Is trunk training effective at improving ability in activities of daily living and function of people who have had a stroke? A Cochrane Review summary with commentary

IF 1.7 4区医学 Q3 CLINICAL NEUROLOGY

NeuroRehabilitation Pub Date : 2023-12-22 DOI:10.3233/nre-236007

Alex Todhunter‐Brown

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引用次数: 0

Abstract

BACKGROUND: Effective trunk control is an essential component of sitting and standing balance, and is a key requirement for movement of the head and limbs, and for carrying out functional tasks. A stroke can result in impaired trunk control, affected by stroke-related deficits in balance, muscle function, coordination and position sense. Recovery of trunk control is recognised as a key goal of stroke rehabilitation. OBJECTIVE: To evaluate the effectiveness of trunk training interventions in people with stroke. METHODS: A summary of the Cochrane Review by Thijs et al. (2023), with comments from a rehabilitation perspective. RESULTS: 68 studies (2585 participants) were included in the Cochrane review. Trunk training was not found to have any benefit on measures of ADL, when compared to other dose-matched therapies, but did improve trunk function and other outcomes. Trunk training was more beneficial than non-dose-matched therapies for measures of ADL, trunk function, and other outcomes. The certainty of these findings is very low. CONCLUSION: Evidence supports the use of trunk training as part of stroke rehabilitation. However certainty in these findings is very low due to volume, quality and heterogeneity of the evidence.

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躯干训练对提高中风患者的日常生活能力和功能有效吗？带评论的科克伦综述摘要

背景：有效的躯干控制是坐立平衡的重要组成部分，也是头部和四肢运动以及执行功能性任务的关键要求。中风可导致躯干控制能力受损，受到与中风相关的平衡、肌肉功能、协调和位置感障碍的影响。恢复躯干控制能力被认为是中风康复的关键目标。目的：评估躯干训练干预对中风患者的有效性。方法：对 Thijs 等人的 Cochrane 综述（2023 年）进行总结，并从康复角度提出意见。结果：68 项研究（2585 名参与者）被纳入 Cochrane 综述。结果发现，与其他剂量匹配的疗法相比，躯干训练对日常活动能力的测量没有任何益处，但确实改善了躯干功能和其他结果。就日常活动能力、躯干功能和其他结果而言，躯干训练比非剂量匹配疗法更有益。这些研究结果的确定性很低。结论：有证据支持将躯干训练作为中风康复的一部分。然而，由于证据的数量、质量和异质性，这些研究结果的确定性很低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

NeuroRehabilitation CLINICAL NEUROLOGY-REHABILITATION

CiteScore

3.20

自引率

0.00%

发文量

178

审稿时长

6-12 weeks

期刊介绍： NeuroRehabilitation, an international, interdisciplinary, peer-reviewed journal, publishes manuscripts focused on scientifically based, practical information relevant to all aspects of neurologic rehabilitation. We publish unsolicited papers detailing original work/research that covers the full life span and range of neurological disabilities including stroke, spinal cord injury, traumatic brain injury, neuromuscular disease and other neurological disorders. We also publish thematically organized issues that focus on specific clinical disorders, types of therapy and age groups. Proposals for thematic issues and suggestions for issue editors are welcomed.