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Related Experiment Video

Updated: Aug 28, 2025

A Human-machine-interface Integrating Low-cost Sensors with a Neuromuscular Electrical Stimulation System for Post-stroke Balance Rehabilitation
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Exercise for preventing falls in post-stroke patients: A network meta-analysis.

Huimin Zhang1,2, Ke Xu2, Yuyan Sun2

  • 1Xiangya School of Nursing, Central South University, Changsha, Hunan, China.

Research in Nursing & Health
|September 18, 2022
PubMed
Summary

Balance training and cognition and movement multitask training are most effective for preventing poststroke falls. These exercise interventions significantly reduce fall risk in stroke survivors, offering crucial insights for rehabilitation strategies.

Keywords:
balancefallsmobilitynetwork meta-analysisstroke

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Area of Science:

  • Rehabilitation Medicine
  • Neurology
  • Gerontology

Background:

  • Falls are a significant concern for patients post-stroke, impacting recovery and quality of life.
  • Numerous interventions exist to prevent falls, but their comparative effectiveness requires rigorous investigation.

Purpose of the Study:

  • To systematically evaluate the effectiveness of various exercise interventions in preventing falls among poststroke patients.
  • To identify the most efficacious exercise strategies for reducing fall risk in this population.

Main Methods:

  • A comprehensive literature search was conducted across multiple databases (PubMed, Embase, Cochrane Library, etc.) for randomized controlled trials (RCTs) published up to September 2021.
  • Fifteen RCTs encompassing eight distinct exercise interventions were included. Data were extracted and risk of bias assessed by two independent reviewers.
  • Bayesian network meta-analysis was employed to compare the effects of different interventions on the number of falls.

Main Results:

  • Balance training (BT) demonstrated the highest effectiveness in fall prevention (OR = 0.24, 95% CI = 0.13-0.46).
  • Cognition and movement multitask training (CMM) (OR = 0.30), Multimodal Exercise (OR = 0.31), and Resistance Exercise (OR = 0.35) were also found to be effective.
  • Walking-based interventions showed the least effectiveness (OR = 1.63).

Conclusions:

  • Balance training (BT) and cognition and movement multitask training (CMM) are recommended as preferred exercise interventions for preventing poststroke falls.
  • Further research is warranted to directly compare the efficacy of BT and CMM, particularly in high-risk poststroke populations.