Efficacy of five types of rehabilitation exercise therapies on the exercise capacity intervention in stroke patients: a network meta-analysis_Chinese Journal of Evidence-Based Medicine

Authors：

YUE Caichao , CHEN Xiang , SUN Xiao , SONG Zijiao ,  YIN Jianchun

Department of Sport of Science, Shanghai Normal University, Shanghai 201418, P. R. China;

Corresponding?author：

YIN Jianchun, Email: yjchun@shnu.edu.cn

Keywords：

Rehabilitation exercise; Baduanjin; Aquatic exercise; Taijiquan; Somatosensory interactive game; Whole body vibration training; Stroke; Network meta-analysis

DOI：

10.7507/1672-2531.202110022

Video：

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Objective To systematically review the efficacy of five types of rehabilitation exercises, including Baduanjin, aquatic exercise, Taijiquan, somatosensory exercise and whole body vibration training for the intervention of motor function in stroke patients. Methods Web of Science, PubMed, EMbase, The Cochrane Library, CNKI, CBM, CSJD and WanFang Data databases were electronically searched to collect randomized controlled trials (RCTs) of rehabilitation exercise interventions for motor function in stroke patients from inception to October 2020. Two reviewers independently screened literature, extracted data and assessed the risk of bias of included studies; then, network meta-analysis was performed by using R and ADDIS software. Results A total of 50 RCTs involving 1 838 patients were included. The results of the meta-analysis showed that all five types of rehabilitation exercises were superior to conventional rehabilitation group in terms of balance in stroke patients (P<0.05), with the best ranking occupied by Baduanjin. In terms of lower limb strength, only the aquatic exercise was superior to conventional rehabilitation (P<0.05). In terms of walking function, somatic training and aquatic exercise were superior to conventional rehabilitation (P<0.05), with somatic exercises ranking first. Conclusion Current evidence shows that Baduanjin has an advantage in improving the balance, somatosensory interactive game exercise has an advantage in improving the walking capability and aquatic exercise has an advantage in improving the lower limb strength of stroke patients. Due to limited quality and quantity of the included studies, more high-quality studies are needed to verify the above conclusion.

Citation： YUE Caichao, CHEN Xiang, SUN Xiao, SONG Zijiao, YIN Jianchun. Efficacy of five types of rehabilitation exercise therapies on the exercise capacity intervention in stroke patients: a network meta-analysis. Chinese Journal of Evidence-Based Medicine, 2022, 22(3): 299-308. doi: 10.7507/1672-2531.202110022 Copy

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3. 勵建安. 康復醫學. 北京: 人民衛生出版社, 2014: 216-217.
4. 劉春英, 郭毅, 楊歡, 等. 腦卒中偏癱患者早期運動療法康復效果的系統評價. 中國循證醫學雜志, 2016, 16(2): 166-171.
5. Brazzelli M, Saunders DH, Greig CA, et al. Physical fitness training for patients with stroke: updated review. Stroke, 2012, 43(4): e39-e40.
6. 曹雪亮. 腦力疲勞的注意特征及主觀評定方法的實驗研究. 西安: 中國人民解放軍第四軍醫大學, 2003.
7. 王學敏. 老年人參與太極拳鍛煉的心理效應研究. 廣州體育學院學報, 2016, 36(5): 108-111.
8. Cheok G, Tan D, Low A, et al. Is Nintendo wii an effective intervention for individuals with stroke. A systematic review and meta-analysis. J Am Med Dir Assoc, 2015, 16(11): 923-932.
9. 鄭清香, 葛莉, 譚景予, 等. 八段錦對腦卒中患者肢體功能康復影響的Meta分析. 解放軍護理雜志, 2017, 34(12): 1-7.
10. Lyu D, Lyu X, Zhang Y, et al. Tai chi for stroke rehabilitation: a systematic review and meta-analysis of randomized controlled trials. Front Physiol, 2018, 9: 983.
11. 崔堯, 賈威, 曾明, 等. 水中運動治療對腦卒中患者下肢運動功能及日常生活活動能力效果的Meta分析. 中國康復理論與實踐, 2020, 26(3): 263-277.
12. 俞惠, 董志霞, 宋潔, 等. 體感互動游戲對腦卒中患者下肢功能康復效果的Meta分析. 中國康復理論與實踐, 2019, 25(11): 1320-1326.
13. 薛夏利, 鄧鐘義, 李寧, 等. 全身振動訓練對腦卒中患者下肢功能恢復效果的Meta分析. 現代預防醫學, 2021, 48(12): 2291-2296.
14. 吳江, 楊弋, 饒明俐. 中國腦血管疾病分類2015. 中華神經科雜志, 2017, 50(3): 168-171.
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16. 張勃, 劉俊榮. 八段錦對中風偏癱患者上下肢運動功能及平衡能力的影響. 現代養生, 2015, (16): 246-247.
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Chinese Journal of Evidence-Based Medicine

Efficacy of five types of rehabilitation exercise therapies on the exercise capacity intervention in stroke patients: a network meta-analysis

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