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The effectiveness of community-based upper body exercise programs in persons with chronic paraplegia and manual wheelchair users: A systematic review
The Journal of Spinal Cord Medicine ( IF 1.7 ) Pub Date : 2020-07-09 , DOI: 10.1080/10790268.2020.1782608
Renata Matheus Willig 1 , Ivo Garcia 2 , Nádia Souza Lima da Silva 3 , Rui Corredeira 1 , Joana Carvalho 1
Affiliation  

Context: Physical activity has been beneficial to health, functional independence and quality of life in individuals with spinal cord injury. However, there is no consensus concerning the effects of community-based upper-body exercise for people with paraplegia who use a manual wheelchair.

Objective: Conduct a systematic review of evidence of upper-body exercise effects able to be developed in a community-setting, on both functional independence and quality of life, for individuals with chronic paraplegia who use a manual wheelchair.

Methods: PubMed, Scopus, Ebsco, SportDiscus and Web of Science databases were browsed, searching for studies that combined words as paraplegia, exercise, functional independence and quality of life and their synonyms, published from January/1998 to December/2018 in English. PEDro scale and the Cochrane tool analyzed methodological quality and risk of bias, respectively.

Results: Four studies were selected out of 4004. Studies conducted aerobic arm-ergometer and resistance training predominantly at home. Upper-limb functionality and wheelchair propulsion assessed functional independence, but only the first presented positive effects after resistance training. Resistance and aerobic arm-ergometer training seemed to improve health-related and subjective quality of life.

Conclusion: Studies have shown low methodological quality and high risk of bias. Aerobic arm-ergometer and resistance training were the most upper-body exercises used. Resistance training improved functional independence while both types of exercise induced positive effects on quality of life. Future studies with uniform and high-quality methodology should be conducted with exercise in community-dwelling people with paraplegia who use a manual wheelchair.



中文翻译:

以社区为基础的上肢锻炼计划对慢性截瘫患者和手动轮椅使用者的有效性:系统评价

背景:体育活动有益于脊髓损伤患者的健康、功能独立和生活质量。然而,对于使用手动轮椅的截瘫患者,社区上肢锻炼的效果尚未达成共识。

目的:对使用手动轮椅的慢性截瘫患者在社区环境中对功能独立性和生活质量产生的上肢运动影响的证据进行系统评价。

方法:浏览 PubMed、Scopus、Ebsco、SportDiscus 和 Web of Science 数据库,搜索 1998 年 1 月至 2018 年 12 月以英语出版的将截瘫、运动、功能独立和生活质量等词及其同义词组合的研究。PEDro 量表和 Cochrane 工具分别分析了方法学质量和偏倚风险。

结果:从 4004 项研究中选出了 4 项研究。研究主要在家里进行有氧手臂测力计和阻力训练。上肢功能和轮椅推进评估了功能独立性,但只有第一个在阻力训练后表现出积极效果。阻力和有氧手臂测力计训练似乎可以改善与健康相关的和主观的生活质量。

结论:研究表明方法学质量低,偏倚风险高。有氧手臂测力计和阻力训练是使用最多的上身运动。阻力训练提高了功能独立性,而两种类型的运动都对生活质量产生了积极影响。未来的研究采用统一和高质量的方法,应该在使用手动轮椅的社区截瘫患者进行锻炼。

更新日期:2020-07-09
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