是	是	否	是	否	否	否	是	否	是	是	5	中
向晋2019^[22]	是	是	否	是	否	否	否	是	否	是	是	5	中

Effects of Elastic Resistance Exercise on Chronic Obstructive Pulmonary Disease: A Meta-analysis

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