The effectiveness of trunk training on trunk control, sitting and standing balance and mobility post-stroke: a systematic review and meta-analysis

Clinical Rehabilitation
Tamaya Van CriekingeWim Saeys

Abstract

To investigate the effectiveness of trunk training on trunk control, sitting and standing balance and mobility. PubMed/MEDLINE, Web of Science, Physiotherapy Evidence Database (PEDro), Cochrane Library, Rehab+ and ScienceDirect were searched until January 2019. Randomized controlled trials were included if they investigated the effect of trunk exercises on balance and gait after stroke. Four reviewers independently screened and performed data extraction and risk of bias assessment with the PEDro scale. Disagreements were resolved by a fifth independent reviewer. A meta-analysis was performed to quantitatively describe the results. After screening of 1881 studies, 22 studies and 394 participants met the inclusion criteria. Trunk training was executed as core stability, reaching, weight-shift or proprioceptive neuromuscular facilitation exercises. The amount of therapy varied from a total of 3-36 hours between studies. The median PEDro score was 6 out of 10 which corresponds with a low risk of bias. Meta-analysis was performed with a random-effects model due to differences in study population, interventions received and follow-up length. The overall treatment effect was large for trunk control standardized mean differences (SMD) ...Continue Reading

References

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Mar 6, 2018·Disability and Rehabilitation·Tamaya Van CriekingeWim Saeys

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Citations

Feb 11, 2020·Neurourology and Urodynamics·Sandra Aguilar-ZafraIbai López-de-Uralde-Villanueva
Jan 18, 2020·PM & R : the Journal of Injury, Function, and Rehabilitation·Irene Cabrera-MartosM Carmen Valenza
Aug 2, 2020·Neuroscience and Biobehavioral Reviews·Katerina PappaSatu Baylan
Nov 3, 2020·Gait & Posture·Apoorva M ShankaranarayanaJohn M Solomon
Dec 11, 2020·International Journal of Environmental Research and Public Health·Pei-Yun LeeSang-I Lin
May 18, 2021·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Yoon-Hee ChoiYong-Jun Cha
Nov 10, 2020·European Journal of Physical and Rehabilitation Medicine·Tamaya VAN CriekingeSteven Truijen
Jan 31, 2020··Jungwon YoonAmre Eizad

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