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Do trunk exercises improve trunk and upper extremity performance, post stroke? A systematic review and meta-analysis

Do trunk exercises improve trunk and upper extremity performance, post stroke? A systematic review and meta-analysis
Do trunk exercises improve trunk and upper extremity performance, post stroke? A systematic review and meta-analysis

BACKGROUND: Post-stroke trunk control is reported to be associated with trunk performance and recovery of the upper limb, but the evidence for the influence of trunk exercise on both of these is unclear.
Objective: To evaluate the effect of trunk exercises on trunk performance post-stroke, and to determine if these exercises result in improved upper limb function.
METHODS: A comprehensive search of the literature published between January 1990 and February 2017 was conducted using the following electronic databases; AMED, CINAHL, Cochrane Library, EMBASE, MEDLINE, PsychInfo and SPORTDiscus. Only randomized, controlled trials, published in English, evaluating the effect of trunk exercises on trunk performance and/or upper limb function post-stroke, were included.
RESULTS: A total of 17 studies involving 599 participants were analysed. Meta-analysis showed that trunk exercises had large significant effect on trunk performance post-stroke. This effect varied from very large for acute stroke to medium for subacute and chronic stroke. None of the included studies had measured the effect of trunk exercise on upper limb impairment or functional activity.
CONCLUSIONS: Trunk exercises improve trunk performance for people with acute, subacute and chronic stroke. As yet there is no evidence to support the effect of trunk exercise on upper limb function.
Meta-analysis, systematic review, stroke, trunk exercise, trunk, upper limb
1053-8135
Alhwoaimel, Norah
2bbf3fd2-1b5b-4f87-b357-47a182893249
Turk, Ruth
9bb21965-6f9f-4c9c-8505-94df8e168f52
Warner, Martin, Bryan
0d9ce533-67ba-4b3f-b798-53ab1a4f4ca7
Verheyden, Geert
aabb1bd5-f394-4c82-ba97-7926a4255282
Thijs, Liselot
7e98df02-b544-47aa-8511-b407dfc3bc51
Wee, Seng Kwee
9a424121-debd-44c1-ad67-ee391e6da101
Hughes, Ann-Marie
11239f51-de47-4445-9a0d-5b82ddc11dea
Alhwoaimel, Norah
2bbf3fd2-1b5b-4f87-b357-47a182893249
Turk, Ruth
9bb21965-6f9f-4c9c-8505-94df8e168f52
Warner, Martin, Bryan
0d9ce533-67ba-4b3f-b798-53ab1a4f4ca7
Verheyden, Geert
aabb1bd5-f394-4c82-ba97-7926a4255282
Thijs, Liselot
7e98df02-b544-47aa-8511-b407dfc3bc51
Wee, Seng Kwee
9a424121-debd-44c1-ad67-ee391e6da101
Hughes, Ann-Marie
11239f51-de47-4445-9a0d-5b82ddc11dea

Alhwoaimel, Norah, Turk, Ruth, Warner, Martin, Bryan, Verheyden, Geert, Thijs, Liselot, Wee, Seng Kwee and Hughes, Ann-Marie (2018) Do trunk exercises improve trunk and upper extremity performance, post stroke? A systematic review and meta-analysis. NeuroRehabilitation. (doi:10.3233/NRE-182446).

Record type: Article

Abstract


BACKGROUND: Post-stroke trunk control is reported to be associated with trunk performance and recovery of the upper limb, but the evidence for the influence of trunk exercise on both of these is unclear.
Objective: To evaluate the effect of trunk exercises on trunk performance post-stroke, and to determine if these exercises result in improved upper limb function.
METHODS: A comprehensive search of the literature published between January 1990 and February 2017 was conducted using the following electronic databases; AMED, CINAHL, Cochrane Library, EMBASE, MEDLINE, PsychInfo and SPORTDiscus. Only randomized, controlled trials, published in English, evaluating the effect of trunk exercises on trunk performance and/or upper limb function post-stroke, were included.
RESULTS: A total of 17 studies involving 599 participants were analysed. Meta-analysis showed that trunk exercises had large significant effect on trunk performance post-stroke. This effect varied from very large for acute stroke to medium for subacute and chronic stroke. None of the included studies had measured the effect of trunk exercise on upper limb impairment or functional activity.
CONCLUSIONS: Trunk exercises improve trunk performance for people with acute, subacute and chronic stroke. As yet there is no evidence to support the effect of trunk exercise on upper limb function.

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Do trunk exercises improve trunk and upper extremity performance, post stroke? A systematic review and meta-analysis - Accepted Manuscript
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Accepted/In Press date: 6 March 2018
e-pub ahead of print date: 2 November 2018
Keywords: Meta-analysis, systematic review, stroke, trunk exercise, trunk, upper limb

Identifiers

Local EPrints ID: 419100
URI: https://eprints.soton.ac.uk/id/eprint/419100
ISSN: 1053-8135
PURE UUID: 92b907ab-6552-445d-b8c7-d35a7a78acdd
ORCID for Ruth Turk: ORCID iD orcid.org/0000-0001-6332-5353
ORCID for Ann-Marie Hughes: ORCID iD orcid.org/0000-0002-3958-8206

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Date deposited: 29 Mar 2018 16:30
Last modified: 14 Mar 2019 05:11

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Contributors

Author: Norah Alhwoaimel
Author: Ruth Turk ORCID iD
Author: Martin, Bryan Warner
Author: Geert Verheyden
Author: Liselot Thijs
Author: Seng Kwee Wee

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