Cargando…

Do Initial Trunk Impairment, Age, Intervention Onset, and Training Volume Modulate the Effectiveness of Additional Trunk Exercise Programs after Stroke? A Systematic Review with Meta-Analyses

The aim of this systematic review is to analyze how, after additional trunk-focused training programs (ATEP), motor recovery after a stroke is modulated by potential effect modifiers. Twenty randomized controlled studies that carried out ATEP were included. Results showed moderate-to-high effects in...

Descripción completa

Detalles Bibliográficos
Autores principales: Prat-Luri, Amaya, Moreno-Navarro, Pedro, García, Jose A., Barbado, David, Vera-Garcia, Francisco J., Elvira, Jose L.L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7727690/
https://www.ncbi.nlm.nih.gov/pubmed/33255211
http://dx.doi.org/10.3390/ijerph17238714
_version_ 1783621115531231232
author Prat-Luri, Amaya
Moreno-Navarro, Pedro
García, Jose A.
Barbado, David
Vera-Garcia, Francisco J.
Elvira, Jose L.L.
author_facet Prat-Luri, Amaya
Moreno-Navarro, Pedro
García, Jose A.
Barbado, David
Vera-Garcia, Francisco J.
Elvira, Jose L.L.
author_sort Prat-Luri, Amaya
collection PubMed
description The aim of this systematic review is to analyze how, after additional trunk-focused training programs (ATEP), motor recovery after a stroke is modulated by potential effect modifiers. Twenty randomized controlled studies that carried out ATEP were included. Results showed moderate-to-high effects in favor of ATEP for trunk function, balance ability, gait performance, and functional mobility. Studies with a higher initial trunk impairment obtained a higher effect on trunk function and balance; studies with older participants had a higher effect on trunk function, limit of stability, and functional mobility, but not on balance ability. Older and more affected patients were, as well, those who started the intervention earlier, which was also linked with higher effects on trunk function, balance, and gait performance. Longer ATEP found a high effect on trunk function and balance ability. The potential effect modifiers seem to be important in the modulation of the effectiveness of ATEP and should be considered in the design of rehabilitation programs. Thus, since potential effect modifiers seem to modulate ATEP effectiveness, future studies should consider them in their experimental designs to better understand their impact on stroke rehabilitation.
format Online
Article
Text
id pubmed-7727690
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-77276902020-12-11 Do Initial Trunk Impairment, Age, Intervention Onset, and Training Volume Modulate the Effectiveness of Additional Trunk Exercise Programs after Stroke? A Systematic Review with Meta-Analyses Prat-Luri, Amaya Moreno-Navarro, Pedro García, Jose A. Barbado, David Vera-Garcia, Francisco J. Elvira, Jose L.L. Int J Environ Res Public Health Review The aim of this systematic review is to analyze how, after additional trunk-focused training programs (ATEP), motor recovery after a stroke is modulated by potential effect modifiers. Twenty randomized controlled studies that carried out ATEP were included. Results showed moderate-to-high effects in favor of ATEP for trunk function, balance ability, gait performance, and functional mobility. Studies with a higher initial trunk impairment obtained a higher effect on trunk function and balance; studies with older participants had a higher effect on trunk function, limit of stability, and functional mobility, but not on balance ability. Older and more affected patients were, as well, those who started the intervention earlier, which was also linked with higher effects on trunk function, balance, and gait performance. Longer ATEP found a high effect on trunk function and balance ability. The potential effect modifiers seem to be important in the modulation of the effectiveness of ATEP and should be considered in the design of rehabilitation programs. Thus, since potential effect modifiers seem to modulate ATEP effectiveness, future studies should consider them in their experimental designs to better understand their impact on stroke rehabilitation. MDPI 2020-11-24 2020-12 /pmc/articles/PMC7727690/ /pubmed/33255211 http://dx.doi.org/10.3390/ijerph17238714 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Prat-Luri, Amaya
Moreno-Navarro, Pedro
García, Jose A.
Barbado, David
Vera-Garcia, Francisco J.
Elvira, Jose L.L.
Do Initial Trunk Impairment, Age, Intervention Onset, and Training Volume Modulate the Effectiveness of Additional Trunk Exercise Programs after Stroke? A Systematic Review with Meta-Analyses
title Do Initial Trunk Impairment, Age, Intervention Onset, and Training Volume Modulate the Effectiveness of Additional Trunk Exercise Programs after Stroke? A Systematic Review with Meta-Analyses
title_full Do Initial Trunk Impairment, Age, Intervention Onset, and Training Volume Modulate the Effectiveness of Additional Trunk Exercise Programs after Stroke? A Systematic Review with Meta-Analyses
title_fullStr Do Initial Trunk Impairment, Age, Intervention Onset, and Training Volume Modulate the Effectiveness of Additional Trunk Exercise Programs after Stroke? A Systematic Review with Meta-Analyses
title_full_unstemmed Do Initial Trunk Impairment, Age, Intervention Onset, and Training Volume Modulate the Effectiveness of Additional Trunk Exercise Programs after Stroke? A Systematic Review with Meta-Analyses
title_short Do Initial Trunk Impairment, Age, Intervention Onset, and Training Volume Modulate the Effectiveness of Additional Trunk Exercise Programs after Stroke? A Systematic Review with Meta-Analyses
title_sort do initial trunk impairment, age, intervention onset, and training volume modulate the effectiveness of additional trunk exercise programs after stroke? a systematic review with meta-analyses
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7727690/
https://www.ncbi.nlm.nih.gov/pubmed/33255211
http://dx.doi.org/10.3390/ijerph17238714
work_keys_str_mv AT pratluriamaya doinitialtrunkimpairmentageinterventiononsetandtrainingvolumemodulatetheeffectivenessofadditionaltrunkexerciseprogramsafterstrokeasystematicreviewwithmetaanalyses
AT morenonavarropedro doinitialtrunkimpairmentageinterventiononsetandtrainingvolumemodulatetheeffectivenessofadditionaltrunkexerciseprogramsafterstrokeasystematicreviewwithmetaanalyses
AT garciajosea doinitialtrunkimpairmentageinterventiononsetandtrainingvolumemodulatetheeffectivenessofadditionaltrunkexerciseprogramsafterstrokeasystematicreviewwithmetaanalyses
AT barbadodavid doinitialtrunkimpairmentageinterventiononsetandtrainingvolumemodulatetheeffectivenessofadditionaltrunkexerciseprogramsafterstrokeasystematicreviewwithmetaanalyses
AT veragarciafranciscoj doinitialtrunkimpairmentageinterventiononsetandtrainingvolumemodulatetheeffectivenessofadditionaltrunkexerciseprogramsafterstrokeasystematicreviewwithmetaanalyses
AT elvirajosell doinitialtrunkimpairmentageinterventiononsetandtrainingvolumemodulatetheeffectivenessofadditionaltrunkexerciseprogramsafterstrokeasystematicreviewwithmetaanalyses