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Does additional exercise improve trunk function recovery in stroke patients? A meta-analysis.

I O Sorinola1, I Powis1, C M White1

  • 1Division of Health and Social Care Research, School of Medicine, King's College London, London, UK.

Neurorehabilitation
|July 4, 2014
PubMed
Summary
This summary is machine-generated.

Adding trunk exercises to stroke rehabilitation significantly improves standing balance and walking ability. However, evidence for improvements in trunk performance and functional independence remains weak.

Keywords:
Meta-analysisfunctional recoverymobilityrehabilitationstroketrunk exercise

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Area of Science:

  • Neurorehabilitation
  • Physical Therapy
  • Stroke Recovery

Background:

  • Restoring trunk function is crucial for stroke rehabilitation.
  • Limited evidence exists on the effectiveness of additional trunk training post-stroke.

Purpose of the Study:

  • To evaluate the efficacy of incorporating trunk exercises into conventional rehabilitation programs.
  • To assess the impact on functional outcomes in stroke survivors.

Main Methods:

  • Systematic review and meta-analysis of randomized controlled trials (RCTs) published up to July 2012.
  • Searched multiple databases including Medline, PubMed, and Scopus.
  • Synthesized findings using mean or standardized mean differences (MD or SMD) with 95% confidence intervals.

Main Results:

  • Six RCTs involving 155 participants were analyzed.
  • Moderate, non-significant effect on trunk performance (SMD = 0.50).
  • Significant improvements in standing balance (SMD = 0.72, P=0.05) and walking ability (SMD = 0.81, P=0.002).
  • Small, non-significant effect on functional independence (MD = 10.03).

Conclusions:

  • Moderate evidence supports trunk exercises improving standing balance and mobility after stroke.
  • Weak evidence exists for the impact of additional trunk exercises on trunk performance and functional independence.