Dataset Information

Effects of hydrokinesitherapy on balance and walking ability in stroke survivors: a systematic review and meta-analysis of randomized controlled studies.

ABSTRACT:

Background

Balance and walking impairment are common dysfunctions after stroke. Emerging data has demonstrated that hydrokinesitherapy may have a positive influence on improvement of balance and walking ability. However, there is no firm evidence to support these results. Therefore, the aim of this review is to evaluate the effects of hydrokinesitherapy in stroke survivors systematically.

Methods

Medline, EMBASE, Cochrane Central Register of Controlled Trials (CENTRAL) in the Cochrane Library, CINAHL and SPORTDiscus were systemic searched from their inception to Septemter 30, 2018. RevMan 5.3 software was used to perform data synthesis. The fixed-effect model or random-effect model was employed according to the results of heterogeneity test. The mean differences (MD) or standardized mean difference (SMD) was used to evaluate the pooled effect of hydrokinesitherapy on balance function, walking ability and activty of daily life (ADL).

Results

A total of 13 studies were included involving 381 stroke survivors. Meta-analysis results indicated that hydrokinesitherapy could improve balance ability based on three test: Berg balance scale (BBS: MD?=?3.84, 95% confidence interval (95% CI) 2.84 to 4.86, P?P?=?0.02, fixed-effect model), Functional Reach Test (FRT: MD?=?2.41, 95% CI 1.49 to 3.33, P?P?=?0.003) and walking ability test (SMD?=?0.36, 95% CI 0.04 to 0.68, P?=?0.03). There was no significant difference between experimental group and control group in terms of ADL.

Short conclusion

Hydrokinesitherapy can improve balance function and had a weakly positive effect on walking ability in stroke survivors. We did not find sufficient evidence to indicate that hydrokinesitherapy could improve the ADL of stroke survivors. However, due to the methodological shortcoming and small number of included studies, caution is needed when interpreting these results. Due to imprecision and publication bias, the quality of the evidence was downgraded to "low-quality" for the primary outcomes of balance and walking ability.

Trial registration

CRD42018110787.

SUBMITTER: Xie G

PROVIDER: S-EPMC6854709 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Effects of hydrokinesitherapy on balance and walking ability in stroke survivors: a systematic review and meta-analysis of randomized controlled studies.

Xie Guanli G Wang Tao T Jiang Bo B Su Yan Y Tang Xiaoxia X Guo Ying Y Liao Jianglong J

European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity 20191113

<h4>Background</h4>Balance and walking impairment are common dysfunctions after stroke. Emerging data has demonstrated that hydrokinesitherapy may have a positive influence on improvement of balance and walking ability. However, there is no firm evidence to support these results. Therefore, the aim of this review is to evaluate the effects of hydrokinesitherapy in stroke survivors systematically.<h4>Methods</h4>Medline, EMBASE, Cochrane Central Register of Controlled Trials (CENTRAL) in the Coch ...[more]

PMID: 31754406

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Dataset Information

Effects of hydrokinesitherapy on balance and walking ability in stroke survivors: a systematic review and meta-analysis of randomized controlled studies.

Background

Methods

Results

Short conclusion

Trial registration

Publications

Effects of hydrokinesitherapy on balance and walking ability in stroke survivors: a systematic review and meta-analysis of randomized controlled studies.

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