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Ballistic resistance training – feasibility, safety and effectiveness for improving mobility in adults with neurological conditions: a systematic review
Archives of Physical Medicine and Rehabilitation ( IF 4.3 ) Pub Date : 2020-07-01 , DOI: 10.1016/j.apmr.2020.06.023 Thomas Cordner 1 , Thorlene Egerton 2 , Katharine Schubert 3 , Tanya Wijesinghe 4 , Gavin Williams 5
Archives of Physical Medicine and Rehabilitation ( IF 4.3 ) Pub Date : 2020-07-01 , DOI: 10.1016/j.apmr.2020.06.023 Thomas Cordner 1 , Thorlene Egerton 2 , Katharine Schubert 3 , Tanya Wijesinghe 4 , Gavin Williams 5
Affiliation
OBJECTIVE
To determine if ballistic resistance training is feasible, safe and effective in improving muscle strength, power generation and mobility in adults with neurological conditions. DATA SOURCES
Nine electronic databases were searched from inception to March 2019 in addition to the reference lists of included articles. [PROSPERO CRD42019126007] STUDY SELECTION: Articles were independently screened by two authors and included if they were full-text, English-language articles published in a peer reviewed journal, that investigated ballistic resistance training for adults with a neurological condition and reported on feasibility, safety, strength, power or mobility. DATA EXTRACTION
Two authors independently extracted data. Study quality was assessed using the McMaster critical review form and the Physiotherapy Evidence Database (PEDro) scale. DATA SYNTHESIS
The search identified 1540 articles, with 13 articles, describing nine studies, meeting the criteria for inclusion. Five studies were randomised controlled trials (RCTs) and four were cohort studies. Ballistic resistance training was feasible and safe with only one intervention-related adverse event reported. Findings indicated improvements in strength for hip abduction, leg press, knee flexion and ankle dorsiflexion, but not for hip flexion, hip extension, knee extension or ankle plantarflexion. Muscle power generation improved for hip flexion, hip abduction, leg press, knee extension and knee flexion, but not for ankle plantarflexion. Treatment effect was positive for self-selected walking speed, with a standardised mean difference (SMD) of 0.69 (95%CI 0.01, 1.38) from three studies. However fastest comfortable walking speed results were inconclusive with a SMD from four studies 0.45 (95%CI -0.01, 0.91). CONCLUSIONS
Ballistic training was safe and feasible for people with a neurological condition. The effects on muscle strength, power generation and mobility were positive but not conclusive.
中文翻译:
弹道阻力训练——提高神经系统疾病成人活动能力的可行性、安全性和有效性:系统评价
目的 确定弹道阻力训练在改善患有神经系统疾病的成人的肌肉力量、发电和活动能力方面是否可行、安全和有效。数据来源 除了纳入文章的参考文献列表外,还检索了从成立到 2019 年 3 月的九个电子数据库。[PROSPERO CRD42019126007] 研究选择:文章由两位作者独立筛选,如果它们是在同行评审期刊上发表的全文英文文章,则包括在研究针对患有神经系统疾病的成年人的弹道阻力训练并报告可行性的期刊中,安全、力量、力量或机动性。数据提取 两位作者独立提取数据。使用麦克马斯特严格审查表和物理治疗证据数据库 (PEDro) 量表评估研究质量。数据综合 搜索确定了 1540 篇文章,其中 13 篇文章描述了 9 项研究,符合纳入标准。五项研究是随机对照试验(RCT),四项是队列研究。弹道阻力训练是可行且安全的,仅报告了一项与干预相关的不良事件。结果表明,髋关节外展、腿部推举、膝关节屈曲和踝关节背屈的力量有所改善,但髋关节屈曲、髋关节伸展、膝关节伸展或踝关节跖屈的力量没有改善。髋关节屈曲、髋外展、腿举、膝关节伸展和膝关节屈曲的肌肉发电得到改善,但踝跖屈没有。治疗效果对自我选择的步行速度是积极的,来自三项研究的标准化平均差 (SMD) 为 0.69 (95% CI 0.01, 1.38)。然而,最快的舒适步行速度结果与四项研究的 SMD 0.45 (95% CI -0.01, 0.91) 不一致。结论 弹道训练对神经系统疾病患者是安全可行的。对肌肉力量、发电和活动能力的影响是积极的,但不是决定性的。
更新日期:2020-07-01
中文翻译:
弹道阻力训练——提高神经系统疾病成人活动能力的可行性、安全性和有效性:系统评价
目的 确定弹道阻力训练在改善患有神经系统疾病的成人的肌肉力量、发电和活动能力方面是否可行、安全和有效。数据来源 除了纳入文章的参考文献列表外,还检索了从成立到 2019 年 3 月的九个电子数据库。[PROSPERO CRD42019126007] 研究选择:文章由两位作者独立筛选,如果它们是在同行评审期刊上发表的全文英文文章,则包括在研究针对患有神经系统疾病的成年人的弹道阻力训练并报告可行性的期刊中,安全、力量、力量或机动性。数据提取 两位作者独立提取数据。使用麦克马斯特严格审查表和物理治疗证据数据库 (PEDro) 量表评估研究质量。数据综合 搜索确定了 1540 篇文章,其中 13 篇文章描述了 9 项研究,符合纳入标准。五项研究是随机对照试验(RCT),四项是队列研究。弹道阻力训练是可行且安全的,仅报告了一项与干预相关的不良事件。结果表明,髋关节外展、腿部推举、膝关节屈曲和踝关节背屈的力量有所改善,但髋关节屈曲、髋关节伸展、膝关节伸展或踝关节跖屈的力量没有改善。髋关节屈曲、髋外展、腿举、膝关节伸展和膝关节屈曲的肌肉发电得到改善,但踝跖屈没有。治疗效果对自我选择的步行速度是积极的,来自三项研究的标准化平均差 (SMD) 为 0.69 (95% CI 0.01, 1.38)。然而,最快的舒适步行速度结果与四项研究的 SMD 0.45 (95% CI -0.01, 0.91) 不一致。结论 弹道训练对神经系统疾病患者是安全可行的。对肌肉力量、发电和活动能力的影响是积极的,但不是决定性的。