Exercise therapy can effectively improve trunk performance and sitting balance in spinal cord injury: a systematic review and meta-analysis.

IF 2.7 4区医学 Q2 CLINICAL NEUROLOGY

Neurological Sciences Pub Date : 2025-04-01 Epub Date: 2024-12-30 DOI:10.1007/s10072-024-07960-4

Hiroki Okawara, Tomonori Sawada, Saki Onuki, Keiko Sugai, Toshiki Okubo, Masahiro Ozaki, Osahiko Tsuji, Narihito Nagoshi, Yasunori Sato, Masaya Nakamura

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引用次数: 0

Abstract

Objective: To determine the effects of exercise on trunk performance and balance in patients with spinal cord injury (SCI).

Methods: We searched the databases MEDLINE, Cochrane Library, EMBASE, Physiotherapy Evidence Database, Web of Science, PsycINFO, and CINAHL from inception to June 2020. Our search targeted studies such as randomized or non-randomized controlled trials and randomized crossover trials that evaluated the effects of exercise on trunk performance and balance in patients with SCI.

Results: Seventeen eligible studies with 432 patients with SCI were included in the meta-analysis. The exercise significantly improved several measures: Berg Balance Scale (mean differences [MD] = 4.58; 95% confidence intervals [CI], 0.35, 8.8; p = 0.03), Modified Functional Reach Test (MD = 5.29; 95% CI, 4.16, 6.42; p < 0.01), T-shirt test (MD = 5.62; 95% CI, - 3.82, - 7.42; p < 0.01), Timed Up and Go (MD = - 1.70; 95% CI, - 0.23, - 3.16; p = 0.02). Improvements were also noted in total static sitting balance (standardized mean differences [SMD] = 1.21; 95% CI, 0.79, 1.63; p < 0.01), and total dynamic sitting balance (SMD = 1.01; 95% CI, 0.30, 1.73; p < 0.01). In the subgroup analysis, exercise with sensory input enhancement significantly improved total static (SMD = 1.37; 95% CI, 0.64, 2.11; p < 0.01) and total dynamic sitting balance (SMD = 1.78; 95% CI, 0.28, 3.29; p = 0.02).

Conclusions: Exercise may improve sitting balance in patients with SCI. Moreover, enhancement of sensory input had an add-on effect in improving sitting balance.

Registration: PROSPERO (CRD42020185904).

查看原文本刊更多论文

运动疗法可有效改善脊髓损伤患者的躯干功能和坐位平衡：一项系统综述和荟萃分析。

目的：探讨运动对脊髓损伤（SCI）患者躯干功能和平衡的影响。方法：检索MEDLINE、Cochrane Library、EMBASE、Physiotherapy Evidence Database、Web of Science、PsycINFO、CINAHL等数据库，检索时间自成立至2020年6月。我们的搜索目标是研究，如随机或非随机对照试验和随机交叉试验，以评估运动对脊髓损伤患者躯干性能和平衡的影响。结果：17项符合条件的研究纳入了432例SCI患者。运动显著改善了多项指标：Berg平衡量表(mean difference [MD] = 4.58；95%置信区间[CI]， 0.35, 8.8；p = 0.03)，修正功能到达测试(MD = 5.29；95% ci, 4.16, 6.42；结论：运动可以改善脊髓损伤患者的坐姿平衡。此外，感官输入的增强对改善坐姿平衡有附加效应。注册：PROSPERO （CRD42020185904）。

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

Neurological Sciences 医学-临床神经学

CiteScore

6.10

自引率

3.00%

发文量

743

审稿时长

4 months

期刊介绍： Neurological Sciences is intended to provide a medium for the communication of results and ideas in the field of neuroscience. The journal welcomes contributions in both the basic and clinical aspects of the neurosciences. The official language of the journal is English. Reports are published in the form of original articles, short communications, editorials, reviews and letters to the editor. Original articles present the results of experimental or clinical studies in the neurosciences, while short communications are succinct reports permitting the rapid publication of novel results. Original contributions may be submitted for the special sections History of Neurology, Health Care and Neurological Digressions - a forum for cultural topics related to the neurosciences. The journal also publishes correspondence book reviews, meeting reports and announcements.