核心稳定训练改善痉挛型脑瘫患儿运动能力的Meta分析

Meta-analysis on the effect of core stability training on the movement ability of children with spastic cerebral palsy

目的系统评价核心稳定训练提高痉挛型脑瘫患儿运动能力的效果,为指导痉挛型脑瘫患儿运动功能康复训练提供循证证据。方法对PubMed、中国知网等8个数据库采用布尔逻辑链接关键词和自由词检索文献,并按照纳入排除标准选择文献,文献检索截止时间为建库至2021年10月23日。结果共纳入17篇文献,1085名患儿,其中对照组542名,实验组543名。分析结果表明,实验组患儿在步行能力(MD=4.58,95%CI:3.73~5.43)、精细运动能力(MD=1.96,95%CI:0.47~3.45)、平衡能力(MD=6.03,95%CI:3.87~8.20)、功能独立性(MD=6.35,95%CI:5.49~7.25)以及粗大运动功能(MD=3.37,95%CI:1.40~5.34)得分都显著高于对照组。结论核心稳定训练能有效提高痉挛型脑瘫患儿的各项运动能力,促进患儿的动作和姿势发展。但是由于同质性的文献较少且文献质量不高,仍需要纳入大样本、随机双盲实验进一步评估核心稳定训练的治疗效果。

Objective To systematically evaluate the effect of core stability training on improving the motor ability of children with spastic cerebral palsy,in order to provide evidence for guiding the motor function rehabilitation training of children with spastic cerebral palsy.Methods Literature published from establishment to October 23 rd,2021 was retrieved from eight databases using boolean logical link keywords and free words,then was selected according to inclusion and exclusion criteria.Results A total of 17 articles with a sample of 1085 children were included,of whom 542 were in the control group and 543 were in the experimental group.The walking ability(MD=4.58,95%CI:3.73-5.43),fine motor ability(MD=1.96,95%CI:0.47-3.45),balance ability(MD=6.03,95%CI:3.87-8.20),functional independence(MD=6.35,95%CI:5.49-7.25)and gross motor function(MD=3.37,95%CI:1.40-5.34)of children in experimental group were significantly higher than those in control group.Conclusions Core stability training can effectively improve the motor abilities of children with spastic cerebral palsy and promote the development of movement and posture.However,due to the lack of homogenous literature and low quality of literature,it is still necessary to include a large sample,randomized double-blind trial to further evaluate the therapeutic effect of core stability training.