Treadmill walking improves walking speed and distance in ambulatory people after stroke and is not inferior to overground walking: a systematic review

Nascimento, Lucas Rodrigues; Boening, Augusto; Galli, Abílio; Polese, Janaíne Cunha; Ada, Louise

doi:10.1016/j.jphys.2021.02.014

Cited by 19 publications

(18 citation statements)

References 23 publications

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“…96 Better recovery of walking speed and distance in ambulatory patients was observed with TT. 97 Gait in electromechanical-assisted training associated with physiotherapy after stroke promotes a greater chance of achieving independent walking than physiotherapy without these devices. 98 Three months after stroke, participants who were not ambulatory seemed to benefit most from this type of intervention.…”

Section: Mobilitymentioning

confidence: 99%

Brazilian practice guidelines for stroke rehabilitation: Part II

et al. 2022

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The Brazilian Practice Guidelines for Stroke Rehabilitation – Part II, developed by the Scientific Department of Neurological Rehabilitation of the Brazilian Academy of Neurology (Academia Brasileira de Neurologia, in Portuguese), focuses on specific rehabilitation techniques to aid recovery from impairment and disability after stroke. As in Part I, Part II is also based on recently available evidence from randomized controlled trials, systematic reviews, meta-analyses, and other guidelines. Part II covers disorders of communication, dysphagia, postural control and balance, ataxias, spasticity, upper limb rehabilitation, gait, cognition, unilateral spatial neglect, sensory impairments, home rehabilitation, medication adherence, palliative care, cerebrovascular events related to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, the future of stroke rehabilitation, and stroke websites to support patients and caregivers. Our goal is to provide health professionals with more recent knowledge and recommendations for better rehabilitation care after stroke.

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Section: Mobilitymentioning

confidence: 99%

Brazilian practice guidelines for stroke rehabilitation: Part II

et al. 2022

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“…23 We rated evidence from the high-quality level and downgraded it one point if one of the following prespecified criteria was present: low methodological quality (defined as > 50% of trials with PEDro score < 6); inconsistency of estimates among pooled studies ( I 2 > 50%) or when estimation was not possible (no pooling); indirectness of participants (defined as > 50% of trials not reporting time since stroke or baseline level of upper limb disability); and imprecision (pooling < 300 participants per outcome). 21 Two reviewers (LFG and MSB) assessed the quality of the evidence using the GRADE system, with potential disagreements resolved by discussion with a third reviewer (LRN).…”

Section: Methodsmentioning

confidence: 99%

“…Stroke Impact Scale or Assessment of Life Habits or Brief Assessment of Social Engagement). 21 The timing of the measurements and the procedure used to measure the outcomes were recorded to assess the appropriateness of combining studies in a meta-analysis.…”

Section: Methodsmentioning

confidence: 99%

Home-based is as effective as centre-based rehabilitation for improving upper limb motor recovery and activity limitations after stroke: A systematic review with meta-analysis

et al. 2022

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Objective This systematic review aimed to examine the effects of home-based exercises in comparison with centre-based exercises for improving the paretic upper limb after stroke. Data sources AMED, MEDLINE, EMBASE CINAHL, Cochrane, PsycINFO, and PEDro databases. Review methods Only randomized clinical trials were included. Participants in the reviewed studies were adults at any time after stroke. The experimental intervention was home-based exercises compared with centre-based exercises. Outcome data related to strength, motor recovery, dexterity, activity, and participation were extracted from the eligible trials and combined in meta-analyses. The quality of included trials was assessed by the PEDro scores. The quality of evidence was determined according to the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system. Results Eight trials, involving 488 participants, were included. Most trials (63%) delivered semi-supervised interventions (amount of supervision 3–43%), and three trials provided full supervision. Random-effects meta-analyses provided moderate- to high-quality evidence that home- and centre-based exercises provide similar effects on motor recovery (MD 1.4 points; 95% CI −0.9 to 3.8), dexterity (MD −0.01 pegs/s; 95% CI −0.04 to 0.05), upper limb activity performance (SMD −0.04; 95% CI −0.25 to 0.18), and quality of movement (0.1 points; 95% CI −0.2 to 0.4). Effects on strength were also similar but the quality of the evidence was rated as low. No trials examined effects on participation. Conclusion Effects of home-based prescribed exercises on upper limb motor recovery, dexterity, and activity are likely to be similar to improvements obtained by centre-based exercises after stroke.

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“…We downgraded the score from high quality by one level each time one of the following pre-specified criteria was present: low methodological quality (if the majority of studies in the meta-analysis had high risk of bias); inconsistency of estimates between pooled studies (I 2 >50%), or when assessment was not possible (no pooling); indirectness of participants (I 2 >50% of the studies did not describe the inclusion criteria); and imprecision (pooling> 400 participants for each outcome). 18 Two reviewers (Yu Wu and Feilong Zhu) assessed the quality of the evidence using the Grading of Recommendations Assessment, Development and Evaluations system, with potential disagreements resolved by consensus with a third reviewer (Ming Zhang).…”

Section: Methodsmentioning

confidence: 99%

Effects of transcutaneous electrical nerve stimulation (TENS) in people with knee osteoarthritis: A systematic review and meta-analysis

Zhu

Chen

et al. 2021

Clin Rehabil

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Objective To evaluate the effects of Transcutaneous Electric Nerve Stimulation (TENS) on pain, function, walking ability and stiffness in people with Knee osteoarthritis (KOA). Design Systematic review and meta-analysis of randomized controlled trials. Methods We searched MEDLINE, EMBASE, PubMed, Cochrane Central Register of Controlled Trials, Physiotherapy Evidence Database (PEDro), clinicaltrials.gov and Web of Science (last search November 2021) for randomized controlled trials. The Cochrane Risk of Bias Tool was used for the included studies, and Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) was used to interpret the certainty of results. Standardized Mean Differences (SMDs) and 95% confidence interval (CI) were calculated for meta-analysis. Results Twenty-nine studies were found (1398 people, age range 54-85, 74% are female) and fourteen were included in this review. Intervention duration was divided as short term (immediately after intervention), medium term (<four weeks) and long term (≥ four weeks). Active TENS showed greater improvement in Visual Analogue Scale (VAS) than sham TENS.Combining TENS with other interventions produced superior outcomes compared with other interventions for VAS in all the terms. In the meanwhile, TENS combined with other interventions was superior to other interventions for the pain subgroup of Western Ontario and McMaster Universities Arthritis Index in the medium term and long term. TENS combined with other interventions was superior to other interventions for function in the medium term and long term. Conclusion TENS could significantly relieve pain, decrease dysfunction and improve walking ability in people with KOA, but it is not effective for stiffness.

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Treadmill walking improves walking speed and distance in ambulatory people after stroke and is not inferior to overground walking: a systematic review

Cited by 19 publications

References 23 publications

Brazilian practice guidelines for stroke rehabilitation: Part II

Brazilian practice guidelines for stroke rehabilitation: Part II

Home-based is as effective as centre-based rehabilitation for improving upper limb motor recovery and activity limitations after stroke: A systematic review with meta-analysis

Effects of transcutaneous electrical nerve stimulation (TENS) in people with knee osteoarthritis: A systematic review and meta-analysis

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