Dataset Information

Obstacle avoidance training for individuals with stroke: a systematic review and meta-analysis.

ABSTRACT:

Objectives

To accumulate evidence that obstacle avoidance training alone is effective in improving the locomotor ability of individuals with stroke.

Design

Systematic review and meta-analysis.

Setting

MEDLINE, EMBASE, CENTRAL, ICTRP and PEDro were searched for related information until December 2018. Two independent reviewers extracted data. Outcome measurement data were subjected to meta-analyses using random-effects models. Data syntheses were conducted using RevMan V.5.3, and the certainty of evidence was determined using the Grading of Recommendations Assessment, Development, and Evaluation approach.

Participants

Participants with various types and phases of stroke were included.

Intervention

The usual gait training including obstacle avoidance training (interventions of any type, intensity, duration and frequency).

Primary and secondary outcome measures

Primary outcomes were gait speed, composite gait ability and objective balance ability. Secondary outcomes were subjective balance ability, gait endurance and fall incidence.

Results

Two randomised controlled trials with a total of 49 participants were used as data sources for this study. The obstacle avoidance training (training) group had lower gait speed than the control group (mean difference (MD) 0.03, 95% CI -0.11 to 0.16, p=0.51). Further, the certainty of evidence was very low. The subjective balance ability (Activities-specific Balance Confidence scale) was not significantly different between the training and control groups (MD 6.65, 95%?CI -7.59 to 20.89, p=0.36), and it showed very low certainty of evidence.

Conclusions

Obstacle avoidance training may have little or no effect on individuals with stroke. The failure to find the effectiveness of obstacle avoidance training alone is possibly attributable to the insufficient amount of training in the intervention and the lack of well-designed studies that measured relevant outcomes.

Prospero registration number

CRD42017060691.

SUBMITTER: Muroi D

PROVIDER: S-EPMC6937042 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Obstacle avoidance training for individuals with stroke: a systematic review and meta-analysis.

Muroi Daisuke D Ohtera Shosuke S Kataoka Yuki Y Banno Masahiro M Tsujimoto Yasushi Y Tsujimoto Hiraku H Higuchi Takahiro T

BMJ open 20191216 12

<h4>Objectives</h4>To accumulate evidence that obstacle avoidance training alone is effective in improving the locomotor ability of individuals with stroke.<h4>Design</h4>Systematic review and meta-analysis.<h4>Setting</h4>MEDLINE, EMBASE, CENTRAL, ICTRP and PEDro were searched for related information until December 2018. Two independent reviewers extracted data. Outcome measurement data were subjected to meta-analyses using random-effects models. Data syntheses were conducted using RevMan V.5.3 ...[more]

PMID: 31848159

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Dataset Information

Obstacle avoidance training for individuals with stroke: a systematic review and meta-analysis.

Objectives

Design

Setting

Participants

Intervention

Primary and secondary outcome measures

Results

Conclusions

Prospero registration number

Publications

Obstacle avoidance training for individuals with stroke: a systematic review and meta-analysis.

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