Background: Stroke patients have multiple disorders, but most have problems with balance and gait. Post-stroke rehabilitation exercise has been shown to be very important for functional recovery. Objectives: To systematically review and meta-analyze the effects of sling exercise (SE) on patients wit...
Background: Stroke patients have multiple disorders, but most have problems with balance and gait. Post-stroke rehabilitation exercise has been shown to be very important for functional recovery. Objectives: To systematically review and meta-analyze the effects of sling exercise (SE) on patients with stroke in studies published in Korea. Design: Meta-analysis. Methods: Five databases, namely, RISS, KISS, NDSL, DBpia and Earticle, were used to collect articles on vibration. Keywords such as "Stroke," "Hemiplegia," "Sling," and "Sling Exercise" were used in the search for published articles. Interventions and comparisons were SE and other exercise (OE). Outcome measures were berg balance scale (BBS) and timed up and go (TUG). Consequently, eight studies were selected in the second screening using meta-analyses. Results: Based on the results of the meta-analysis, SE was effective for BBS in the comparison of SE and OE [2.71, 95% CI (1.42, 4.01)]. It was effective for TUG in the comparison of SE and OE [-1.89, 95% CI (-3.01, -0.77)]. Conclusion: Based on eight limited studies, SE improved BBS and TUG over OE, suggesting improved stroke balance and gait. Therefore, more studies and large-scale sample randomized controlled trials are needed to confirm clinical application.
Background: Stroke patients have multiple disorders, but most have problems with balance and gait. Post-stroke rehabilitation exercise has been shown to be very important for functional recovery. Objectives: To systematically review and meta-analyze the effects of sling exercise (SE) on patients with stroke in studies published in Korea. Design: Meta-analysis. Methods: Five databases, namely, RISS, KISS, NDSL, DBpia and Earticle, were used to collect articles on vibration. Keywords such as "Stroke," "Hemiplegia," "Sling," and "Sling Exercise" were used in the search for published articles. Interventions and comparisons were SE and other exercise (OE). Outcome measures were berg balance scale (BBS) and timed up and go (TUG). Consequently, eight studies were selected in the second screening using meta-analyses. Results: Based on the results of the meta-analysis, SE was effective for BBS in the comparison of SE and OE [2.71, 95% CI (1.42, 4.01)]. It was effective for TUG in the comparison of SE and OE [-1.89, 95% CI (-3.01, -0.77)]. Conclusion: Based on eight limited studies, SE improved BBS and TUG over OE, suggesting improved stroke balance and gait. Therefore, more studies and large-scale sample randomized controlled trials are needed to confirm clinical application.
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문제 정의
So, study published in Korea is not included in overseas meta-analysis study. Therefore, the purpose of this study is to meta-analyze the effect size on balance and gait by comparing SE and other exercise interventions in stroke patients published in Korea.
This study was conducted to investigate the effectiveness of SE through a meta-analysis of studies on SE therapy for patients with stroke that were published in South Korea. In this study, we analyzed balance and gait.
제안 방법
Four studies using TUG were performed to evaluate the effect of the treatment. The TUG for the meta-analysis of SE was significantly improved (WMD=-1.
The findings were analyzed in two primary outcome categories: balance and gait. Among the various measures, berg balance scale (BBS) and timed up and go (TUG), which were used in many studies, were selected.
4. The random effects model and weighted mean difference (WMD) were used to calculate the mean effect size. A chi-square test was performed to detect statistically significant heterogeneity.
대상 데이터
The study samples included patients with stroke and hemiplegia. The diagnosis should have been confirmed with head computerized tomography (CT) or magnetic resonance imaging (MRI) diagnosis.
이론/모형
As a tool for evaluating the quality of research methods, the RCT study used the Risk of Bias (RoB) tool developed by the Cochrane group, and the NRCT study used the Risk of Bias Assessment tool for Non-randomized Study (RoBANS). For each item of the RoB and RoBANS tools, there are three risks of skew: “high,” “low,” and “uncertain.
The meta-analysis procedure was performed with Revman 5.4. The random effects model and weighted mean difference (WMD) were used to calculate the mean effect size.
후속연구
The reason for the high heterogeneity is considered to be due to the difference of effect size according to the intervention period, as in the design of this study. Further analysis is needed to find the reasons for high heterogeneity in each period and on the whole. However, due to the lack of research, further analysis was not possible.
Further analysis is needed to find the reasons for high heterogeneity in each period and on the whole. However, due to the lack of research, further analysis was not possible.
As a result of meta-analyzing a study published in Korea, SE was effective in improving balance and gait. The results of this study could be used as evidence for the use of SE in the treatment of stroke patients in hospitals in Korea.
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