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| 运动想象疗法对脑卒中患者运动功能影响的系统评价再评价 |
| Efficacy of motor imagery therapy on post-stroke motor dysfunction：an overview of systematic reviews |
| 投稿时间：2024-11-04 修订日期：2024-11-04 |
| DOI： |
| 中文关键词: 运动想象疗法 脑卒中 运动功能 康复 系统评价 Meta分析 |
| 英文关键词: Motor imagery therapy Stroke motor function rehabilitation systematic review meta-analysis |
| 基金项目:山东省中医药科技发展计划项目（针刺与重复经颅磁刺激治疗脑中风后轻度认知功能障碍的循证研究No.2017-011）；山东中医药大学科研创新团队基金资助项目（经方治疗重大疾病作用机理与疗效评价科研创新团队No.220316）；教育部产学合作协同育人项目（言语治疗学课程创新创业教育研究——以《言语康复产品开发》为例No.202002137071） |
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| 中文摘要: |
| 目的：再评价运动想象疗法（Motor Imagery Therapy, MIT）治疗卒中后运动功能障碍疗效的系统评价（systematic review, SR）或Meta分析。方法：计算机检索国内外数据库中关于MIT治疗卒中后运动功能障碍的SR/Meta分析，检索时限为建库至2023年9月。通过AMSTAR 2评价工具、PRISMA 2020规范和GRADE系统对纳入研究进行文献质量和证据质量评价。结果：最终纳入11篇文献。AMSTAR 2评价显示有2篇中等质量（18.18%），2篇低质量（18.18%）以及7篇极低质量文献（63.64%）。PRISMA 2020规范显示3篇文献（27.27%）报告相对完整，8篇文献（72.73%）报告存在一定缺陷。GRADE证据评级显示共涉及49个结局指标，其中2个中等质量（4.08%），24个低质量（48.98%）和23个极低质量证据（63.64%）。结论：本研究表明，MIT有助于卒中后肢体运动功能、平衡功能和日常生活能力的恢复。受纳入研究数量和质量的限制，未来仍需更多高质量的研究进一步证实MIT治疗卒中后运动功能障碍疗效结论的可靠性。 |
| 英文摘要: |
| Objective: To evaluate systematic reviews or meta-analysis of motor imagery therapy on post-stroke motor dysfunction. Methods: The SR/ meta-analysis of MIT in the treatment of motor dysfunction after stroke was searched in domestic and foreign databases from the establishment to September 2023. The literature quality and evidence quality were evaluated by AMSTAR 2, PRISMA 2020 and GRADE system. Results: Eleven studies were included. The AMSTAR 2 results in 2 moderate quality, 2 low quality and 7 very low quality articles. The PRISMA 2020 showed that 3 articles reports were complete and 8 articles reports had some defects. The GRADE showed that there were 49 outcome indicators involved, of which 2 were moderate quality, 24 were low quality and 23 were very low quality. Conclusion: This study demonstrates that MIT contributes to the rehabilitation of post-stroke motor dysfunction. Due to the limitations of quantity and quality of the included study, more high-quality studies are needed to further confirm the reliability of efficacy of MIT on post-stroke motor dysfunction. |
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