| 1,027 | 9 | 234 |
| 下载次数 | 被引频次 | 阅读次数 |
循证实践是指全面系统地收集、整理和分析文献中的最佳证据并为实践提供参考。系统综述可为循证实践提供最佳证据,它的制作方法和意义均不同于一般综述,它是一种文献综合评价方式,并对特殊体育理论和实践具有重要价值。鉴于系统综述的价值和我国特殊体育领域鲜有系统综述报道,旨在围绕特殊体育对系统综述研究方法进行介绍,包括两大部分。第1部分采用文献法阐述了系统综述的方法与步骤,包括问题的提出,文献的检索和筛选,文献的质量评价,资料的提取与分析,结果的报道与应用。第2部分,利用案例展示,即应用系统综述方法对体育锻炼能否促进唐氏综合症群体的肌肉适能这一研究问题进行分析,力求让读者更为直观地了解系统综述的具体操作方法。本案例中,通过文献检索共收索到487篇相关文献,经过筛选后有7篇文章被纳入,其中有5篇属于高质量研究,通过数据分析发现,体育锻炼干预能够提高唐氏综合症群体的下肢力量,但尚未有充分证据证明体育锻炼干预能够改善该群体的下肢肌肉耐力。
Abstract：Evidence-based practice refers to comprehensively collect,clean and analyze the best evidence from the literature and to provide guidance inpractice. Systematic review,a method to comprehensively evaluate the literature but different from the literature review,is of great value to research and prac-tice in adapted physical activity as it provides best evidence for evidence-based practice. Given the significance of the systematic review and scant literaturewithin the field of adapted physical activity in China,this twofold research was to introduce and discuss the use of the systematic review in adapted physicalactivity. In the first section,specific steps on how to conduct a systematic review were discussed,namely raising a research question,searching and screeningliterature,abstracting and analyzing data,reporting results and implications. In the second section,the effectiveness of physical exercise interventions onmuscular strength and endurance among people with Down syndrome was investigated as an example to further illustrate the use of the systematic review. Inthis example,a total of 487 articles were found through literature search. Seven articles were included and five of which were with high research quality. Dataanalyses showed that physical exercise interventions increased lower-limb muscular strength in individuals with Down syndrome. There was lack of evidenceabout the effectiveness of physical exercise interventions on improving muscular endurance for this population.
[1]李良寿.循证医学(一):概述[J].疑难病杂志,2004,3(5):317-319.
[2]HUTZLER Y S.Evidence-based practice and research:A challenge to the development of adapted physical activity[J].Adapted Physical Activity Quarterly,2011,28(3):189-209.
[3]陈耀龙,李幼平,杜亮,等.医学研究中证据分级和推荐强度的演进[J].中国循证医学杂志,2008,8(2):127-133.
[4]BARTLO P,KLEIN P J.Physical activity benefits and needs in adults with intellectual disabilities:Systematic review of the literature[J].American Journal on Intellectual and Developmental Disabilities,2011,116(3):220-232.
[5]VEREENOOGHE L,LANGDON P E.Psychological therapies for people with intellectual disabilities:A systematic review and meta-analysis[J].Research in Development Disabilities,2013,34(11):4085-4102.
[6]龙泳,李良寿.循证医学(二):系统评价[J].疑难病杂志,2004,3(6):378-380.
[7]STOLBERG H O,NORMAN G,TROP I.Randomized controlled trials[J].American Journal of Roentgenology,2004,183(6):1539-1544.
[8]JADAD A R,MOORE R A,CARROLL D,et al.Assessing the quality of reports of randomized clinical trials:Is blinding necessary?[J].Controlled Clinical Trials,1996,17(1):1-12.
[9]MAHER C G,SHERRINGON C,HERBERT R D,et al.Reliability of the PEDro scale for rating quality of randomized controlled trials[J].Physical Therapy,2003,83(8):713-721.
[10]门可,李良寿.循证医学(三):Meta分析[J].疑难病杂志,2005,4(1):58-61.
[11]COHEN J.Statistical power analysis for the behavioral sciences,[M].2nd ed.Hillsdale:Lawrence Erlbaum,1988.
[12]COHN L D,BECKER B J.How meta-analysis increases statistical power[J].Psychological Methods,2003,8(3):243-253.
[13]FIELD A P,GILLETT R.How to do a meta-analysis[J].British Journal of Mathematical and Statistical Psychology,2010,63(3):665-694.
[14]屈会起,张金钟,邱明才.循证医学的系统评价方法[J].中华医院管理杂志,2000,16(6):334-336.
[15]MOHER D,LIBERATI A,TETZLAFF J,et al.Preferred Reporting Items for Systematic Reviews and Meta-Analyses:The PRISMA statement[J].Annals of Internal Medicine,2009,151(4):264-269.
[16]HIGGINS J P T,GREEN S.Cochrane handbook for systematic reviews of interventions version 5.1.0[EB/OL].The Cochrane Collaboration,2011.Available from www.cochrane-handbook.org.
[17]唐家雯,傅鹰.主要英文循证医学知识性网站的收集和简介[J].药物流行病学杂志,2002,11(6):314-317.
[18]LIN C W,MCAULEY J H,MACEDO L,et al.Relationship between physical activity and disability in low back pain:A systematic review and meta-analysis[J].Pain,2011,152(3):607-613.
[19]LI C,TSOI,E W S,et al.Psychometric properties of self-reported quality of life measures for people with intellectual disabilities:A systematic review[J].Journal of Developmental and Physical Disabilities,2013,25(2):1-18.
[20]MAULIK P K,MACARENHAS M N.Prevalence of intellectual disability:A meta-analysis of population-based studies[J].Research in Developmental Disabilities,2011,32(2):419-436.
[21]TEMPLE V A,FREY G C,STANISH H I.Physical activity for adults with mental retardation:Review and research needs[J].American Journal of Health Promotion,2006,21(1):2-12.
[22]U.S.DEPARTMENT OF HEALTH AND HUMAN SERVICES.Physical activity and health:A report of the surgeon general[M].Atlanta,GA:U.S.Department of Health and Human Services,Centers for Disease Control and Prevention,National Center for Chronic Disease Prevention and Health Promotion,1996.
[23]LANTINEN U,RINTALA P,MALIN A.Physical performance of individuals with intellectual disability:30 year follow-up[J].Adapted Physical Activity Quarterly,2007,24(2):125-143.
[24]RIMMER J H,CHEN M-D,MCCUBBIN J A,et al.Exercise intervention research on persons with disabilities:What we know and where we need to go[J].American Journal of Physical Medicine and Rehabilitation,89(3):249-263.
[25]HUNTER J E,SCHMIDT F L.Methods of meta-analysis:Correcting error and bias in research findings[M].Sage Publications,2004.
[26]ORWIN R G.A fail-safe N for effect size in meta-analysis[J].Journal of Educational Statistics,1983,8(2):157-159.
[27]CARMELI E,KESSEL S,COLEMAN R,et al.Effects of a treadmill walking program on muscle strength and balance in elderly people with Down syndrome[J].The Journals of Gerontology Series A:Biological Sciences and Medical Sciences,2002,57(2):M106-M110.
[28]GUPTA S,RAO B K,Sd K.Effect of strength and balance training in children with Down's syndrome:A randomized controlled trial[J].Clinical Rehabilitation,2011,25(5):425-432.
[29]LIN H-C,WUANG Y-P.Strength and agility training in adolescents with Down syndrome:A randomized controlled trial[J].Research in Developmental Disabilities,2012,33(6):2236-2244.
[30]RIMMER J H,HELLER T,WANG E,et al.Improvements in physical fitness in adults with Down syndrome[J].American Journal of Mental Retardation,2004,109(2):165-174.
[31]SHIELDS N,TAYLOR N F.A student-led progressive resistance training program increases lower limb muscle strength in adolescents with Down syndrome:A randomized controlled trial[J].Journal of Physiotherapy,2010,56(3):187-193.
[32]SHIELDS N,TAYLOR N F,DODD K J.Effects of a community-based progressive resistance training program on muscle performance and physical function in adults with Down syndrome:A randomized controlled trial[J].Archives of Physical Medicine and Rehabilitation,2008,89(7):1215-1220.
[33]ULRICH D A,BURGHARDT A R,LLOYD M,et al.Physical activity benefits of learning to ride a two-wheel bicycle for children with Down syndrome:A randomized trial[J].Physical Therapy,2011,91(10):1463-1477.
[34]CROCE R V,PITETTI K H,HORVAT M,et al.Peak torque,average power,and hamstrings/quadriceps ratios in nondisabled adults and adults with mental retardation[J].Archives of Physical Medicine and Rehabilitation 1996,77(4):369-372.
[35]MENDONCA G,PEREIRA F,MORATO P,et al.Walking economy of adults with Down syndrome[J].International Journal of Sports Medicine,2010,31(1):10-15.
基本信息:
DOI：10.13297/j.cnki.issn1005-0000.2014.01.019
中图分类号:G80-05
引用信息:
[1]李春晓,吴燕丹,孙延林.呼唤特殊体育的循证实践研究:系统综述方法及其运用[J].天津体育学院学报,2014,29(01):75-80.DOI:10.13297/j.cnki.issn1005-0000.2014.01.019.
基金信息:
福州市残疾人联合会“十二五”规划委托项目