【論文摘要】Physical Exercise Interventions for Patients With Epilepsy: The Systematic Review Using the International Classification of Functioning, Disability and Health (ICF)

【論文摘要】以國際健康功能與身心障礙分類系統分析運動介入對於癲癇患者的影響：系統性回顧

宋承智(Chang-Jhih Song) ； 劉文瑜(Wen-Yu Liu)

《物理治療》 45卷4期 (2020/12) Pp. 308-308

https://doi.org/10.6215/FJPT.202012.O16

摘要

Background and Purpose: Several studies evaluating physical exercise interventions in people with epilepsy had been conducted over the past 30 years. However, a systematic assessment of the quality and strength of the evidence in support of these interventions was lacking. Therefore, the purpose of this systematic review was to examine the benefits and drawback of physical exercise intervention to people with epilepsy. Methods: The following databases: PubMed, Medline, IEEE, PEDro, Google scholar and other three Chinese databases: NDLTD, TRCCS, CEPS from 1990 to 2020 were searched with keywords including physical exercise, epilepsy, and seizure. One reviewer scored quality of each study by Physiotherapy Evidence Database scale (PEDro scale) and classified the level by the Oxford Centre for Evidence-Based Medicine (CEBM) level of evidence. Furthermore, this study used International Classification of Functioning, Disability, and Health (ICF) to classify outcomes domains. Results: Six studies met the inclusion criteria. Two studies were randomized controlled trial and 4 studies were non-randomized controlled study. CEBM levels of evidence for those studies were as follows: 2 studies were at Level 2 and 4 were at Level 3. The scores of the PEDro scale were from 1 to 4. Within the 'body functions' domain, the physical exercise intervention improved the mental, respiratory and movement related function of people with epilepsy. Within the 'activity and participation' domain, the physical exercise improved the learning and internal relationship. Conclusion: Adverse effects caused by physical exercise were not identified in those studies. Those studies also reported that physical exercise was beneficial for promoting somatic, psychological, and social health. However, the sample size was still small and limited. Clinical Relevance: Physical exercise is feasible for patients with epilepsy. Physical exercise intervention might help them to have positive impact on the body function, activity, and participation. Future study is warrant.