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Submitted: 18 May 2012 Modified: 18 January 2019
HERDIN Record #: PCHRD12051813243681

The effectiveness of therapeutic exercises in improving balance in patients with stroke: A systematic review.

Josephine R. Mata

OBJECTIVE: To determine the evidence of the effectiveness of therapeutic exercises in improving balance in stroke patients. Design: A systematic review of experimental studies


METHODS: OVID, EBSCO, PubMed, Science Direct, Proquest, PEDro, Center for evidence-base physiotherapy, cochrane Library, Biomed Central, Yahoo and Google databases were searched for experimental studies. The interventions beign sought were the different forms of therapeutic exercises that would improve the static balance of stroke patients. These included exercises utilizing motor learning principles, neuro-developmental techniques and orthopedic-based exercises. These interventions would be compared with the usual care or conventional physical therapy that stroke patients receive in the clinics. Due to the lack of compatibility between the different interventions and outcome measures in this systematic review a best research synthesis was performed. The methodological quality of the clinical trials were assessed using the PEDro appraisal tool. While the systematic reviews and the case study were assessed using the modified lan Crombie tool. the hierarchical level of the study design and the relevance and statistical precision of the results are the dimensions that were also taken into consideration. This data offers the clinician with the information to make critical clinical decisions regarding the car of one's patient.


RESULTS: In total, 18 articles were reviewed, which were ranked according to their hierarchical level into 4 systematic review, 9 randomized controlled trials (RCT), 4 clinical trials, 1 case study and 4 articles of expert opinion. Equivocal results were gathered from the high methodological quality of the studies as there was a small sample size of the studies in the studies included.


CONCLUSION: The review showed the small effect size of the majority of the studies warranted the results to be received with caution. Spontaneous recovery places a large role in rehabilitation process of acute stroke patients. Although the benefits of therapeutic exercises as an intervention towards addressing the impairment caused by stroke is not to be overlooked. Task-oriented exercises proved to be most beneficial in improving balance for stroke patients in terms of retention effects.

Publication Type
Journal
Publication Sub Type
Journal Article, Original
Title
UERMMMC (University of the East Ramon Magsaysay Memorial Medical Center) Journal of Health Sciences
Frequency
Monthly
Publication Date
December 2005
Volume
8
Issue
1
Page(s)
5-12
LocationLocation CodeAvailable FormatAvailability
Philippine Council for Health Research and Development Library Box no. 20 Fulltext pdf (Request Document)
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