The impact of different exercises on the short-distance activity capacity of stroke patients: a network meta-analysis
摘要
This study aims to assess the impact of diverse exercise interventions on the short-distance mobility capacity of individuals who have suffered a stroke.
MethodsA thorough search for relevant literature on exercise interventions to improve short-distance mobility capacity in stroke patients was conducted across multiple databases, including PubMed, Web of Science, Science Direct, and Cochrane Library. After thorough screening and data extraction, the quality of the selected literature was evaluated using the Cochrane Risk of Bias Tool v1. Statistical analysis was performed with Revman 5.4 and STATA software, and sensitivity analysis was conducted using leave-one-out methods.
ResultsA total of 34 studies involving 985 individuals, all aged 18 years or older, were included in this network meta-analysis. The study examined the short-distance mobility of stroke patients, assessed by the timed up-and-go test (TUG). The order of treatment effectiveness from best to worst is as follows: Pilates exercise (SUCRA = 20.7%) > Balance training (SUCRA = 28.5%) > Multicomponent exercise (SUCRA = 39.4%) > High-intensity interval training (SUCRA = 41.4%) > Task-oriented training (SUCRA = 49.1%) > Tai Chi exercise (SUCRA = 51.5%) > Virtual reality training (SUCRA = 54.5%) > Resistance movement (SUCRA = 53.6%) > Baduanjin Qigong training (SUCRA = 62%) > Treadmill training (SUCRA = 76.7%).
ConclusionThis study found that Pilates exercise is the most effective intervention for improving stroke patients’ ability to move short distances. This supports recovery of various functions in stroke patients, thereby enhancing their capacity to perform basic daily activities.