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頁籤選單縮合
題名 | 踝足裝具對於中風患者步態和功能性活動的效果:系統性回顧與統合分析=Systematic Review and Meta Analysis: Effects of Ankle-foot Orthoses on Gait and Function in Patients with Stroke |
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作者 | 王斐誼; 鄭方瑜; 連怡婷; 王瑞瑤; 楊雅如; | 書刊名 | 物理治療 |
卷期 | 36:4 2011.12[民100.12] |
頁次 | 頁274-284 |
專輯 | 足踝問題知多少? |
分類號 | 418.996 |
關鍵詞 | 踝足裝具; 中風患者; 步態; Ankle foot orthosis; Stroke; Gait; |
語文 | 中文(Chinese) |
中文摘要 | 背景與目的:中風常造成病患在行走功能及功能活動能力的缺損,踝足裝具(ankle-foot orthosis)常為中風病人使用的輔具之一,本研究的目的為評估中風病人穿戴踝足裝具後對於其行走能力以及功能性活動的影響。方法:收集PubMed、Cochrane library、中文電子期刊服務、台灣博碩士論文網等四個資料庫從2001年到2010年有關中風患者穿戴踝足裝具後,對步態參數和行走功能表現影響的相關研究,並針對走路速度、步頻、步伐長、患側步長、健側步長、計時起走測試和功能性步行功能分級等參數做統合分析,以探討踝足裝具對各項參數的影響。結果:本研究選取九篇文章,針對各種步態參數和功能性活動在有無穿戴踝足裝具時來進行比較分析,其中單篇文獻品質分數(PEDro scale)2分有三篇、3分有兩篇、4分有四篇。而各篇證據等級皆為第2級,依據牛津大學實證醫學中心醫學文獻證據等級分類標準顯示單篇研究的建議等級為B。結果顯示中風患者在穿上踝足裝具後,可以有效的改善各項步態參數包含走路速度(Hedges's g=0.313, p<0.001)、步頻(Hedges's g=0.297, p=0.000)、患側步長(Hedges's g=0.274, p=0.001)、健側步長(Hedges's g=0.212, p=0.034)、步伐長(Hedges's g=0.274, P=0.005)等,而在功能性活動能力方面亦可看到計時起走測試(Hedges's g=0.334, p=0.021)表現進步,且功能性步行分級增加(Hedges's g= 1.539, p<0.001)。結論:踝足裝具對於中風患者的步態表現以及功能性活動有明顯改善的效果。 |
英文摘要 | Background and Purpose: Reduced gait performance and functional mobility are common problems after stroke. Ankle-foot orthoses are widely used assistive devices in patients with stroke. The purpose of this study was to investigate the effects of ankle-foot orthoses on gait performance and functional mobility in patients with stroke. Methods: We searched PubMed, Cochrane library, Chinese Electronic Periodical Services, and National Digital Library of Theses and Dissertations in Taiwan during the period of June 2000 to May 2010 and identified studies that compared gait performance while wearing AFO with not wearing AFO in patients with stroke. Outcome measures included walking speed, cadence, stride length, step length, Timed "Up & Go" Test, and Functional Ambulation Categories. Results: Nine articles were identified for this study. In PEDro score, there were 2 points in 3, 3 points in 2 and 4 points in 4 articles. Level of evidence were both stage 2 and grades of recommendation were both grade B according to Oxford Centre for Evidence-based Medicine-Level of Evidence. Meta-analysis revealed that while wearing AFO, patients improved walking speed (Hedges's g=0.313, p<0.001), cadence (Hedges's g=0.297, p<0.001), stride length (Hedges's g=0.274, p=0.005), step length of affected side (Hedges's g=0.274, p=0.001), step length of sound side (Hedges's g=0.212, p=0.034), Timed "Up & Go" Test (Hedges's g=0.334, p=0.021), and Functional Ambulation Categories (Hedges's g= 1.539, p<0.001) as compared to no AFO condition. Conclusion: The findings suggested that wearing AFO could improve gait performance and functional mobility in patients with stroke. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。