João Barreto, Catarina Pereira, Gabriela Almeida, Bruna Isabelinha, Ana Cruz-Ferreira
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引用次数: 0
Abstract
Background: Some cognitive functions can be affected by a stroke as it causes sensory, perceptual, and visual deficits, contributing to a loss of body awareness and changes in one's body image and leading to a decrease in the quality of life (QoL). This systematic review aims to identify and systematize scientific evidence of body-oriented intervention (BOI) effects in adult and elderly patients after a stroke on cognitive function, body awareness, and QoL.
Methods: The research was carried out in: Pubmed, Science Direct, Cochrane, Web of Science, Psycinfo, Scopus, Portal Regional da BVS, and PEDro. To assess the methodological quality of the studies, the PEDro scale was used, and best evidence synthesis (BES) was performed on the data.
Results: The study included 11 high-quality randomized controlled trials involving 590 participants. The trials investigated BOIs' effects, focusing on creative arts and mind-body and evaluating cognitive functions, body awareness, and QoL. BOIs were evidenced to induce positive effects, limited to strong ones, on several cognitive outcomes and QoL indicators, with more benefits than, or similar amounts of benefits to, other therapies.
Conclusions: BOIs have been shown to be a valid therapy in stroke recovery as there is limited to strong evidence that they improve several cognitive functions and QoL, with similar benefits to or more benefits than other therapies. In the future, it is important to study the outcomes that were not explored by the included studies or that have hardly been investigated, such as those related to body awareness.
背景：中风会导致感觉、知觉和视觉障碍，从而影响某些认知功能，造成身体意识丧失和身体形象改变，导致生活质量（QoL）下降。本系统性综述旨在识别和系统整理以身体为导向的干预（BOI）对中风后成人和老年患者的认知功能、身体意识和 QoL 影响的科学证据：研究在Pubmed、Science Direct、Cochrane、Web of Science、Psycinfo、Scopus、Portal Regional da BVS 和 PEDro。为了评估研究的方法质量，使用了 PEDro 量表，并对数据进行了最佳证据综合（BES）：研究包括 11 项高质量的随机对照试验，涉及 590 名参与者。这些试验调查了 BOIs 的效果，重点是创意艺术和身心，并对认知功能、身体意识和 QoL 进行了评估。结果表明，BOIs 对几种认知结果和 QoL 指标产生了积极的影响（仅限于强烈影响），其益处高于其他疗法，或与其他疗法的益处相近：结论：BOIs 被证明是一种有效的中风康复疗法，因为有有限到强有力的证据表明，BOIs 可改善多种认知功能和 QoL，其益处与其他疗法相似或更多。未来，研究未被纳入研究或几乎未被研究的结果非常重要，例如与身体意识相关的结果。
期刊介绍：
The Journal of Bodywork and Movement Therapies brings you the latest therapeutic techniques and current professional debate. Publishing highly illustrated articles on a wide range of subjects this journal is immediately relevant to everyday clinical practice in private, community and primary health care settings. Techiques featured include: • Physical Therapy • Osteopathy • Chiropractic • Massage Therapy • Structural Integration • Feldenkrais • Yoga Therapy • Dance • Physiotherapy • Pilates • Alexander Technique • Shiatsu and Tuina
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