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Evaluating the effectiveness of different prescriptions of sit-to-stand training in post-stroke rehabilitation: A systematic review and meta-analysis.
СтатьяСистематический обзорМетаанализНазвание и аннотация: Перевод в очереди
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Josop Nancy Anne, Mohd Nordin Nor Azlin, Ahmad Mohd Azzuan
Аннотация
BACKGROUND: Sit-to-stand (STS) training is essential in post-stroke rehabilitation, yet variations in training prescriptions and outcomes highlight the need for a thorough synthesis to inform clinical practice. The objective of this review is to elucidate the current evidence on the prescription parameters of STS training and its effects on physical and functional outcomes in post-stroke survivors.
METHODS: This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A comprehensive literature search was conducted across 5 electronic databases: PubMed, Web of Science, EBSCO Medline, Cochrane Library, and Scopus. The preferred keywords were "stroke AND sit-to-stand." Inclusion criteria were: randomized controlled trials assessing STS training effects in post-stroke survivors, reporting on clinical outcomes, published in English, and no restrictions on publication date. Methodological quality was evaluated using the Physiotherapy Evidence Database scale and the Cochrane Risk of Bias Tool, and meta-analysis was performed using Review Manager software.
RESULTS: Ten randomized controlled trials (published between 2008-2021) involving 384 adults post-stroke were included in the analysis. STS training protocols varied, incorporating task-specific practice, resistance training, and balance exercises, with intensities ranging from low to moderate, and frequencies of 3 to 5 sessions per week over 4 to 12 weeks. Key outcomes assessed included static and dynamic balance, STS performance metrics, functional mobility, and lower limb strength. Most trials reported significant improvements in clinical outcomes following STS training compared to conventional rehabilitation. Meta-analysis revealed significant improvements in balance performance, functional mobility, and STS task duration following STS training compared to conventional rehabilitation.
CONCLUSIONS: STS training significantly enhances balance, functional mobility, and STS performance in post-stroke survivors. Despite variability in protocols, standardizing STS training parameters may further improve therapeutic outcomes and streamline rehabilitation practices.
METHODS: This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A comprehensive literature search was conducted across 5 electronic databases: PubMed, Web of Science, EBSCO Medline, Cochrane Library, and Scopus. The preferred keywords were "stroke AND sit-to-stand." Inclusion criteria were: randomized controlled trials assessing STS training effects in post-stroke survivors, reporting on clinical outcomes, published in English, and no restrictions on publication date. Methodological quality was evaluated using the Physiotherapy Evidence Database scale and the Cochrane Risk of Bias Tool, and meta-analysis was performed using Review Manager software.
RESULTS: Ten randomized controlled trials (published between 2008-2021) involving 384 adults post-stroke were included in the analysis. STS training protocols varied, incorporating task-specific practice, resistance training, and balance exercises, with intensities ranging from low to moderate, and frequencies of 3 to 5 sessions per week over 4 to 12 weeks. Key outcomes assessed included static and dynamic balance, STS performance metrics, functional mobility, and lower limb strength. Most trials reported significant improvements in clinical outcomes following STS training compared to conventional rehabilitation. Meta-analysis revealed significant improvements in balance performance, functional mobility, and STS task duration following STS training compared to conventional rehabilitation.
CONCLUSIONS: STS training significantly enhances balance, functional mobility, and STS performance in post-stroke survivors. Despite variability in protocols, standardizing STS training parameters may further improve therapeutic outcomes and streamline rehabilitation practices.