水中运动治疗对脑性瘫痪儿童青少年运动功能和活动效果的系统评价与Meta分析

Effects of Aquatic Therapeutic Exercise on Motor Function and Activities for Children and Youth with Cerebral Palsy:A Systematic Review and Meta-Analysis

目的运用世界卫生组织国际健康分类家族的理论架构和方法,系统评价水中运动治疗对脑瘫儿童青少年运动功能及生活质量的干预效果。方法检索Cochrane Library、PEDro、PubMed、Embase、Web of Knowledge、Web of Science、OVID、EBSCO、中国生物医学期刊引文数据库、中国知网期刊全文数据库、万方数据知识服务平台、维普中文期刊全文数据库建库至2020年5月,筛选水中运动治疗应用于脑瘫儿童青少年的随机对照试验,进行方法学质量评价,提取相关数据,采用RevMan 5.3软件进行Meta分析。结果最终纳入9项研究,共162例。水中运动治疗能显著改善脑瘫儿童青少年的粗大运动功能测试量表评分(WMD=6.31,95%CI 2.57~10.06,P<0.001),对日常生活活动和生活质量也有改善作用。结论水中运动治疗有助于改善脑瘫儿童青少年的运动功能和活动,并可能改善其生活质量。

Objective To evaluate the intervention effects of aquatic therapeutic exercise on functioning and quality of life for children and youth with cerebral palsy within framework of World Health Organization Family International Classifications using systematic review.Methods Literatures were retrieved and reviewed from the databases of Cochrane Library,PEDro,PubMed,EMBASE,Web of Knowledge,Web of Science,OVID,EBSCO,CMCI,CNKI,Wangfang and VIP until May,2020.The randomized controlled trials(RCTs)about aquatic therapeutic exercise for children and youth with cerebral palsy for functioning were systematically reviewed.The data were analyzed with RevMan 5.3.Results Nine RCTs were selected,including 162 children and youth.The score of Gross Motor Function Measure improved significantly after aquatic exercise(WMD=6.31,95%CI 2.57 to 10.06,P<0.001),as well as daily activities and quality of life.Conclusion Aquatic therapeutic exercise can help improve the gross motor function of children and youth with cerebral palsy,and has positive effects on function of activity and quality of life.