Physical Exercise Reduces Fall-Related Outcomes Among People With Stroke: A Systematic Review and Meta-Analysis.

IF 3.3 4区医学 Q1 ORTHOPEDICS

Physical Therapy Pub Date : 2026-09-16 DOI:10.1093/ptj/pzag098

Xun Li, Yuk Kwan Chan, Yiu Lam Tong, Jingwen Zhuang, Fangfei Xiong, Stanley Hughwa Hung, Hei Yuen Wan, Ching Hei Wong, Ka Yu Wong, Austen Cheuk Fung Li, Tiev Miller, Marco Yiu Chung Pang

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引用次数: 0

Abstract

Importance: Stroke markedly increases fall risk. Physical exercise is a potential approach to reducing falls poststroke.

Objective: The objective was to evaluate the effect of physical exercise on falls in people with stroke, and to examine participant and exercise protocol characteristics that may affect treatment response.

Design: This was a systematic review and meta-analysis of randomized controlled trials.

Setting: Following the PRISMA guidelines, PubMed, CINAHL, Cochrane Database, PsycINFO, Embase, and Web of Science databases were systematically searched.

Participants: People with stroke were studied.

Intervention: Physical exercise training was the intervention examined in this systematic review.

Main outcomes and measures: Number of falls/injurious falls/fallers were the outcomes examined.

Results: Eighteen studies (1536 participants) were included. Overall, physical exercise significantly reduced the number of falls by 39% (incidence rate ratio (IRR = 0.61, 95% CI = [0.47, 0.78]). The effect on the number of injurious falls (IRR = 0.63, 95% CI = [0.37, 1.05]) and fallers (IRR = 0.88; 95% CI = [0.73, 1.0]) was less apparent. Exploratory subgroup analyses revealed that programs focusing on balance training and those integrating physical exercise with cognitive components (eg, dual-task training/mind-body exercise) were most effective, compared with walking training, combined balance/walking training, and strength training. People in the chronic stage of stroke and with mild to moderate disability may benefit more from exercise.

Conclusions: Physical exercise is effective in improving fall-related outcomes among people with stroke, particularly for people in the chronic stage with mild/moderate disability levels may gain more benefits. Physical exercise programs incorporating balance training and cognitive components may be more effective for fall prevention.

Relevance: This results of this systematic review provide insight into exercise training for fall prevention in stroke rehabilitation.

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体育锻炼减少中风患者跌倒相关的结果：一项系统回顾和荟萃分析。

重要性：中风显著增加跌倒风险。体育锻炼是减少中风后跌倒的潜在方法。目的：目的是评估体育锻炼对中风患者跌倒的影响，并检查可能影响治疗反应的参与者和运动方案特征。设计：这是一项随机对照试验的系统综述和荟萃分析。环境：按照PRISMA指南，系统检索PubMed， CINAHL, Cochrane Database, PsycINFO， Embase和Web of Science数据库。参与者：研究了中风患者。干预措施：在本系统综述中，体育锻炼训练是干预措施。主要结局和测量方法：检查的结局是跌倒/伤害性跌倒/跌倒者的数量。结果：纳入18项研究（1536名受试者）。总体而言，体育锻炼显著减少了39%的跌倒次数(发病率比（IRR = 0.61, 95% CI =[0.47, 0.78]）。对伤害性跌倒次数（IRR = 0.63, 95% CI =[0.37, 1.05]）和跌倒次数（IRR = 0.88, 95% CI =[0.73, 1.0]）的影响不太明显。探索性亚组分析显示，与步行训练、平衡/步行联合训练和力量训练相比，专注于平衡训练和将体育锻炼与认知成分（如双任务训练/身心锻炼）相结合的项目最有效。处于慢性中风阶段和轻度到中度残疾的人可能从运动中获益更多。结论：体育锻炼可以有效改善中风患者的跌倒相关结果，特别是对于慢性轻度/中度残疾的患者可能会获得更多益处。结合平衡训练和认知成分的体育锻炼项目可能对预防跌倒更有效。相关性：本系统综述的结果为卒中康复中运动训练预防跌倒提供了见解。

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

Physical Therapy Multiple-

CiteScore

7.10

自引率

0.00%

发文量

187

审稿时长

4-8 weeks

期刊介绍： Physical Therapy (PTJ) engages and inspires an international readership on topics related to physical therapy. As the leading international journal for research in physical therapy and related fields, PTJ publishes innovative and highly relevant content for both clinicians and scientists and uses a variety of interactive approaches to communicate that content, with the expressed purpose of improving patient care. PTJ"s circulation in 2008 is more than 72,000. Its 2007 impact factor was 2.152. The mean time from submission to first decision is 58 days. Time from acceptance to publication online is less than or equal to 3 months and from acceptance to publication in print is less than or equal to 5 months.