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Journal of Neurology

The effect of exercise on balance function in stroke patients: a systematic review and meta-analysis of randomized controlled trials

Published in:
Authors
Yilun Zhou
Hao Ren
Xiao Hou
Xiaosheng Dong
Shiyan Zhang
Yuanyuan Lv
Cui Li
Laikang Yu
Published in
Journal of Neurology | Issue 8/2024

Abstract

Objective

A growing body of studies has examined the effect of exercise on balance function in stroke patients, with conflicting findings. This study aimed to investigate the effect of exercise on balance function in stroke patients and to determine the optimal exercise prescription for stroke patients.

Methods

We conducted an extensive search across various databases, including PubMed, Web of Science, EBSCO, Cochrane, and Scopus. The search was conducted until March 11th, 2024. Data were pooled using the weighted mean difference (WMD) and 95% confidence interval.

Results

Twenty-nine studies fulfilled the inclusion criteria. Exercise significantly improved Berg balance scale (BBS, WMD, 5.24, P < 0.00001) and timed up and go test (TUG, WMD, − 2.91, P < 0.00001) in stroke patients. Subgroup analyses showed that aerobic exercise (WMD, 6.71, P = 0.003), exercise conducted ≥ 8 weeks (WMD, 6.43, P < 0.00001), > 3 times per week (WMD, 6.18, P < 0.00001), ≥ 60 min per session (WMD, 6.40, P < 0.0001), and ≥ 180 min per week (WMD, 7.49, P < 0.00001) were more effective in improving BBS.

Conclusions

Exercise improved balance function in stroke patients, and aerobic exercise might be the most effective intervention. To improve balance function, this meta-analysis provides clinicians with evidence to recommend that stroke patients participate in a minimum of 8 weeks of exercise at least 3 times per week for more than 60 min per session, with a goal of 180 min per week being achieved by increasing the frequency of exercise.
Title
The effect of exercise on balance function in stroke patients: a systematic review and meta-analysis of randomized controlled trials
Authors
Yilun Zhou
Hao Ren
Xiao Hou
Xiaosheng Dong
Shiyan Zhang
Yuanyuan Lv
Cui Li
Laikang Yu
Publication date
04-06-2024
Publisher
Springer Berlin Heidelberg
Published in
Journal of Neurology / Issue 8/2024
Print ISSN: 0340-5354
Electronic ISSN: 1432-1459
DOI
https://doi.org/10.1007/s00415-024-12467-1
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