核心训练改善脑卒中偏瘫患者平衡功能障碍的Meta分析

Meta-Analysis of Core Training in Improving Balance Dysfunction in Hemiplegic Patients after Stroke

摘要: 目的：系统评价核心训练改善脑卒中偏瘫患者平衡功能障碍的临床疗效，为相关研究提供理论依据和参考依据。方法：检索知网、维普、PubMed、Cochrane Library、Web of Science、ScienceDirect、Wiley、ProQuest等网站的文献，回顾整理建库至2024年1月25日核心训练改善脑卒中偏瘫患者平衡功能障碍的RCT文献，根据已建立的原则及流程实施质量评价，数据分析采用RevMan 5.4软件。结果：共有15篇文献被纳入研究，从结局指标来看，对比对照组，试验组疗效结果的Berg平衡量表(SMD = 7.40, 95% CI (5.90, 8.90), P < 0.00001)，Holden步行功能分级(SMD = 4.47, 95% CI (3.00, 5.95), P < 0.00001)和运动功能评定(SMD = 0.64, 95% CI (0.49, 0.78), P < 0.00001)的评分更好。结论：核心训练能提高Berg平衡量表评分、Holden步行功能分级和运动功能评分，对于脑卒中偏瘫患者平衡功能障碍有很好的帮助，具有一定的推广价值。

Abstract: Objective: To systematically evaluate the clinical effect of core training on balance dysfunction in stroke patients with hemiplegia, and to provide theoretical basis and reference for related research. Methods: Search the literature from CNKI, VIP, PubMed, Cochrane Library, Web of Science, ScienceDirect, Wiley, ProQuest and other websites. The RCT literature on the improvement of balance dysfunction in stroke patients with hemiplegia by core training was reviewed and compiled from the database to January 25, 2024. The quality evaluation was carried out according to the established principles and procedures, and data analysis was performed using RevMan5.4 software. Results: A total of 15 literatures were included in the study. From the perspective of outcome indicators, compared with the control group, the Berg balance scale (SMD = 7.40, 95% CI (5.90, 8.90), P < 0.00001), Holden Walking Function rating (SMD = 4.47, 95% CI (3.00, 5.95), P < 0.00001), And motor function assessment (SMD = 0.64, 95% CI (0.49, 0.78), P < 0.00001) was better. Conclusion: Core training can improve the score of Berg balance scale, Holden walking function scale and motor function score, which has good help for balance dysfunction in stroke patients with hemiplegia, and has certain promotion value.