Chinese Journal of Tissue Engineering Research ›› 2023, Vol. 27 ›› Issue (5): 799-804.doi: 10.12307/2023.115
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Feng Liang1, Gong Shuhui2, Huo Hongfeng1, 3
Received:
2022-03-11
Accepted:
2022-05-06
Online:
2023-02-18
Published:
2022-07-25
Contact:
Huo Hongfeng, Master, Senior experimentalist, School of Physical Education, Hebei Normal University, Shijiazhuang 050024, Hebei Province, China; Hebei Provincial Key Laboratory of Human Movement Bioinformatics Measurement, Shijiazhuang 050024, Hebei Province, China
About author:
Feng Liang, Master candidate, School of Physical Education, Hebei Normal University, Shijiazhuang 050024, Hebei Province, China
Supported by:
CLC Number:
Feng Liang, Gong Shuhui, Huo Hongfeng. Effect of short-foot training on foot and ankle function in patients with flat feet: Meta-analysis and systematic review[J]. Chinese Journal of Tissue Engineering Research, 2023, 27(5): 799-804.
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2.3 Meta分析结果 2.3.1 短足训练对足舟下降高度的影响 首先,对纳入文献进行整体效应检验发现,短足训练具有降低足舟下降高度的效果(SMD=-0.59,P=0.03),见图5。纳入文献的整体同质性检验结果为(I2=85%,P < 0.05),存在异质性,故采用随机效应模型。根据Cohen(1988)的解释,可以根据合并后的SMD值确定效应等级,SMD < 0.2为小效应,0.2 < SMD < 0.8为中效应,而SMD > 0.8为大效应量。短足训练减小足舟下降高度的合并效应量为SMD=-0.59,达到了明显降低足舟下降高度的效果。双尾检验的结果(P < 0.05)表示多组数据合并统计量具有统计学意义,95%的置信区间为(-1.13,-0.05),以上数据说明了短足训练对于降低足舟下降高度取得了较好的效果。但由于异质性很高,需要讨论异质性的来源。"
将与异质性有关的因素进行多层次多水平的亚组分析,见表4。在体质量指数方面,15 kg/m2< n < 20 kg/m2组的异质性比较小(I2=33%,P < 0.05),提示该组短足训练的干预效果显著高于对照组。n < 15 kg/m2亚组分析后异质性仍然较高,通过敏感性分析后,建议剔除PARK等[18]和JUNG等[7]文献后研究间的异质性明显降低(I2=0%,P < 0.05);20 kg/m2< n < 25 kg/m2亚组分析后异质性偏高,通过敏感性分析发现,无法通过剔除单项研究而降低异质性,因而采取随机效应模型(I2=48.2%,P > 0.05);在年龄方面,年龄在5-15岁和15-25岁两组P值均有统计学意义(I2=0%,P < 0.05)和(I2=85.1%,P < 0.05),提示该组短足训练的干预效果显著高于对照组;15-25岁组异质性比较高,通过敏感性分析发现,无法通过剔除单项研究而降低异质性,因而采取随机效应模型(I2=85.1%,P < 0.05);在训练时间方面,单次训练在45 min的干预计划中P值有统计学意义(I2=44%,P < 0.05),提示该组短足训练的干预效果显著高于对照组;30 min组异质性比较高,通过敏感性分析发现,无法通过剔除单项研究而降低异质性,因而采取随机效应模型(I2=82%,P > 0.05);60 min组由于纳入文献只有2篇,因而没有进行敏感性分析(I2=93%,P > 0.05)。 "
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