悬吊运动训练对脑性瘫痪患儿下肢运动功能影响的meta分析

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Abstract Objective To systematically evaluate the effect of sling exercise training (SET) on lower limbs motor function in children with cerebral palsy (CP). Methods Clinical randomized controlled trials of SET in the treatment of children with CP were searched in CNKI, Wanfang Data, VIP, CBM, PubMed, EMbase, The Cochrane Library, Web of Science, and Science Direct databases, retrieval time was self-built database to August 2020. Two researchers screened the literature according to inclusion and exclusion criteria, extracted data and evaluated the quality of the included literature. RevMan 5.1 software was used to analyze the extracted data. Results A total of 18 articles and 1499 patients were included. The score of gross motor function measure scale (GMFM)-D area in the experimental group were higher than those in the control group, and the difference was statistically significant (WMD = 4.36, 95%CI: 3.06, 5.67, P < 0.000 01). The score of GMFM-E area in the experimental group was higher than that in the control group, and the difference was statistically significant (WMD = 5.89, 95%CI: 4.33, 7.45, P < 0.000 01). The maximum walking speed in the experimental group was higher than that in the control group, and the difference was statistically significant (WMD = 3.04, 95%CI: 2.29, 3.80, P < 0.000 01). The root mean square (RMS) value of adductor surface electromyogram signal in the experimental group was lower than that in the control group, and the difference was statistically significant (WMD = -2.23, 95%CI: -3.24, -1.22, P < 0.0001). The RMS value of gastrocnemius surface electromyogram signal in the experimental group was lower than that in the control group, and the difference was statistically significant (WMD = -2.42, 95%CI: -3.36, -1.48, P < 0.000 01). Conclusion SET can effectively improve lower limbs motor function, improve walking speed and reduce lower limbs muscle tension in CP children, but high-quality, large-sample randomized controlled studies are still needed for further demonstration.

Key words： Sling exercise training Cerebral palsy Lower limbs Meta-analysis

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	SU Peng1 LI Yongjie1 HU Shijing2 MENG Sijin3▲

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SU Peng1 LI Yongjie1 HU Shijing2 MENG Sijin3▲. Meta-analysis of the effect of sling exercise training on lower limbs motor function of children with cerebral palsy#br#[J]. 中国医药导报, 2021, 18(30): 105-109，113.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I30/105

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