A great stroke association president would ensure that all stroke research is understandable and usable by survivors in order to bring such research to the attention of their doctors and therapists. Anything less is pure incompetency.
http://www.tmrdrug.com/EN/abstract/abstract260.shtmlLiu Ting-Ting1, Lei Meng-Jie1, Liu Ya-Qian1, Meng Li-Na1, Jin Chang-De1,*( ) |
| 1Tianjin University of Traditional Chinese Medicine, School of Postgraduate, Tianjin, China. |
Core stability training on the basis of conventional rehabilitation therapy can improve the trunk control ability, balance ability, walking function and activity of daily living in patients with stroke hemiplegia.
Editor’s Summary
Core stability exercise, as one of the non-drug therapies, combined with conventional rehabilitation therapy has better effects on rehabilitation in stroke patients with hemiplegia.
Abstract
Objective: To evaluate the effects of core stability exercise (CST) on rehabilitation in stroke patients with hemiplegia.
Methods: Randomly controlled trials about the effects of CST on rehabilitation in stroke patients with hemiplegia were searched in the database, including PubMed, Embase, Web of Science, Cochrane Library, CNKI, Wanfang, CBM and VIP. Search terms include “core stability training / core stability exercise / core stabilization training / core stabilization exercise / core strength training / core strength exercise” and “stroke / brain ischemia / cerebral infarction / cerebral hemorrhage / intracranial thrombosis / brain hemorrhage / cerebrovascular disorder / cerebrovascular accident, cerebrovascular disease / hemiplegia / hemiparesis / stroke rehabilitation”. Study screening, data extraction and quality assessment were conducted by two researchers independently. Data was analyzed using RevMan 5.3 software.
Results: Totally 11 studies and 704 patients were included with 352 patients in experiment group and 352 in control group.Results of meta-analysis showed that combination of CST and conventional rehabilitation had better effects on trunk control [MD = 10.44, 95% CI (8.83-12.04), P < 0.001], banlace [MD = 5.6, 95% CI (4.81-6.39), P < 0.001], activities of daily living [MD = 12.06, 95% CI (7.65-16.46), P < 0.001], ambulation functional [MD = 0.72, 95% CI (0.32-1.12), P < 0.001] and walking speed [MD = 3.39, 95% CI (2.03-4.76), P < 0.001] than conventional rehabilitation, but there is no clear difference on walking stride [MD = 2.52, 95% CI (-0.25-5.29), P = 0.07] between two groups.
Conclusion: CST together with conventional rehabilitation can better improve trunk control, banlace, activities of daily living, ambulation functional and walking speed in stroke patients compared with conventional rehabilitation, but can not make the walking stride better significantly. However, since the conclusion of this meta-analysis was drawn based on middle quality RCTs, future high quality researchs should be conducted to confirm its positive intervention effects.
Methods: Randomly controlled trials about the effects of CST on rehabilitation in stroke patients with hemiplegia were searched in the database, including PubMed, Embase, Web of Science, Cochrane Library, CNKI, Wanfang, CBM and VIP. Search terms include “core stability training / core stability exercise / core stabilization training / core stabilization exercise / core strength training / core strength exercise” and “stroke / brain ischemia / cerebral infarction / cerebral hemorrhage / intracranial thrombosis / brain hemorrhage / cerebrovascular disorder / cerebrovascular accident, cerebrovascular disease / hemiplegia / hemiparesis / stroke rehabilitation”. Study screening, data extraction and quality assessment were conducted by two researchers independently. Data was analyzed using RevMan 5.3 software.
Results: Totally 11 studies and 704 patients were included with 352 patients in experiment group and 352 in control group.Results of meta-analysis showed that combination of CST and conventional rehabilitation had better effects on trunk control [MD = 10.44, 95% CI (8.83-12.04), P < 0.001], banlace [MD = 5.6, 95% CI (4.81-6.39), P < 0.001], activities of daily living [MD = 12.06, 95% CI (7.65-16.46), P < 0.001], ambulation functional [MD = 0.72, 95% CI (0.32-1.12), P < 0.001] and walking speed [MD = 3.39, 95% CI (2.03-4.76), P < 0.001] than conventional rehabilitation, but there is no clear difference on walking stride [MD = 2.52, 95% CI (-0.25-5.29), P = 0.07] between two groups.
Conclusion: CST together with conventional rehabilitation can better improve trunk control, banlace, activities of daily living, ambulation functional and walking speed in stroke patients compared with conventional rehabilitation, but can not make the walking stride better significantly. However, since the conclusion of this meta-analysis was drawn based on middle quality RCTs, future high quality researchs should be conducted to confirm its positive intervention effects.
Key words： Stroke Hemiplegia Core stability exercise Rehabilitation Meta-analysis
Published: 06 June 2018
Corresponding Authors: Jin Chang-De E-mail: jcd1886@sina.cn
About author: Abbreviations: TGF-β, Transforming growth factor-β; STAT3, Signal transducers and activators of transcription 3; ZO-1, Zonula occludens-1 protein; NSCLC, Non-samll cell lung cancer; EMT, Epithelial-mesenchymal transition; PBS, Phosphate buffer saline. Competing interests: Authors declare that they have no competing interests.Executive Editor: Yu-Chan Cao
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| Cite this article:
Liu Ting-Ting, Lei Meng-Jie, Liu Ya-Qian, Meng Li-Na, Jin Chang-De. Effects of core stability exercise on rehabilitation in stroke patients with hemiplegia: a meta-analysis. TMR Non-Drug Therapy, 2018, 1(2): 41-52.
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As a stroke survivor I know: 1) core strength affects my balance and ability to lift my affected arm and leg and 2) it is a neglected component of therapy.
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