دورية أكاديمية
Effect of a multi-component exercise intervention on recovery of walking ability in stroke survivors: A Systematic Review with Meta-Analysis.
العنوان: | Effect of a multi-component exercise intervention on recovery of walking ability in stroke survivors: A Systematic Review with Meta-Analysis. |
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المؤلفون: | Songshuang Y; School of Nursing and Rehabilitation, Nantong University, Nantong, Jiangsu 226001, China. Electronic address: 1228973183@qq.com., Jing Z; School of Nursing and Rehabilitation, Nantong University, Nantong, Jiangsu 226001, China., Juying L; Affiliated Hospital of Nantong University, Nantong, Jiangsu 226007, China., Qianfeng Q; Affiliated Hospital of Nantong University, Nantong, Jiangsu 226007, China., Lijuan J; Affiliated Hospital of Nantong University, Nantong, Jiangsu 226007, China., Yan S; Affiliated Hospital of Nantong University, Nantong, Jiangsu 226007, China., Yawei Y; Affiliated Hospital of Nantong University, Nantong, Jiangsu 226007, China., Xiaojuan X; Affiliated Hospital of Nantong University, Nantong, Jiangsu 226007, China., Chunfeng X; Affiliated Hospital of Nantong University, Nantong, Jiangsu 226007, China., Xuemei Z; Department of Nursing, Affiliated Hospital of Nantong University, 19 Xisi Road, Chongchuan District, Nantong City, Jiangsu Province, China. Electronic address: 2557989983@qq.com. |
المصدر: | Archives of physical medicine and rehabilitation [Arch Phys Med Rehabil] 2024 Aug 14. Date of Electronic Publication: 2024 Aug 14. |
Publication Model: | Ahead of Print |
نوع المنشور: | Journal Article; Review |
اللغة: | English |
بيانات الدورية: | Publisher: W.B. Saunders Country of Publication: United States NLM ID: 2985158R Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-821X (Electronic) Linking ISSN: 00039993 NLM ISO Abbreviation: Arch Phys Med Rehabil Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: Philadelphia, PA : W.B. Saunders |
مستخلص: | Objective: To evaluate whether Multi-component exercise (MCE) is more effective than single exercise in improving walking ability in stroke patients. Design: Systematic review and meta-analysis. Data Sources: A systematic search of PubMed, Embase, Web of Science, Cochrane Library, and CINAHL from the establishment of each database to February 2024 was performed. A combination of medical subject headings and free-text terms relating to stroke, exercise were searched. Study Selection: Randomized controlled trials treating stroke survivors with multi-component exercise were included. The control groups received conventional treatments such as conventional treatment or no intervention or sham training; the experimental groups received multi-component exercise. The outcome measures were walking endurance, gait speed and balance ability. Data Extraction: The data extraction form was completed by two independent reviewers.The risk of bias was assessed using the Cochrane Risk of Bias tool for randomized Controlled Trials.Review Manager 5.4 software was used for data analysis.Subgroup analysis and sensitivity analysis were used to supplement the results with higher heterogeneity.The Preferred Reporting Project for Systematic Reviews and Meta-analyses 2020 guidelines were followed. Data Synthesis: 12 studies were included. Meta-analyses found that compared with the control group,MCE significantly affected gait speed (MD = 0.11; 95%CI 0.06, 0.16, I2 = 0%), but the effect on balance ability was not statistically significant.Subgroup analysis showed that MCE (≥60 min) was effective in improving walking endurance. These results suggest that multi-component exercise improves walking endurance and walking speed in stroke patients. Conclusion: Multi-component exercise helps improve the gait speed of stroke survivors. Prolonging the multi-component exercise time may have a better effect on improving the walking endurance of stroke patients. Competing Interests: Declaration of competing interest None (Copyright © 2024. Published by Elsevier Inc.) |
فهرسة مساهمة: | Keywords: balance; combined training; endurance; gait speed; multi-component exercise; stroke; walking ability |
تواريخ الأحداث: | Date Created: 20240816 Latest Revision: 20240816 |
رمز التحديث: | 20240818 |
DOI: | 10.1016/j.apmr.2024.06.023 |
PMID: | 39151746 |
قاعدة البيانات: | MEDLINE |
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