弹性抗阻运动对慢性阻塞性肺疾病康复疗效的Meta分析

doi:10.3969/j.issn.1006-9771.2021.08.006

《中国康复理论与实践》 ›› 2021, Vol. 27 ›› Issue (8): 913-922.doi: 10.3969/j.issn.1006-9771.2021.08.006

弹性抗阻运动对慢性阻塞性肺疾病康复疗效的Meta分析

蔡倩¹,张溪¹,荆纯祥²,蔡书宾¹,郭明凯¹,李际强¹()

1.广州中医药大学第二附属医院老年呼吸科,广东广州市 510006
2.广州中医药大学体育健康学院,广东广州市 510006

收稿日期:2021-05-10 修回日期:2021-06-12 出版日期:2021-08-25 发布日期:2021-08-25
通讯作者: 李际强 E-mail:lijiqiangjizhen@163.com
作者简介:蔡倩(1988-),女,汉族,四川武胜县人,硕士,主治医师,主要研究方向：肺康复的运动训练、心肺运动试验。|李际强(1972-),男,汉族,河北沧州市人,博士,教授、主任医师,博士研究生导师,主要研究方向：中西医结合诊治呼吸病及老年病研究。
基金资助:
广东省中医院中医药科学技术研究专项课题(YN2018QL09);广州中医药大学"青年英才培养工程"项目(QNYC20190109)

Effects of Elastic Resistance Exercise on Chronic Obstructive Pulmonary Disease: A Meta-analysis

CAI Qian¹,ZHANG Xi¹,JING Chun-xiang²,CAI Shu-bin¹,GUO Ming-kai¹,LI Ji-qiang¹()

1. Department of Geriatric Respiration, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510006, China
2. School of Physical Education and Health, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510006, China

Received:2021-05-10 Revised:2021-06-12 Published:2021-08-25 Online:2021-08-25
Contact: LI Ji-qiang E-mail:lijiqiangjizhen@163.com
Supported by:
Science and Technology Research Project of Guangdong Provincial Hospital of Traditional Chinese Medicine(YN2018QL09);Young Talents Training Project of Guangzhou University of Chinese Medicine(QNYC20190109)

摘要/Abstract

摘要：

目的系统评价弹性抗阻运动(弹力带/弹力管)对慢性阻塞性肺疾病(COPD)患者康复疗效的影响。方法检索Cochrane Library、PubMed、Web of Science、中国知网、维普、万方和生物医学文献数据库中关于弹性抗阻运动治疗COPD患者的临床随机对照试验,检索时限自建库至2020年9月。最后纳入文献11篇,其中英文9篇,中文2篇,共485例患者。采用Cochrane风险偏倚评估工具及物理治疗证据数据库量表进行质量评价,采用RevMan 5.2软件进行分析。这一系统评价在PROSPERO(CRD42020208659)上登记。结果弹性抗阻运动组与传统抗阻运动组(如举重训练机、体重训练) 6 min步行试验距离(6WMD) (MD = 1.19, 95%CI -7.02~9.39, P = 0.78)、COPD患者自我评估测试(CAT) (MD = -0.43, 95%CI -2.42~1.57, P = 0.68)和肌力(MD = 0.23, 95%CI -1.06~1.52, P = 0.73)无显著性差异,两组间异质性不高。弹性抗阻运动组与非抗阻运动组6MWD (MD = 18.30, 95%CI -8.92~45.52, P = 0.19)和CAT (MD = -0.59, 95%CI -3.78~2.60, P = 0.72)无显著性差异,研究间异质性较高。结论弹性抗阻运动也许是一种潜在的替代传统抗阻训练的方法,但弹性抗阻运动对运动耐力、生活质量、肺功能的影响尚不明确。

关键词: 慢性阻塞性肺疾病, 弹性抗阻运动, 肺康复, meta分析

Abstract:

Objective To systematically evaluate the effects of elastic resistance exercise on patients with chronic obstructive pulmonary disease (COPD). Methods Randomized clinical trials about elastic resistance exercise for chronic obstructive pulmonary disease were searched in the Cochrane Library, PubMed, Web of Science, CNKI, VIP, Wanfang Database and Chinese Biomedical Literature Database from inception to September, 2020. Finally, eleven literatures were included, including 9 in English and 2 in Chinese, with a total of 485 patients. The quality of the articles was evaluated using the Cochrane Library systematic review criteria and Physiotherapy Evidence Database Scale, and the data were analyzed with RevMan 5.2. The system review was registered on PROSPERO (CRD42020208659). Results There was no significant difference in 6 Minute Walking Distance (6WMD) (MD = 1.19, 95%CI -7.02 to 9.39, P = 0.78), COPD Assessment Test (CAT) (MD = -0.43, 95%CI -2.42 to 1.57, P = 0.68) and the muscle strength (MD = 0.23, 95%CI -1.06 to 1.52, P = 0.73), with no high heterogeneity, between elastic resistance exercise group and the conventional resistance exercise group (such as weight training machine, weight training). There was no significant difference in 6MWD (MD = 18.30, 95%CI -8.92 to 45.52, P = 0.19) and CAT (MD = 0.59, 95%CI -3.78 to 2.60, P = 0.72) between the elastic resistance exercise group and the non-resistance exercise group, however, the heterogeneity between them was high. Conclusion Elastic resistance exercise may be potentially alternative to conventional resistance training. However, the effects of elastic resistance exercise on exercise endurance, quality of life and lung function are still unclear.

Key words: chronic obstructive pulmonary disease, elastic resistance exercise, pulmonary rehabilitation, meta-analysis

蔡倩,张溪,荆纯祥,蔡书宾,郭明凯,李际强. 弹性抗阻运动对慢性阻塞性肺疾病康复疗效的Meta分析[J]. 《中国康复理论与实践》, 2021, 27(8): 913-922.

CAI Qian,ZHANG Xi,JING Chun-xiang,CAI Shu-bin,GUO Ming-kai,LI Ji-qiang. Effects of Elastic Resistance Exercise on Chronic Obstructive Pulmonary Disease: A Meta-analysis[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(8): 913-922.

图/表 8

图1

表1

纳入研究基本特征"

纳入研究	国家	n(试验组/ 对照组)	年龄(岁,试验组/ 对照组)	干预措施		疗程	运动频率	运动强度	结局指标
纳入研究	国家	n(试验组/ 对照组)	年龄(岁,试验组/ 对照组)	试验组	对照组	疗程	运动频率	运动强度	结局指标
Chen^[12](2018)	中国	25/22	(69.04±8.07)/(64.95±11.59)	弹力带+宣教	宣教	12周	每次20~30 min,每周3次	每组8~12次重复,组间休息1~2 min,每周3次,Borg评分≥ 5时休息	②
Freire(2020)^[13]	巴西	32/16	(69.31±8.98)/(66.43±11.49)	弹力管或弹力带	举重训练机	12周	每次50 min,每周3次	根据受试者对努力的感知调整负荷。增加负荷的标准基于交谈开始时的RM	①②③
Nyberg(2015)^[14]	瑞典	22/22	(69.00±5.00)/(68.00±6.00)	弹力带+宣教	宣教	8周	每次40 min,每周3次	根据Borg量表,如果评分< 4并且进行≥ 20次重复,可通过改变松紧带的颜色增加阻力	①
O'Shea (2007)^[15]	澳大利亚	27/27	(66.90±7.00)/(68.40±9.90)	弹力带	无	12周	每周3次	3组8~12 RM。当参与者可以以正确的技术进行3组12 RM时,阻力水平(即弹力带颜色)增加	①
Ramos (2014)^[16]	巴西	17/17	(67±6.67)/ (66±5.19)	弹力管	举重训练机	8周	每次60 min,每周3次	执行2~7个单独的集合,每个集合由在抗疲劳试验20 s内达到的重复次数组成	①③
Ricci-Vitor (2018)^[17]	巴西	20/19	无/无	弹力管	举重训练机	8周	每次60 min,每周3次	通过疲劳阻力测试评估及确定方案	①③
Silva (2018)a^[20]	巴西	23/10	(72.02±6.07)/ (66.40±3.94)	弹力管或弹力带	举重训练机	12周	每次60 min,每周3次	使用弹力带或弹力管进行,运动负荷逐渐增加	①②
Silva (2018)b^[18]	巴西	24/11	(69.35±8.97)/ (64.88±11.17)	弹力管或弹力带	举重训练机	12周	每次60 min,每周3次	在前2周,负荷以完成两组15次重复为度;第4~6周,负荷以完成3组15次重复为度。第7~9周,负荷为3组10次重复。在最后3周,患者进行3组15次重复	③
Silva(2019)^[19]	巴西	9/10	(63±9)/ (65±8)	弹力管	举重训练机	12周	每次60 min,每周3次	负荷为(15±2) RM	①③
孙利(2019)^[21]	中国	53/47	(69.04±8.07)/ (64.95±11.59)	弹力带+常规治疗	常规治疗	12周	每次20~30 min,每周3次	每组练习8~12次	①②
向晋(2019)^[22]	中国	16/16	(59.00±6.60)/ (58.25±6.92)	弹力带+宣教	宣教	12周	每次15 min,每周1次	50% RM,Borg评分4分(中度呼吸困难)为起始运动强度	①②④

表1

图2

图3

表2

图4

图5

图6

参考文献 42

[1]	WANG C, XU J, YANG L, et al. Prevalence and risk factors of chronic obstructive pulmonary disease in China (the China Pulmonary Health [CPH] study): a national cross-sectional study[J]. The Lancet, 2018, 391(10131):1706-1717. doi: 10.1016/S0140-6736(18)30841-9
[2]	SPRUIT M A, SINGH S J, GARVEY C, et al. An official American Thoracic Society/European Respiratory Society statement: key concepts and advances in pulmonary rehabilitation[J]. Am J Respir Crit Care Med, 2013, 188(8):e13-64. doi: 10.1164/rccm.201309-1634ST
[3]	PRYOR J A, PRASAD S A. 成人和儿童呼吸与心脏问题的物理治疗[M]. 喻鹏铭, 车国卫,译.北京:北京大学医学出版社, 2011: 400-401.
	PRYOR J A, PRASAD S A. Physical Therapy for Respiratory and Cardiac Problems in Adults and Children [M]. YU P M, CHE G W, trans. Beijing: Peking University Medical Press, 2011: 400-401.
[4]	BOLTON C E, BEVAN-SMITH E F, BLAKEY J D, et al. British Thoracic Society guideline on pulmonary rehabilitation in adults [J]. Thorax, 2013, 68(Suppl 2): ii1-ii30.
[5]	SPRUIT M A, PITTA F, GARVEY C, et al. Differences in content and organisational aspects of pulmonary rehabilitation programmes[J]. Eur Respir J, 2014, 43(5):1326-1337. doi: 10.1183/09031936.00145613
[6]	PROBST V S, TROOSTERS T, PITTA F, et al. Cardiopulmonary stress during exercise training in patients with COPD[J]. Eur Respir J, 2006, 27(6):1110-1118. doi: 10.1183/09031936.06.00110605
[7]	中华医学会呼吸病学分会慢性阻塞性肺疾病学组. 慢性阻塞性肺疾病诊治指南(2013年修订版)[J]. 中国医学前沿杂志(电子版), 2014, 6(2):67-80.
	Chronic Obstructive Pulmonary Disease Group, Respiratory Society of Chinese Medical Association. Guidelines for the Diagnosis and Treatment of Chronic Obstructive Pulmonary Disease (Revised 2013)[J]. Chin J Front Med Sci (Electr Version), 2014, 6(2):67-80.
[8]	刘鸣, 吴红梅, 卫茂玲. 系统评价、Meta分析设计与实施方法[M]. 北京: 人民卫生出版社, 2011: 68-71.
	LIU M, WU H M, WEI M L. Design and Implementation Methods of Systematic Evaluation and Meta-Analysis [M]. Beijing: People's Medical Publishing House, 2011: 68-71.
[9]	Institute for Musculoskeletal Health, School of Public Health at the University of Sydney, Neuroscience Research Australia (NeuRA). Physiotherapy Evidence Database [EB/OL].[2021-05-23]. https://www.pedro.org.au/.
[10]	曹武婷, 朱毅. 循证物理治疗的推动者:物理治疗证据数据库PEDro[J]. 中国康复理论与实践, 2021, 27(3):368-372.
	CAO W T, ZHU Y. Enabler of evidence-based physical therapy: Physiotherapy Evidence Database (PEDro)[J]. Chin J Rehabil Theory Pract, 2021, 27(3):368-372.
[11]	HOZO S P, DJULBEGOVIC B, HOZO I. Estimating the mean and variance from the median, range, and the size of a sample[J]. BMC Med Res Methodol, 2005, 5(2):13. doi: 10.1186/1471-2288-5-13
[12]	CHEN Y, NIU M, ZHANG X, et al. Effects of home-based lower limb resistance training on muscle strength and functional status in stable chronic obstructive pulmonary disease patients[J]. J Clin Nurs, 2018, 27(5-6):e1022-e1037. doi: 10.1111/jocn.14131
[13]	FREIRE A, MARCAL CAMILLO C A, DE ALENCAR SILVA B S, et al. Resistance training using different elastic components offers similar gains on muscle strength to weight machine equipment in individuals with COPD: a randomized controlled trial[J]. Physiother Theory Pract, 2020: 1-14.
[14]	NYBERG A, LINDSTRÖM B, RICKENLUND A, et al. Low-load/high-repetition elastic band resistance training in patients with COPD: a randomized, controlled, multicenter trial [J]. Clin Respir J, 2015, 9(3): 278-288.
[15]	O'SHEA S D, TAYLOR N F, PARATZ J D. A predominantly home-based progressive resistance exercise program increases knee extensor strength in the short-term in people with chronic obstructive pulmonary disease: a randomised controlled trial[J]. Austr J Physiother, 2007, 53(4):229-237.
[16]	RAMOS E M, DE TOLEDO-ARRUDA A C, FOSCO L C, et al. The effects of elastic tubing-based resistance training compared with conventional resistance training in patients with moderate chronic obstructive pulmonary disease: a randomized clinical trial[J]. Clin Rehabil, 2014, 28(11):1096-1106. doi: 10.1177/0269215514527842
[17]	RICCI-VITOR A L, VANDERLEI L C M, PASTRE C M, et al. Elastic tubing resistance training and autonomic modulation in subjects with chronic obstructive pulmonary disease[J]. Biomed Res Int, 2018, 2018(1):9573630.
[18]	SILVA B S A, LIRA F S, ROSSI F E, et al. Inflammatory and metabolic responses to different resistance training on chronic obstructive pulmonary disease: a randomized control trial[J]. Front Physiol, 2018, 9(1):262. doi: 10.3389/fphys.2018.00262
[19]	SILVA B S A, RAMOS D, CAMILLO C A, et al. Resistance training with elastic tubing improves muscle strength, exercise capacity, and post-exercise creatine kinase clearance in subjects with COPD[J]. Respir Care, 2019, 64(7):835-843. doi: 10.4187/respcare.05975
[20]	SILVA I G, DE ALENCAR SILVA B S, COELHO FIGUEIRA FREIRE A P, et al. Functionality of patients with chronic obstructive pulmonary disease at 3 months follow-up after elastic resistance training: a randomized clinical trial[J]. Pulmonology, 2018, 24(6):354-357. doi: 10.1016/j.pulmoe.2018.09.005
[21]	孙利, 宋爱珍, 陈梅青. 家庭下肢力量锻炼对稳定期COPD患者肌力和功能状态影响的研究[J]. 临床肺科杂志, 2019, 24(10):1824-1827.
	SUN L, SONG A Z, CHEN M Q. Effect of family strength exercise on muscle strength and functional status of stable COPD patients[J]. J Clin Pulm Surg, 2019, 24(10):1824-1827.
[22]	向晋, 江宇. 弹力带抗阻运动对慢性阻塞性肺疾病患者肺康复效果评价[J]. 现代医药卫生, 2019, 35(10):1553-1555.
	XIANG J, JIANG Y. Evaluation of the effect of elastic belt resistance exercise on pulmonary rehabilitation in patients with chronic obstructive pulmonary disease[J]. Modern Med Health, 2019, 35(10):1553-1555.
[23]	WU W, LIU X, LI P, et al. Effect of Liuzijue Exercise combined with elastic band resistance exercise on patients with COPD: a randomized controlled trial[J]. Evid Based Complement Alternat Med, 2018, 2018(1):2361962.
[24]	DE LIMA F F, CAVALHERI V, SILVA B S A, et al. Elastic resistance training produces benefits similar to conventional resistance training in people with chronic obstructive pulmonary disease: systematic review and meta-analysis[J]. Phys Ther, 2020, 100(11):1891-1905. doi: 10.1093/ptj/pzaa149
[25]	MOSTI M P, KAEHLER N, STUNES A K, et al. Maximal strength training in postmenopausal women with osteoporosis or osteopenia[J]. J Strength Cond Res, 2013, 27(10):2879-2886. doi: 10.1519/JSC.0b013e318280d4e2
[26]	SCHICK E E, COBURN J W, BROWN L E, et al. A comparison of muscle activation between a Smith machine and free weight bench press[J]. J Strength Cond Res, 2010, 24(3):779-784. doi: 10.1519/JSC.0b013e3181cc2237
[27]	SHANER A A, VINGREN J L, HATFIELD D L, et al. The acute hormonal response to free weight and machine weight resistance exercise[J]. J Strength Cond Res, 2014, 28(4):1032-1040. doi: 10.1519/JSC.0000000000000317
[28]	SCHWANBECK S, CHILIBECK P D, BINSTED G. A comparison of free weight squat to Smith machine squat using electromyography[J]. J Strength Cond Res, 2009, 23(9):2588-2591. doi: 10.1519/JSC.0b013e3181b1b181
[29]	MADOR M J, BOZKANAT E, AGGARWAL A, et al. Endurance and strength training in patients with COPD[J]. Chest, 2004, 125(6):2036-2045. doi: 10.1378/chest.125.6.2036
[30]	ORTEGA F, TORAL J, CEJUDO P, et al. Comparison of effects of strength and endurance training in patients with chronic obstructive pulmonary disease[J]. Am J Respir Crit Care Med, 2002, 166(5):669-674. doi: 10.1164/rccm.2107081
[31]	O'SHEA S D, TAYLOR N F, PARATZ J D. Progressive resistance exercise improves muscle strength and may improve elements of performance of daily activities for people with COPD: a systematic review[J]. Chest, 2009, 136(5):1269-1283. doi: 10.1378/chest.09-0029
[32]	HOFF J, TJONNA A E, STEINSHAMN S, et al. Maximal strength training of the legs in COPD: a therapy for mechanical inefficiency[J]. Med Sci Sports Exerc, 2007, 39(2):220-226. doi: 10.1249/01.mss.0000246989.48729.39
[33]	LIAO W H, CHEN J W, CHEN X, et al. Impact of resistance training in subjects with COPD: a systematic review and meta-analysis[J]. Respiratory Care, 2015, 60(8):1130-1145. doi: 10.4187/respcare.03598
[34]	黄子叶, 韩媛, 王艳玲. 抗阻运动对COPD患者运动耐力、肺功能和生活质量影响的Meta分析[J]. 中华现代护理杂志, 2019, 25(14):1726-1731.
	HUANG Z Y, HAN Y, WANG Y L. Effects of resistance exercise on exercise endurance, lung function and quality of life in patients with COPD[J]. Chin J Modern Nurs, 2019, 25(14):1726-1731.
[35]	ISHII T, YAMAKITA T, SATO T, et al. Resistance training improves insulin sensitivity in NIDDM subjects without altering maximal oxygen uptake[J]. Diabetes Care, 1998, 21(8):1353-1355. doi: 10.2337/diacare.21.8.1353
[36]	HICKSON R C, ROSENKOETTER M A, BROWN M M. Strength training effects on aerobic power and short-term endurance[J]. Med Sci Sports Exerc, 1980, 12(5):336-339. doi: 10.1249/00005768-198025000-00006
[37]	FRONTERA W R, MEREDITH C N, O'REILLY K P, et al. Strength training and determinants of VO₂max in older men[J]. J Appl Physiol (1985), 1990, 68(1):329-333. doi: 10.1152/jappl.1990.68.1.329
[38]	STRASSER B, SIEBERT U, SCHOBERSBERGER W. Effects of resistance training on respiratory function in patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis[J]. Sleep Breath, 2013, 17(1):217-226. doi: 10.1007/s11325-012-0676-4
[39]	孟林盛, 乔恩东, 李逸君, 等. 不同方式运动对慢性阻塞性肺疾病患者肺功能及生存质量影响的Meta分析[J]. 中国体育科技, 2020, 56(5):21-34.
	MENG L S, QIAO E D, LI Y J, et al. Meta-analysis of the effects of different types of exercise on pulmonary function and quality of fife in COPD patients[J]. Chin Sports Sci Technol, 2020, 56(5):21-34.
[40]	SINGH N A, STAVRINOS T M, SCARBEK Y, et al. A randomized controlled trial of high versus low intensity weight training versus general practitioner care for clinical depression in older adults[J]. J Gerontol A Biol Sci Med Sci, 2005, 60(6):768-776. doi: 10.1093/gerona/60.6.768
[41]	沈莉, 常冬梅, 李晏龙. 运动处方的制定[J]. 中国康复理论与实践, 2009, 15(11):1012-1014.
	SHEN L, CHANG D M, LI Y L. Formulation of exercise prescription(review)[J]. Chin Rehabil Theory Pract, 2009, 15(11):1012-1014.
[42]	美国运动医学学会. ACSM运动测试与运动处方指南[M]. 9版. 王正珍, 罗曦娟,王艳,译,等. 北京:北京体育大学出版社, 2017: 180-185.
	American Academy of Sports Medicine. ACSM Guidelines for Exercise Testing and Exercise Prescription [M]. 9th ed. WANG Z Z, LUO X J, WANG Y, et al., trans. Beijing: Beijing Sport University Press, 2017: 180-185.

弹性抗阻运动对慢性阻塞性肺疾病康复疗效的Meta分析

Effects of Elastic Resistance Exercise on Chronic Obstructive Pulmonary Disease: A Meta-analysis

RichHTML

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

图/表 8

参考文献 42

相关文章 15

Metrics

本文评价

推荐阅读 0

研究	条目1	条目2	条目3	条目4	条目5	条目6	条目7	条目8	条目9	条目10	条目11	总分	质量
Chen 2018^[12]	是	是	否	是	否	否	是	是	否	是	是	6	高
Freire 2020^[13]	是	是	是	是	否	否	是	否	是	是	是	7	高
Nyberg 2015^[14]	否	是	是	是	否	否	是	是	是	是	是	8	高
O'Shea 2007^[15]	是	是	是	是	否	否	是	否	是	是	是	7	高
Ramos 2014^[16]	否	是	是	是	否	否	否	否	否	是	是	5	中
Ricci-Vitor 2018^[17]	是	是	否	是	否	否	否	否	否	是	是	4	中
Silva 2018a^[20]	否	是	否	否	否	否	否	否	否	是	是	3	低
Silva 2018b^[18]	是	是	是	是	否	否	否	否	否	是	是	5	中
Silva2019^[19]	是	是	否	是	否	否	否	否	否	是	是	4	中
孙利2019^[21]	是	是	否	是	否	否	否	是	否	是	是	5	中
向晋2019^[22]	是	是	否	是	否	否	否	是	否	是	是	5	中

[1]	王贺, 韩靓, 阚梦凡, 于少泓. 电刺激治疗脑卒中后肩手综合征有效性的系统评价与Meta分析[J]. 《中国康复理论与实践》, 2023, 29(9): 1048-1056.
[2]	唐流泉, 彭兴云. 血流限制下运动对绝经后慢性阻塞性肺疾病患者脆性骨折部分危险因素的疗效[J]. 《中国康复理论与实践》, 2023, 29(7): 761-769.
[3]	于歌, 王璐, 陈亚平. 全身振动训练对慢性踝关节不稳姿势稳定性影响的Meta分析[J]. 《中国康复理论与实践》, 2023, 29(4): 423-432.
[4]	张丽英, 王杰宁, 于小明. 机器人辅助训练对脑卒中患者上肢运动功能效果的Meta分析[J]. 《中国康复理论与实践》, 2023, 29(2): 156-166.
[5]	孙喜妹, 刘华, 柴良伟, 李凯洋, 马景. 治疗性运动对头前倾并发颈痛患者颈部功能和生活质量影响的Meta分析[J]. 《中国康复理论与实践》, 2023, 29(2): 214-222.
[6]	彭娟,王洁萍,黄炜,樊必双,虞记华,曾今,黄丽衡,安丽娟,胥方元. 阈值负荷吸气肌训练对慢性阻塞性肺疾病患者呼吸功能、运动功能及生活质量影响的Meta分析[J]. 《中国康复理论与实践》, 2022, 28(9): 1022-1031.
[7]	任开新,李灵聪,王秀静,马力颖,王振宇. 肩袖损伤非手术治疗效果中情景效应比例的Meta分析[J]. 《中国康复理论与实践》, 2022, 28(9): 1039-1048.
[8]	张博超,杨朝,郭立泉,陈静,熊大曦. 基于机器学习的慢性阻塞性肺疾病急性加重预测模型的研究[J]. 《中国康复理论与实践》, 2022, 28(6): 678-683.
[9]	徐振,王一迪,张月,温宇红. 运动干预对多发性硬化患者疲劳症状影响的Meta分析[J]. 《中国康复理论与实践》, 2022, 28(5): 568-577.
[10]	郑尉,孙立冰,郝传萍,黄文琪,尤婧,郭彦桦. 脊柱手法治疗对慢性非特异性颈痛干预效果的Meta分析[J]. 《中国康复理论与实践》, 2022, 28(2): 150-164.
[11]	柴良伟,刘华,黄秋玉,孙喜妹,李凯洋,马景. 治疗性运动对功能性踝关节不稳姿势控制和踝周肌肉功能影响的Meta分析[J]. 《中国康复理论与实践》, 2022, 28(11): 1278-1287.
[12]	李欣欣,刘卉,马沐佳. 太极拳与其他运动降低老年人跌倒风险的Meta分析[J]. 《中国康复理论与实践》, 2022, 28(10): 1169-1177.
[13]	柯竟悦,马圣楠,张晓慧,李古强. 青少年特发性脊柱侧凸患者静态站立及步行时生物力学变化的Meta分析[J]. 《中国康复理论与实践》, 2022, 28(10): 1178-1189.
[14]	刘阳,张孝权,王恒,齐莉萍. 虚拟现实技术对帕金森病患者综合平衡能力改善的Meta分析[J]. 《中国康复理论与实践》, 2021, 27(9): 1048-1058.
[15]	王丹,李瑾,高民,张明,陈猛,张一帆,夏露露,陈伟. 基于WHO-FICs心肺运动试验在肺癌患者中应用的Scoping综述[J]. 《中国康复理论与实践》, 2021, 27(8): 923-935.