Efficacy of five types of rehabilitation exercise therapies on the exercise capacity intervention in stroke patients: a network meta-analysis_Chinese Journal of Evidence-Based Medicine

Authors：

YUE Caichao , CHEN Xiang , SUN Xiao , SONG Zijiao ,  YIN Jianchun

Department of Sport of Science, Shanghai Normal University, Shanghai 201418, P. R. China;

Corresponding author：

YIN Jianchun, Email: yjchun@shnu.edu.cn

Keywords：

Rehabilitation exercise; Baduanjin; Aquatic exercise; Taijiquan; Somatosensory interactive game; Whole body vibration training; Stroke; Network meta-analysis

DOI：

10.7507/1672-2531.202110022

Video：

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Objective To systematically review the efficacy of five types of rehabilitation exercises, including Baduanjin, aquatic exercise, Taijiquan, somatosensory exercise and whole body vibration training for the intervention of motor function in stroke patients. Methods Web of Science, PubMed, EMbase, The Cochrane Library, CNKI, CBM, CSJD and WanFang Data databases were electronically searched to collect randomized controlled trials (RCTs) of rehabilitation exercise interventions for motor function in stroke patients from inception to October 2020. Two reviewers independently screened literature, extracted data and assessed the risk of bias of included studies; then, network meta-analysis was performed by using R and ADDIS software. Results A total of 50 RCTs involving 1 838 patients were included. The results of the meta-analysis showed that all five types of rehabilitation exercises were superior to conventional rehabilitation group in terms of balance in stroke patients (P<0.05), with the best ranking occupied by Baduanjin. In terms of lower limb strength, only the aquatic exercise was superior to conventional rehabilitation (P<0.05). In terms of walking function, somatic training and aquatic exercise were superior to conventional rehabilitation (P<0.05), with somatic exercises ranking first. Conclusion Current evidence shows that Baduanjin has an advantage in improving the balance, somatosensory interactive game exercise has an advantage in improving the walking capability and aquatic exercise has an advantage in improving the lower limb strength of stroke patients. Due to limited quality and quantity of the included studies, more high-quality studies are needed to verify the above conclusion.

Citation： YUE Caichao, CHEN Xiang, SUN Xiao, SONG Zijiao, YIN Jianchun. Efficacy of five types of rehabilitation exercise therapies on the exercise capacity intervention in stroke patients: a network meta-analysis. Chinese Journal of Evidence-Based Medicine, 2022, 22(3): 299-308. doi: 10.7507/1672-2531.202110022 Copy

1.	Warlow CP, Van Gijn J, Dennis MS, et al. Stroke: practical management. New York: John Wiley & Sons, 2011.
2.	GBD 2016 Epilepsy Collaborators. Global, regional, and national burden of epilepsy, 1990-2016: a systematic analysis for the global burden of disease study 2016. Lancet Neurol, 2019, 18(4): 357-375.
3.	励建安. 康复医学. 北京: 人民卫生出版社, 2014: 216-217.
4.	刘春英, 郭毅, 杨欢, 等. 脑卒中偏瘫患者早期运动疗法康复效果的系统评价. 中国循证医学杂志, 2016, 16(2): 166-171.
5.	Brazzelli M, Saunders DH, Greig CA, et al. Physical fitness training for patients with stroke: updated review. Stroke, 2012, 43(4): e39-e40.
6.	曹雪亮. 脑力疲劳的注意特征及主观评定方法的实验研究. 西安: 中国人民解放军第四军医大学, 2003.
7.	王学敏. 老年人参与太极拳锻炼的心理效应研究. 广州体育学院学报, 2016, 36(5): 108-111.
8.	Cheok G, Tan D, Low A, et al. Is Nintendo wii an effective intervention for individuals with stroke. A systematic review and meta-analysis. J Am Med Dir Assoc, 2015, 16(11): 923-932.
9.	郑清香, 葛莉, 谭景予, 等. 八段锦对脑卒中患者肢体功能康复影响的Meta分析. 解放军护理杂志, 2017, 34(12): 1-7.
10.	Lyu D, Lyu X, Zhang Y, et al. Tai chi for stroke rehabilitation: a systematic review and meta-analysis of randomized controlled trials. Front Physiol, 2018, 9: 983.
11.	崔尧, 贾威, 曾明, 等. 水中运动治疗对脑卒中患者下肢运动功能及日常生活活动能力效果的Meta分析. 中国康复理论与实践, 2020, 26(3): 263-277.
12.	俞惠, 董志霞, 宋洁, 等. 体感互动游戏对脑卒中患者下肢功能康复效果的Meta分析. 中国康复理论与实践, 2019, 25(11): 1320-1326.
13.	薛夏利, 邓钟义, 李宁, 等. 全身振动训练对脑卒中患者下肢功能恢复效果的Meta分析. 现代预防医学, 2021, 48(12): 2291-2296.
14.	吴江, 杨弋, 饶明俐. 中国脑血管疾病分类2015. 中华神经科杂志, 2017, 50(3): 168-171.
15.	谢蓓菁, 杨铭, 白玉龙. 八段锦对脑卒中患者运动功能恢复影响的临床研究. 华西医学, 2019, 34(5): 515-519.
16.	张勃, 刘俊荣. 八段锦对中风偏瘫患者上下肢运动功能及平衡能力的影响. 现代养生, 2015, (16): 246-247.
17.	张铭, 郭健, 白艳杰, 等. 八段锦联合康复锻炼对中风病患者平衡功能影响的研究. 时珍国医国药, 2013, 24(10): 2438-2439.
18.	白艳杰, 毛海燕, 郭健, 等. 八段锦结合功能训练改善脑卒中患者平衡功能的研究. 中医学报, 2011, 26(10): 1231-1232.
19.	丁懿, 郭琛琛, 王宁, 等. 八段锦第三式联合常规平衡训练对脑卒中患者平衡功能的影响. 山东中医杂志, 2019, 38(7): 673-676, 704.
20.	叶涛, 朱路文, 阮野, 等. 头穴丛刺联合八段锦锻练对脑卒中恢复期患者下肢运动能力及平衡功能的影响. 世界中西医结合杂志, 2018, 13(3): 403-406.
21.	庄开岑, 徐英, 沈珍华, 等. 八段锦改善老年脑卒中康复治疗患者下肢平衡功能及步态应用研究. 现代医药卫生, 2019, 35(21): 3352-3354.
22.	张瑶, 李丽. 八段锦结合平衡训练治疗脑卒中患者平衡功能障碍31例. 山东中医杂志, 2016, 35(8): 716-718.
23.	Aidar FJ, Jacó de Oliveira R, Gama de Matos D, et al. A randomized trial of the effects of an aquatic exercise program on depression, anxiety levels, and functional capacity of people who suffered an ischemic stroke. J Sports Med Phys Fitness, 2018, 58(7-8): 1171-1177.
24.	Cha HG, Shin YJ, Kim MK. Effects of the bad ragaz ring method on muscle activation of the lower limbs and balance ability in chronic stroke: a randomised controlled trial. Hong Kong Physiother J, 2017, 37: 39-45.
25.	Chu KS, Eng JJ, Dawson AS, et al. Water-based exercise for cardiovascular fitness in people with chronic stroke: a randomized controlled trial. Arch Phys Med Rehabil, 2004, 85(6): 870-874.
26.	Noh DK, Lim JY, Shin HI, et al. The effect of aquatic therapy on postural balance and muscle strength in stroke survivors--a randomized controlled pilot trial. Clin Rehabil, 2008, 22(10-11): 966-976.
27.	Eyvaz N, Dundar U, Yesil H. Effects of water-based and land-based exercises on walking and balance functions of patients with hemiplegia. NeuroRehabilitation, 2018, 43(2): 237-246.
28.	Tripp F, Krakow K. Effects of an aquatic therapy approach (Halliwick-Therapy) on functional mobility in subacute stroke patients: a randomized controlled trial. Clin Rehabil, 2014, 28(5): 432-439.
29.	Zhu Z, Cui L, Yin M, et al. Hydrotherapy vs. conventional land-based exercise for improving walking and balance after stroke:a randomized controlled trial. Clin Rehabil, 2016, 30(6): 587-593.
30.	王俊, 黄犇, 杨占宇, 等. 水中平板步行训练对脑卒中患者步行能力改善的研究. 中国康复医学杂志, 2015, 30(7): 692-695.
31.	曾明, 王月丽, 崔尧, 等. 水中平衡训练对脑梗死患者平衡功能影响. 中国康复医学杂志, 2019, 34(7): 789-793,800.
32.	王莉, 戴朝秦. 水中强化步行训练对脑卒中偏瘫患者步行能力恢复的影响. 中国康复医学杂志, 2014, 29(1): 76-78.
33.	王轶钊, 黄力平, 张琳瑛, 等. 水中运动训练对恢复期脑卒中患者下肢肌肉力量和步行能力的影响. 中国康复医学杂志, 2013, 28(10): 929-933.
34.	Brogårdh C, Flansbjer UB, Lexell J. No specific effect of whole-body vibration training in chronic stroke: a double-blind randomized controlled study. Arch Phys Med Rehabil, 2012, 93(2): 253-258.
35.	Lau RW, Yip SP, Pang MY. Whole-body vibration has no effect on neuromotor function and falls in chronic stroke. Med Sci Sports Exerc, 2012, 44(8): 1409-1418.
36.	Liao LR, Ng GY, Jones AY, et al. Whole-body vibration intensities in chronic stroke: a randomized controlled trial. Med Sci Sports Exerc, 2016, 48(7): 1227-1238.
37.	Marín PJ, Ferrero CM, Menéndez H, et al. Effects of whole-body vibration on muscle architecture, muscle strength, and balance in stroke patients: a randomized controlled trial. Am J Phys Med Rehabil, 2013, 92(10): 881-888.
38.	王盛, 王翔, 王彤, 等. 渐进性全身垂直振动治疗方案对缺血性脑卒中偏瘫早期患者下肢功能与平衡功能的影响. 中国康复医学杂志, 2017, 32(3): 297-300.
39.	肖悦, 许光旭, 曹蓉, 等. 全身振动训练促进脑卒中偏瘫患者平衡功能和步行效率的研究. 中华物理医学与康复杂志, 2020, (4): 312-316.
40.	金振华, 陈玲, 叶祥明. 全身振动训练对脑卒中患者下肢功能的效果. 中国康复理论与实践, 2019, 25(3): 347-351.
41.	刘鑫鑫, 张盘德, 董安石, 等. 全身振动训练对脑卒中偏瘫患者下肢肌张力及步行功能的影响. 中国现代药物应用, 2020, 14(19): 4-7.
42.	龙耀斌, 曹锡忠. 振动训练对脑卒中偏瘫患者下肢肌张力和运动功能的影响. 中国康复医学杂志, 2016, 31(10): 1099-1103.
43.	杨慧馨, 刘晓蕾. 太极拳和八段锦对脑卒中患者偏瘫下肢运动功能和表面肌电的效果. 中国康复理论与实践, 2019, 25(1): 101-106.
44.	高娟碧, 冯玉珍, 李清浓, 等. 太极十式运动对脑卒中偏瘫患者的疗效观察. 按摩与康复医学, 2012, 3(7): 71-72.
45.	张敬华, 陈骋, 陆建虎, 等. 太极步法辅助常规康复训练对脑卒中恢复期偏瘫患者肢体平衡障碍的影响. 国际中医中药杂志, 2020, (5): 427-430.
46.	周清安, 徐建银, 胡爱平, 等. 太极拳对脑梗死患者康复的影响. 中国实用神经疾病杂志, 2010, 13(22): 20-22.
47.	刘体军, 秦萍, 陈杏枝. 太极拳改善脑卒中患者平衡功能的疗效观察. 中华物理医学与康复杂志, 2009, (11): 781-782.
48.	郑海鹰, 周浩, 杨典龙. 太极拳训练联合常规康复训练治疗脑卒中后平衡功能障碍临床观察. 辽宁中医药大学学报, 2020, 22(9): 19-22.
49.	王芗斌, 侯美金, 陶静, 等. 太极“云手”对脑卒中偏瘫患者步态影响的相关性研究. 中国康复医学杂志, 2016, 31(12): 1328-1333.
50.	许晓冬, 白晶, 张洪丽, 王利春. 太极拳对中风后偏瘫平衡功能障碍患者的影响. 河北中医, 2014, 36(8): 1149-1150, 1198.
51.	杨知博. 太极平衡法治疗中风后偏瘫步行功能障碍的临床研究. 长春: 吉林中西医结合医院, 2017.
52.	范静, 郭月萍, 郭鹏飞. 改良太极操对脑卒中患者平衡功能及碱性磷酸酶、神经肽Y和白细胞介素-6水平的影响. 中华老年多器官疾病杂志, 2020, 19(2): 103-108.
53.	Kim H, Kim YL, Lee SM. Effects of therapeutic Tai Chi on balance, gait, and quality of life in chronic stroke patients. Int J Rehabil Res, 2015, 38(2): 156-161.
54.	Au-Yeung SS, Hui-Chan CW, Tang JC. Short-form Tai Chi improves standing balance of people with chronic stroke. Neurorehabil Neural Repair, 2009, 23(5): 515-522.
55.	林卫, 陈宁园, 全雪梅, 等. 体感互动游戏改善脑卒中患者运动功能的效果观察. 广西医学, 2018, 40(14): 1558-1561, 1578.
56.	窦娜, 李丹, 马素慧, 等. 体感交互技术对脑卒中平衡功能和步行功能训练的效果. 中国康复理论与实践, 2014, 20(1): 66-69.
57.	李亮, 侯秋英, 陶林花, 等. 虚拟体感运动训练对脑卒中患者运动、平衡功能及日常生活能力的影响. 中国康复, 2017, 32(6): 443-446.
58.	王鑫, 孟兆祥, 钱贞, 等. 丰富平衡训练对脑卒中偏瘫患者平衡功能的影响. 中国康复, 2016, 31(6): 438-441.
59.	Barcala L, Grecco LA, Colella F, et al. Visual biofeedback balance training using wii fit after stroke: a randomized controlled trial. J Phys Ther Sci, 2013, 25(8): 1027-1032.
60.	Fritz SL, Peters DM, Merlo AM, et al. Active video-gaming effects on balance and mobility in individuals with chronic stroke: a randomized controlled trial. Top Stroke Rehabil, 2013, 20(3): 218-225.
61.	Lee HC, Huang CL, Ho SH, et al. The effect of a virtual reality game intervention on balance for patients with stroke: a randomized controlled trial. Games Health J, 2017, 6(5): 303-311.
62.	da Silva Ribeiro NM, Ferraz DD, Pedreira É, et al. Virtual rehabilitation via Nintendo Wii® and conventional physical therapy effectively treat post-stroke hemiparetic patients. Top Stroke Rehabil, 2015, 22(4): 299-305.
63.	Karasu AU, Batur EB, Karataş GK. Effectiveness of Wii-based rehabilitation in stroke: a randomized controlled study. J Rehabil Med, 2018, 50(5): 406-412.
64.	Yom C, Cho HY, Lee B. Effects of virtual reality-based ankle exercise on the dynamic balance, muscle tone, and gait of stroke patients. J Phys Ther Sci, 2015, 27(3): 845-849.
65.	张天嵩. 实用循证医学方法学. 长沙: 中南大学出版社, 2014.
66.	Berg K, Wood-Dauphine S, Williams JI, et al. Measuring balance in the elderly: preliminary development of an instrument. Physiother Can, 1989, 41(6): 304-311.
67.	Blum L, Korner-Bitensky N. Usefulness of the Berg Balance Scale in stroke rehabilitation: a systematic review. Phys Ther, 2008, 88(5): 559-566.
68.	Fugl-Meyer AR, Jääskö L, Leyman I, et al. The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance. Scand J Rehabil Med, 1975, 7(1): 13-31.
69.	Mathias S, Nayak US, Isaacs B. Balance in elderly patients: the "get-up and go" test. Arch Phys Med Rehabil, 1986, 67(6): 387-389.
70.	高蓓瑶, 江山, 谢欲晓. 脑卒中后运动功能代偿和神经可塑性机制. 中国康复医学杂志, 2021, 36(8): 1015-1020.
71.	张雪冰, 吴生元. 经典火神派与卢氏火神派的比较研究. 时珍国医国药, 2017, 28(2): 419-421.
72.	刘晓云, 尹兵祥. 八段锦运动疗法预防社区老年人跌倒的应用及效果. 护理研究, 2016, 30(4): 423-425.
73.	薛广伟. 健身气功八段锦在慢性阻塞性肺疾病稳定期肺康复中的疗效评价. 北京: 北京中医药大学, 2014.
74.	Gayda M, Juneau M, Guiraud T, et al. Optimization and reliability of a deep water running test in healthy adults older than 45 years. Am J Phys Med Rehabil, 2010, 89(9): 722-730.
75.	Peters S, Handy TC, Lakhani B, et al. Motor and visuospatial attention and motor planning after stroke: considerations for the rehabilitation of standing balance and gait. Phys Ther, 2015, 95(10): 1423-1432.
76.	Tao J, Rao T, Lin L, et al. Evaluation of Tai Chi Yunshou exercises on community-based stroke patients with balance dysfunction: a study protocol of a cluster randomized controlled trial. BMC Complement Altern Med, 2015, 15: 31.
77.	Winstein CJ, Stein J, Arena R, et al. Guidelines for adult stroke rehabilitation and recovery: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 2016, 47(6): e98-e169.
78.	Hayes S, Donnellan C, Stokes E. Executive dysfunction and balance function post-stroke: a cross-sectional study. Physiotherapy, 2016, 102(1): 64-70.
79.	Eggenberger P, Wolf M, Schumann M, et al. Exergame and balance training modulate prefrontal brain activity during walking and enhance executive function in older adults. Front Aging Neurosci, 2016, 8: 66.
80.	Cargnin DJ, Cordeiro d'Ornellas M, Cervi Prado AL. A serious game for upper limb stroke rehabilitation using biofeedback and mirror-neurons based training. Stud Health Technol Inform, 2015, 216: 348-352.

1. Warlow CP, Van Gijn J, Dennis MS, et al. Stroke: practical management. New York: John Wiley & Sons, 2011.
2. GBD 2016 Epilepsy Collaborators. Global, regional, and national burden of epilepsy, 1990-2016: a systematic analysis for the global burden of disease study 2016. Lancet Neurol, 2019, 18(4): 357-375.
3. 励建安. 康复医学. 北京: 人民卫生出版社, 2014: 216-217.
4. 刘春英, 郭毅, 杨欢, 等. 脑卒中偏瘫患者早期运动疗法康复效果的系统评价. 中国循证医学杂志, 2016, 16(2): 166-171.
5. Brazzelli M, Saunders DH, Greig CA, et al. Physical fitness training for patients with stroke: updated review. Stroke, 2012, 43(4): e39-e40.
6. 曹雪亮. 脑力疲劳的注意特征及主观评定方法的实验研究. 西安: 中国人民解放军第四军医大学, 2003.
7. 王学敏. 老年人参与太极拳锻炼的心理效应研究. 广州体育学院学报, 2016, 36(5): 108-111.
8. Cheok G, Tan D, Low A, et al. Is Nintendo wii an effective intervention for individuals with stroke. A systematic review and meta-analysis. J Am Med Dir Assoc, 2015, 16(11): 923-932.
9. 郑清香, 葛莉, 谭景予, 等. 八段锦对脑卒中患者肢体功能康复影响的Meta分析. 解放军护理杂志, 2017, 34(12): 1-7.
10. Lyu D, Lyu X, Zhang Y, et al. Tai chi for stroke rehabilitation: a systematic review and meta-analysis of randomized controlled trials. Front Physiol, 2018, 9: 983.
11. 崔尧, 贾威, 曾明, 等. 水中运动治疗对脑卒中患者下肢运动功能及日常生活活动能力效果的Meta分析. 中国康复理论与实践, 2020, 26(3): 263-277.
12. 俞惠, 董志霞, 宋洁, 等. 体感互动游戏对脑卒中患者下肢功能康复效果的Meta分析. 中国康复理论与实践, 2019, 25(11): 1320-1326.
13. 薛夏利, 邓钟义, 李宁, 等. 全身振动训练对脑卒中患者下肢功能恢复效果的Meta分析. 现代预防医学, 2021, 48(12): 2291-2296.
14. 吴江, 杨弋, 饶明俐. 中国脑血管疾病分类2015. 中华神经科杂志, 2017, 50(3): 168-171.
15. 谢蓓菁, 杨铭, 白玉龙. 八段锦对脑卒中患者运动功能恢复影响的临床研究. 华西医学, 2019, 34(5): 515-519.
16. 张勃, 刘俊荣. 八段锦对中风偏瘫患者上下肢运动功能及平衡能力的影响. 现代养生, 2015, (16): 246-247.
17. 张铭, 郭健, 白艳杰, 等. 八段锦联合康复锻炼对中风病患者平衡功能影响的研究. 时珍国医国药, 2013, 24(10): 2438-2439.
18. 白艳杰, 毛海燕, 郭健, 等. 八段锦结合功能训练改善脑卒中患者平衡功能的研究. 中医学报, 2011, 26(10): 1231-1232.
19. 丁懿, 郭琛琛, 王宁, 等. 八段锦第三式联合常规平衡训练对脑卒中患者平衡功能的影响. 山东中医杂志, 2019, 38(7): 673-676, 704.
20. 叶涛, 朱路文, 阮野, 等. 头穴丛刺联合八段锦锻练对脑卒中恢复期患者下肢运动能力及平衡功能的影响. 世界中西医结合杂志, 2018, 13(3): 403-406.
21. 庄开岑, 徐英, 沈珍华, 等. 八段锦改善老年脑卒中康复治疗患者下肢平衡功能及步态应用研究. 现代医药卫生, 2019, 35(21): 3352-3354.
22. 张瑶, 李丽. 八段锦结合平衡训练治疗脑卒中患者平衡功能障碍31例. 山东中医杂志, 2016, 35(8): 716-718.
23. Aidar FJ, Jacó de Oliveira R, Gama de Matos D, et al. A randomized trial of the effects of an aquatic exercise program on depression, anxiety levels, and functional capacity of people who suffered an ischemic stroke. J Sports Med Phys Fitness, 2018, 58(7-8): 1171-1177.
24. Cha HG, Shin YJ, Kim MK. Effects of the bad ragaz ring method on muscle activation of the lower limbs and balance ability in chronic stroke: a randomised controlled trial. Hong Kong Physiother J, 2017, 37: 39-45.
25. Chu KS, Eng JJ, Dawson AS, et al. Water-based exercise for cardiovascular fitness in people with chronic stroke: a randomized controlled trial. Arch Phys Med Rehabil, 2004, 85(6): 870-874.
26. Noh DK, Lim JY, Shin HI, et al. The effect of aquatic therapy on postural balance and muscle strength in stroke survivors--a randomized controlled pilot trial. Clin Rehabil, 2008, 22(10-11): 966-976.
27. Eyvaz N, Dundar U, Yesil H. Effects of water-based and land-based exercises on walking and balance functions of patients with hemiplegia. NeuroRehabilitation, 2018, 43(2): 237-246.
28. Tripp F, Krakow K. Effects of an aquatic therapy approach (Halliwick-Therapy) on functional mobility in subacute stroke patients: a randomized controlled trial. Clin Rehabil, 2014, 28(5): 432-439.
29. Zhu Z, Cui L, Yin M, et al. Hydrotherapy vs. conventional land-based exercise for improving walking and balance after stroke:a randomized controlled trial. Clin Rehabil, 2016, 30(6): 587-593.
30. 王俊, 黄犇, 杨占宇, 等. 水中平板步行训练对脑卒中患者步行能力改善的研究. 中国康复医学杂志, 2015, 30(7): 692-695.
31. 曾明, 王月丽, 崔尧, 等. 水中平衡训练对脑梗死患者平衡功能影响. 中国康复医学杂志, 2019, 34(7): 789-793,800.
32. 王莉, 戴朝秦. 水中强化步行训练对脑卒中偏瘫患者步行能力恢复的影响. 中国康复医学杂志, 2014, 29(1): 76-78.
33. 王轶钊, 黄力平, 张琳瑛, 等. 水中运动训练对恢复期脑卒中患者下肢肌肉力量和步行能力的影响. 中国康复医学杂志, 2013, 28(10): 929-933.
34. Brogårdh C, Flansbjer UB, Lexell J. No specific effect of whole-body vibration training in chronic stroke: a double-blind randomized controlled study. Arch Phys Med Rehabil, 2012, 93(2): 253-258.
35. Lau RW, Yip SP, Pang MY. Whole-body vibration has no effect on neuromotor function and falls in chronic stroke. Med Sci Sports Exerc, 2012, 44(8): 1409-1418.
36. Liao LR, Ng GY, Jones AY, et al. Whole-body vibration intensities in chronic stroke: a randomized controlled trial. Med Sci Sports Exerc, 2016, 48(7): 1227-1238.
37. Marín PJ, Ferrero CM, Menéndez H, et al. Effects of whole-body vibration on muscle architecture, muscle strength, and balance in stroke patients: a randomized controlled trial. Am J Phys Med Rehabil, 2013, 92(10): 881-888.
38. 王盛, 王翔, 王彤, 等. 渐进性全身垂直振动治疗方案对缺血性脑卒中偏瘫早期患者下肢功能与平衡功能的影响. 中国康复医学杂志, 2017, 32(3): 297-300.
39. 肖悦, 许光旭, 曹蓉, 等. 全身振动训练促进脑卒中偏瘫患者平衡功能和步行效率的研究. 中华物理医学与康复杂志, 2020, (4): 312-316.
40. 金振华, 陈玲, 叶祥明. 全身振动训练对脑卒中患者下肢功能的效果. 中国康复理论与实践, 2019, 25(3): 347-351.
41. 刘鑫鑫, 张盘德, 董安石, 等. 全身振动训练对脑卒中偏瘫患者下肢肌张力及步行功能的影响. 中国现代药物应用, 2020, 14(19): 4-7.
42. 龙耀斌, 曹锡忠. 振动训练对脑卒中偏瘫患者下肢肌张力和运动功能的影响. 中国康复医学杂志, 2016, 31(10): 1099-1103.
43. 杨慧馨, 刘晓蕾. 太极拳和八段锦对脑卒中患者偏瘫下肢运动功能和表面肌电的效果. 中国康复理论与实践, 2019, 25(1): 101-106.
44. 高娟碧, 冯玉珍, 李清浓, 等. 太极十式运动对脑卒中偏瘫患者的疗效观察. 按摩与康复医学, 2012, 3(7): 71-72.
45. 张敬华, 陈骋, 陆建虎, 等. 太极步法辅助常规康复训练对脑卒中恢复期偏瘫患者肢体平衡障碍的影响. 国际中医中药杂志, 2020, (5): 427-430.
46. 周清安, 徐建银, 胡爱平, 等. 太极拳对脑梗死患者康复的影响. 中国实用神经疾病杂志, 2010, 13(22): 20-22.
47. 刘体军, 秦萍, 陈杏枝. 太极拳改善脑卒中患者平衡功能的疗效观察. 中华物理医学与康复杂志, 2009, (11): 781-782.
48. 郑海鹰, 周浩, 杨典龙. 太极拳训练联合常规康复训练治疗脑卒中后平衡功能障碍临床观察. 辽宁中医药大学学报, 2020, 22(9): 19-22.
49. 王芗斌, 侯美金, 陶静, 等. 太极“云手”对脑卒中偏瘫患者步态影响的相关性研究. 中国康复医学杂志, 2016, 31(12): 1328-1333.
50. 许晓冬, 白晶, 张洪丽, 王利春. 太极拳对中风后偏瘫平衡功能障碍患者的影响. 河北中医, 2014, 36(8): 1149-1150, 1198.
51. 杨知博. 太极平衡法治疗中风后偏瘫步行功能障碍的临床研究. 长春: 吉林中西医结合医院, 2017.
52. 范静, 郭月萍, 郭鹏飞. 改良太极操对脑卒中患者平衡功能及碱性磷酸酶、神经肽Y和白细胞介素-6水平的影响. 中华老年多器官疾病杂志, 2020, 19(2): 103-108.
53. Kim H, Kim YL, Lee SM. Effects of therapeutic Tai Chi on balance, gait, and quality of life in chronic stroke patients. Int J Rehabil Res, 2015, 38(2): 156-161.
54. Au-Yeung SS, Hui-Chan CW, Tang JC. Short-form Tai Chi improves standing balance of people with chronic stroke. Neurorehabil Neural Repair, 2009, 23(5): 515-522.
55. 林卫, 陈宁园, 全雪梅, 等. 体感互动游戏改善脑卒中患者运动功能的效果观察. 广西医学, 2018, 40(14): 1558-1561, 1578.
56. 窦娜, 李丹, 马素慧, 等. 体感交互技术对脑卒中平衡功能和步行功能训练的效果. 中国康复理论与实践, 2014, 20(1): 66-69.
57. 李亮, 侯秋英, 陶林花, 等. 虚拟体感运动训练对脑卒中患者运动、平衡功能及日常生活能力的影响. 中国康复, 2017, 32(6): 443-446.
58. 王鑫, 孟兆祥, 钱贞, 等. 丰富平衡训练对脑卒中偏瘫患者平衡功能的影响. 中国康复, 2016, 31(6): 438-441.
59. Barcala L, Grecco LA, Colella F, et al. Visual biofeedback balance training using wii fit after stroke: a randomized controlled trial. J Phys Ther Sci, 2013, 25(8): 1027-1032.
60. Fritz SL, Peters DM, Merlo AM, et al. Active video-gaming effects on balance and mobility in individuals with chronic stroke: a randomized controlled trial. Top Stroke Rehabil, 2013, 20(3): 218-225.
61. Lee HC, Huang CL, Ho SH, et al. The effect of a virtual reality game intervention on balance for patients with stroke: a randomized controlled trial. Games Health J, 2017, 6(5): 303-311.
62. da Silva Ribeiro NM, Ferraz DD, Pedreira É, et al. Virtual rehabilitation via Nintendo Wii® and conventional physical therapy effectively treat post-stroke hemiparetic patients. Top Stroke Rehabil, 2015, 22(4): 299-305.
63. Karasu AU, Batur EB, Karataş GK. Effectiveness of Wii-based rehabilitation in stroke: a randomized controlled study. J Rehabil Med, 2018, 50(5): 406-412.
64. Yom C, Cho HY, Lee B. Effects of virtual reality-based ankle exercise on the dynamic balance, muscle tone, and gait of stroke patients. J Phys Ther Sci, 2015, 27(3): 845-849.
65. 张天嵩. 实用循证医学方法学. 长沙: 中南大学出版社, 2014.
66. Berg K, Wood-Dauphine S, Williams JI, et al. Measuring balance in the elderly: preliminary development of an instrument. Physiother Can, 1989, 41(6): 304-311.
67. Blum L, Korner-Bitensky N. Usefulness of the Berg Balance Scale in stroke rehabilitation: a systematic review. Phys Ther, 2008, 88(5): 559-566.
68. Fugl-Meyer AR, Jääskö L, Leyman I, et al. The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance. Scand J Rehabil Med, 1975, 7(1): 13-31.
69. Mathias S, Nayak US, Isaacs B. Balance in elderly patients: the "get-up and go" test. Arch Phys Med Rehabil, 1986, 67(6): 387-389.
70. 高蓓瑶, 江山, 谢欲晓. 脑卒中后运动功能代偿和神经可塑性机制. 中国康复医学杂志, 2021, 36(8): 1015-1020.
71. 张雪冰, 吴生元. 经典火神派与卢氏火神派的比较研究. 时珍国医国药, 2017, 28(2): 419-421.
72. 刘晓云, 尹兵祥. 八段锦运动疗法预防社区老年人跌倒的应用及效果. 护理研究, 2016, 30(4): 423-425.
73. 薛广伟. 健身气功八段锦在慢性阻塞性肺疾病稳定期肺康复中的疗效评价. 北京: 北京中医药大学, 2014.
74. Gayda M, Juneau M, Guiraud T, et al. Optimization and reliability of a deep water running test in healthy adults older than 45 years. Am J Phys Med Rehabil, 2010, 89(9): 722-730.
75. Peters S, Handy TC, Lakhani B, et al. Motor and visuospatial attention and motor planning after stroke: considerations for the rehabilitation of standing balance and gait. Phys Ther, 2015, 95(10): 1423-1432.
76. Tao J, Rao T, Lin L, et al. Evaluation of Tai Chi Yunshou exercises on community-based stroke patients with balance dysfunction: a study protocol of a cluster randomized controlled trial. BMC Complement Altern Med, 2015, 15: 31.
77. Winstein CJ, Stein J, Arena R, et al. Guidelines for adult stroke rehabilitation and recovery: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 2016, 47(6): e98-e169.
78. Hayes S, Donnellan C, Stokes E. Executive dysfunction and balance function post-stroke: a cross-sectional study. Physiotherapy, 2016, 102(1): 64-70.
79. Eggenberger P, Wolf M, Schumann M, et al. Exergame and balance training modulate prefrontal brain activity during walking and enhance executive function in older adults. Front Aging Neurosci, 2016, 8: 66.
80. Cargnin DJ, Cordeiro d'Ornellas M, Cervi Prado AL. A serious game for upper limb stroke rehabilitation using biofeedback and mirror-neurons based training. Stud Health Technol Inform, 2015, 216: 348-352.

Chinese Journal of Evidence-Based Medicine

Efficacy of five types of rehabilitation exercise therapies on the exercise capacity intervention in stroke patients: a network meta-analysis

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