氣功運動對腦中風復健病人在日常活動功能、步態、平衡之成效：系統性回顧暨統合分析

研究背景：腦中風病人常見步態不穩與失能的照護問題，諸多研究顯示氣功輔助復健運動治療有助於改善其肌力並穩定平衡，但成效不一，須進一步檢視其有效證據及實質成效。研究目的：透過系統性回顧暨統合分析方法，檢視氣功運動對腦中風病人在日常活動功能、步態與平衡之成效。研究方法：共搜尋Pubmed、The Cochrane Library、Embase、CINAHL Plus with Full Text、Medline、Web of Science（WOS）及華藝線上圖書館（CEPS+CETD）、中國期刊全文資料庫（CNKI）、台灣博碩士論文系統、台灣期刊論文系統、萬方數據知識服務平台，等11個中英文資料庫。鍵入關鍵字，選取隨機控制試驗及符合納入及排除條件之中、英文文獻。依據Cochrane偏差風險及Modified Jadad scale評估文獻品質，並使用CMA軟體進行統合分析。研究結果：共23篇研究納入統合分析，其綜合效果量在日常活動功能為0.676（9 篇，95% CI = [0.473,0.879], p = 0.000）、在平衡功能為1.804（13 篇，95％ CI = [0.483, 1.685], p = 0.000）、在步態功能為0.238（6篇，95％ CI = [0.036 ,0.440], p = 0.021）。結論與建議：本研究結果發現氣功介入能改善腦中風病人之日常活動功能、步態與平衡。並歸納出可規劃每週五次，每次至少15分鐘且持續10週的訓練時程，作為未來以氣功輔助復健運動之參考。

關鍵字

腦中風；氣功；日常活動功能；步態；平衡

並列摘要

Background: Gait instability and disability are the most common complications, altered rehabilitation outcomes, and an increased the problems with activities of daily living. Many studies have shown that qigong-assisted rehabilitation exercise can improve the muscle strength and balance of stroke patients, but it is necessary to further examine its effective evidence and substantive results. Objective: The purpose of this research was to conduct qigong exercise on activities of daily living, gait, balance in rehabilitation patients with stroke by systematic review and meta-analysis. Methods: Electronic literature search of PubMed, The Cochrane Library, Embase, CINAHL Plus with Full Text, Medline, Web of Science (WOS) and Chinese Electronic Periodical services, China Journal Full-text Database (CNKI), Index to Taiwan Periodical Literature System, National Digital Library of Theses and Dissertations in Taiwan. Total 11 databases research articles were included for this study. We included all randomized controlled trials that compared qigong with standard care, evaluating rehabilitation outcomes in patients with stroke. Studies were screened for inclusion criteria, and exclusion non-Chinese or English languages. Result: The 23 studies showed that the qigong intervention had significant effects on daily activities, with respective effect sizes of 0.676 (9 studies, 95% CI = [0.473,0.879], p = 0.000), balance function was 1.084(13 studies, 95% CI = [0.483, 1.685], p = 0.000), gait function was 0.238(6 studies, 95% CI = [0.036 ,0.440], p = 0.021) Conclusions and recommendations: The result of this study was suggested that qigong exercise training could improve the daily activities of cerebral apoplexy, gait balance. In addition, the study integrated qigong main principle of exercise prescription from 15 minutes, 5 times per week for 10 weeks.

並列關鍵字

Stroke ； Qigong ； Activities of Daily Living ； Gait ； Balance

參考文獻

Shrivastava, S. R., Shrivastava, P. S., Ramasamy, J. D. Reduction in global burden of stroke in underserved areas. J. Neurosci. Rural Pract., 2013; 4(4): 475.