TY - JOUR
T1 - Effects of trunk exercise with physioball to improve trunk balance among subjects with stroke
T2 - A systematic review and meta-analysis
AU - Ravichandran, Hariharasudhan
AU - Sharma, Hidangmayum Richa
AU - Haile, Tsiwaye Gebreyesus
AU - Gelaw, Asmare Yitayeh
AU - Gebremeskel, Berihu Fisseha
AU - Janakiraman, Balamurugan
N1 - Funding Information:
We sincerely thank the College of Medicine and Health Sciences, of the Mekelle University and University of Gondar for helping us with the internet service, online library access, and library services during the review process
Publisher Copyright:
© 2020 Korean Society of Exercise Rehabilitation.
PY - 2020/8
Y1 - 2020/8
N2 - Poststroke subjects present with difficulties of reduced functional mobility and balance. Trunk impairment is common among stroke subjects which hinder the performance of upper and lower limb. In poststroke rehabilitation limbs are provided much attention than the trunk. Trunk function has been identified as an important early predictor of functional outcome after stroke. Physioball is commonly used among healthy subjects in performing trunk exercises. This systematic review with meta-analysis is conducted to investigate the effect of trunk exercises performed using physioball in improving trunk performance after stroke. Six authors identified relevant articles from the following databases: PubMed, Google Scholar, CINAHL (Cumulative Index and Nursing and Allied Health Literature), PEDro (Physiotherapy Evidence Database). Articles evaluating the effect of physioball exercise for improving trunk stability among stroke subjects were included. Databases were screened from 2009 and up to 2019. Qualitative synthesis of evidence was prepared and meta-analysis was implemented to draw pooled effects of physioball exercise on improving trunk performance and bal-ance among stroke subjects. Eight papers were included, totaling 273 participants. All the articles included in this review demonstrated moderate to good quality. Meta-analysis performed with seven papers demonstrated statistical significance of physioball in improving trunk performance during acute and subacute stages of stroke. Brunnel Balance Assessment outcomes demonstrated statistically significant improvement of balance among overall stroke survivors. Trunk exercise performed over a physioball is effective during the acute and subacute stage. This meta-analysis could not find its significant effect in improving trunk performance in the chronic stages.
AB - Poststroke subjects present with difficulties of reduced functional mobility and balance. Trunk impairment is common among stroke subjects which hinder the performance of upper and lower limb. In poststroke rehabilitation limbs are provided much attention than the trunk. Trunk function has been identified as an important early predictor of functional outcome after stroke. Physioball is commonly used among healthy subjects in performing trunk exercises. This systematic review with meta-analysis is conducted to investigate the effect of trunk exercises performed using physioball in improving trunk performance after stroke. Six authors identified relevant articles from the following databases: PubMed, Google Scholar, CINAHL (Cumulative Index and Nursing and Allied Health Literature), PEDro (Physiotherapy Evidence Database). Articles evaluating the effect of physioball exercise for improving trunk stability among stroke subjects were included. Databases were screened from 2009 and up to 2019. Qualitative synthesis of evidence was prepared and meta-analysis was implemented to draw pooled effects of physioball exercise on improving trunk performance and bal-ance among stroke subjects. Eight papers were included, totaling 273 participants. All the articles included in this review demonstrated moderate to good quality. Meta-analysis performed with seven papers demonstrated statistical significance of physioball in improving trunk performance during acute and subacute stages of stroke. Brunnel Balance Assessment outcomes demonstrated statistically significant improvement of balance among overall stroke survivors. Trunk exercise performed over a physioball is effective during the acute and subacute stage. This meta-analysis could not find its significant effect in improving trunk performance in the chronic stages.
KW - Hemiplegia
KW - Physioball
KW - Stroke
KW - Swiss ball
KW - Trunk impairment scale
UR - http://www.scopus.com/inward/record.url?scp=85090004686&partnerID=8YFLogxK
U2 - 10.12965/jer.2040292.146
DO - 10.12965/jer.2040292.146
M3 - Review Article
C2 - 32913836
AN - SCOPUS:85090004686
VL - 16
SP - 313
EP - 324
JO - Journal of Exercise Rehabilitation
JF - Journal of Exercise Rehabilitation
SN - 2288-176X
IS - 4
ER -