Please use this identifier to cite or link to this item:
http://hdl.handle.net/10397/106170
DC Field | Value | Language |
---|---|---|
dc.contributor | Department of Rehabilitation Sciences | en_US |
dc.creator | Meng, LJ | en_US |
dc.creator | Liang, Q | en_US |
dc.creator | Yuan, JR | en_US |
dc.creator | Li, SY | en_US |
dc.creator | Ge, YL | en_US |
dc.creator | Yang, JY | en_US |
dc.creator | Tsang, RCC | en_US |
dc.creator | Wei, Q | en_US |
dc.date.accessioned | 2024-05-03T00:45:36Z | - |
dc.date.available | 2024-05-03T00:45:36Z | - |
dc.identifier.uri | http://hdl.handle.net/10397/106170 | - |
dc.language.iso | en | en_US |
dc.publisher | BioMed Central | en_US |
dc.rights | © The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. | en_US |
dc.rights | The following publication Meng, L., Liang, Q., Yuan, J. et al. Vestibular rehabilitation therapy on balance and gait in patients after stroke: a systematic review and meta-analysis. BMC Med 21, 322 (2023) is available at https://dx.doi.org/10.1186/s12916-023-03029-9. | en_US |
dc.subject | Vestibular rehabilitation | en_US |
dc.subject | Stroke | en_US |
dc.subject | Balance | en_US |
dc.subject | Gait | en_US |
dc.subject | Systematic review | en_US |
dc.subject | Meta-analysis | en_US |
dc.title | Vestibular rehabilitation therapy on balance and gait in patients after stroke : a systematic review and meta-analysis | en_US |
dc.type | Journal/Magazine Article | en_US |
dc.identifier.volume | 21 | en_US |
dc.identifier.doi | 10.1186/s12916-023-03029-9 | en_US |
dcterms.abstract | Background There is limited evidence to support the use of vestibular rehabilitation therapy (VRT) on improving balance and gait in patients after stroke. This systematic review aimed to evaluate the effects of VRT in addition to usual rehabilitation compared with usual rehabilitation on improving balance and gait for patients after stroke. Methods This review followed the Preferred Reporting Items for Systematic reviews and Meta-Analysis statement guidelines. Ten electronic databases were searched up to 1 June 2023 without restrictions in language and publication status. The PEDro scale and the Grading of Recommendations Assessment Development, and Evaluation were used to evaluate the risk of bias and the certainty of evidence. The meta-analysis was conducted with Review Manager 5.3. Results Fifteen randomised controlled trials with 769 participants were included. PEDro scale was used to assess the risk of bias with a mean score of 5.9 (0.7). VRT was effective in improving balance for patients after stroke (SMD = 0.59, 95% CI (0.40, 0.78), p < 0.00001), particularly for patients after stroke that occurred within 6 months (SMD = 0.56, 95% CI (0.33, 0.79), p < 0.00001) with moderate certainty of evidence. Subgroup analysis showed that VRT provided as gaze stability exercises combined with swivel chair training (SMD = 0.85, 95% CI (0.48, 1.22), p < 0.00001) and head movements (SMD = 0.75, 95% CI (0.43, 1.07), p < 0.00001) could significantly improve balance. Four-week VRT had better effect on balance improvement (SMD = 0.64, 95% CI (0.40, 0.89), p < 0.00001) than the less than 4-week VRT. The pooled mean difference of values of Timed Up-and-Go test showed that VRT could significantly improve gait function for patients after stroke (MD = -4.32, 95% CI (-6.65, -1.99), p = 0.0003), particularly for patients after stroke that occurred within 6 months (MD = -3.92, 95% CI (-6.83, -1.00), p = 0.008) with moderate certainty of evidence. Conclusions There is moderate certainty of evidence supporting the positive effect of VRT in improving balance and gait of patients after stroke. | en_US |
dcterms.accessRights | open access | en_US |
dcterms.bibliographicCitation | BMC medicine, 2023, v. 21, 322 | en_US |
dcterms.isPartOf | BMC medicine | en_US |
dcterms.issued | 2023 | - |
dc.identifier.isi | WOS:001074750800004 | - |
dc.identifier.eissn | 1741-7015 | en_US |
dc.identifier.artn | 322 | en_US |
dc.description.validate | 202405 bcrc | en_US |
dc.description.oa | Version of Record | en_US |
dc.identifier.FolderNumber | OA_Scopus/WOS | - |
dc.description.fundingSource | Others | en_US |
dc.description.fundingText | Not applicable. | en_US |
dc.description.pubStatus | Published | en_US |
dc.description.oaCategory | CC | en_US |
Appears in Collections: | Journal/Magazine Article |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
s12916-023-03029-9.pdf | 3.17 MB | Adobe PDF | View/Open |
Page views
10
Citations as of Jun 30, 2024
Downloads
3
Citations as of Jun 30, 2024
SCOPUSTM
Citations
5
Citations as of Jun 21, 2024
WEB OF SCIENCETM
Citations
6
Citations as of Jul 4, 2024
![](/image/google_scholar.jpg)
Google ScholarTM
Check
Altmetric
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.