Deans' stroke musings: Core stability exercises in addition to usual care physiotherapy improve stability and balance after stroke: A systematic review and meta-analysis

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, May 18, 2021

Core stability exercises in addition to usual care physiotherapy improve stability and balance after stroke: A systematic review and meta-analysis

You don't mention where you put the core stability protocols so survivors can find them, so useless. I see nothing on perturbations so I think you're missing the most important part of balance training.

Core stability exercises in addition to usual care physiotherapy improve stability and balance after stroke: A systematic review and meta-analysis

Archives of Physical Medicine and Rehabilitation , Volume 102(4) , Pgs. 762-775.

NARIC Accession Number: J86149. What's this?
ISSN: 0003-9993.
Author(s): Gamble, Kate ; Chiu, April ; Peiris, Casey.
Publication Year: 2021.
Number of Pages: 14.

Abstract:

Study reviewed the evidence on the effect of core stability exercises in addition to usual care physiotherapy on patient outcomes after stroke. Cumulative Index to Nursing and Allied Health, MEDLINE, Physiotherapy Evidence Database (PEDro), PubMed, and EMBASE were searched to November 2018 for randomized controlled trials (RCTs) that compared core stability exercises in addition to usual care physiotherapy with usual care physiotherapy alone in people with stroke. The initial search yielded 1,876 studies; 11 RCTs were included in the systematic review. Two independent reviewers applied inclusion and exclusion criteria and extracted data on methodological quality using the PEDro scale, participant characteristics, intervention details, outcome measures, and results. There was moderate quality evidence to suggest the addition of core stability exercises to usual care physiotherapy improved trunk control, functional dynamic balance, and walking speed in people with acute and chronic stroke. No significant effect was found when assessing functional ambulation categories or the timed Up and Go test, and mixed results were found for global functioning. The findings suggest that the addition of core stability exercises to usual care physiotherapy after stroke may lead to improved trunk control and dynamic balance. Therefore, core stability exercises should be included in rehabilitation if improvements in these domains will help clients achieve their goals. Future trials should consider incorporating outcomes of body kinematics during functional tasks to assess movement quality and assess participation outcomes.
Descriptor Terms: EQUILIBRIUM, EXERCISE, LITERATURE REVIEWS, OUTCOMES, PHYSICAL THERAPY, POSTURE, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Gamble, Kate , Chiu, April , Peiris, Casey. (2021). Core stability exercises in addition to usual care physiotherapy improve stability and balance after stroke: A systematic review and meta-analysis. Archives of Physical Medicine and Rehabilitation , 102(4), Pgs. 762-775. Retrieved 5/18/2021, from REHABDATA database.