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首页> 外文期刊>Journal of Clinical Medicine >Effectiveness of Vestibular Training for Balance and Dizziness Rehabilitation in People with Multiple Sclerosis: A Systematic Review and Meta-Analysis
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Effectiveness of Vestibular Training for Balance and Dizziness Rehabilitation in People with Multiple Sclerosis: A Systematic Review and Meta-Analysis

机译：多发性硬化症患者平衡和头晕康复的有效性：系统审查和荟萃分析

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摘要

Postural instability and dizziness are commonly observed in people with multiple sclerosis (PwMS). The aim of this systematic review was to evaluate the evidence for the use of vestibular rehabilitation, in comparison with other exercise interventions or no intervention, to treat balance impairments and dizziness in PwMS. An electronic search was conducted by two independent reviewers in the following databases: MEDLINE (Pubmed), Scopus, the Physiotherapy Evidence Database (PEDro), Web of Science (WOS), Lilacs, CINHAL and the Cochrane Database of Systematic Reviews (CDSR). A quality assessment was performed using the PEDro scale and the Cochrane Risk of Bias Tool. When possible, the data were pooled in a meta-analysis (95%CI). This systematic review followed the PRISMA guideline statement and was registered in the PROSPERO database (CRD42019134230). Seven studies were included, with a total of 321 participants analysed. Compared with no intervention, vestibular rehabilitation was more effective for balance development (SMD = 2.12; 95% CI = 0.49, 3.75; p = 0.01; I 2 = 89%) and dizziness symptoms improvement (SMD = ?17.43; 95% CI = ?29.99, ?4.87; p = 0.007; I 2 = 66%). Compared with other exercise interventions, improvements in favour of the experimental group were observed, but statistical significance for the differences between groups was not reached.
机译：多发性硬化症（PWMS）的人群中常见地观察到姿势不稳定性和头晕。该系统审查的目的是评估使用前庭康复的证据，与其他运动干预或无干预相比，治疗平衡障碍和PWMS头晕。电子搜索是由以下数据库中的两个独立审稿人进行的：Medline（Pubmed），Scopus，物理疗法证据数据库（PEDRO），科学网站（WOS），Lilacs，Cinhal和Cochrane数据库系统评论（CDSR）。使用佩德罗级和偏置工具的Cochrane风险进行质量评估。当可能时，将数据汇集在Meta分析（95％CI）中。此系统审查遵循Prisma Guideline声明，并在Prospero数据库中注册（CRD42019134230）。包括七项研究，共有321名参与者分析。与无干预相比，前庭康复对平衡发展更有效（SMD = 2.12; 95％CI = 0.49,3.75; P = 0.01; I 2 = 89％）和头晕症状改善（SMD = 17.43; 95％CI = 95％CI = ？29.99，？4.87; p = 0.007; I 2 = 66％）。与其他运动干预相比，观察到有利于实验组的改善，但没有达到群体之间差异的统计学意义。

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