脑卒中偏瘫患者运动功能远程康复管理的最佳证据总结

est evidence summary of telerehabilitation management of motor function in stroke patients with hemiplegia

目的检索、评价并整合脑卒中偏瘫患者运动功能远程康复管理的相关证据。方法系统检索UpToDate临床顾问、BMJ最佳临床实践、JBI循证卫生保健中心数据库、英国国家卫与临床优化研究所、加拿大临床实践指南数据库、国际指南协作网、Cochrane Library、PubMed、Web of Science、Medline、万方、中国知网、维普数据库和中国生物医学数据库内关于脑卒中偏瘫患者运动功能远程康复管理的相关指南、最佳实践、证据总结、系统评价,检索时限为建库至2021年8月17日。2名研究员对文献进行方法学质量评价后,根据主题提取、汇总相关证据。结果根据纳入及排除标准,共纳入2篇指南、15篇系统评价,分别从组织团队、流程安排、远程媒介、运动环境、个性评估、运动计划、运动方案、效果评价、运动安全和健康宣教10个方面获取36条最佳证据。结论本研究总结了脑卒中偏瘫患者运动功能远程康复管理的最佳证据,为临床实践提供了相关循证证据支持。

Objective To retrieve,evaluate and integrate relevant evidence on telerehabilitation management of motor function in stroke patients with hemiplegia.Methods Guidelines,best practices,evidence summaries,and systematic reviews on the management of motor function telerehabilitation in stroke patients with hemiplegia were systematically retrieved from UpToDate,BMJ Best Practice,Joanna Briggs Institute(JBI)Evidence-Based Health Care Center,National Institute for Health and Care Excellence,Canadian Medical Association,Guidelines International Network,Cochrane Library,PubMed,Web of Science,Medline,WanFang,China National Knowledge Infrastructure,VIP and China Biomedical Database.The retrieval time limit was from the establishment of the database to August 17,2021.After evaluating the methodological quality of the article,two researchers extracted and summarized relevant evidence according to the theme.Results According to the inclusion and exclusion criteria,a total of two guidelines and 15 systematic reviews were included.A total of 36 pieces of best evidence were obtained from 10 aspects of organization team,process arrangement,remote media,motor environment,personality assessment,motor plan,motor program,effect evaluation,motor safety and health education.Conclusions The best evidence for the telerehabilitation management of motor function in stroke patients with hemiplegia is summarized,which provides relevant evidence-based support for clinical practice.