Exercise therapy can effectively improve trunk performance and sitting balance in spinal cord injury: a systematic review and meta-analysis.
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| Title: | Exercise therapy can effectively improve trunk performance and sitting balance in spinal cord injury: a systematic review and meta-analysis. |
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| Authors: | Okawara, Hiroki (AUTHOR), Sawada, Tomonori (AUTHOR), Onuki, Saki (AUTHOR), Sugai, Keiko (AUTHOR), Okubo, Toshiki (AUTHOR), Ozaki, Masahiro (AUTHOR), Tsuji, Osahiko (AUTHOR), Nagoshi, Narihito (AUTHOR), Sato, Yasunori (AUTHOR), Nakamura, Masaya (AUTHOR) |
| Source: | Neurological Sciences. Apr2025, Vol. 46 Issue 4, p1581-1597. 17p. |
| Subjects: | Exercise physiology, Spinal cord injuries, Randomized controlled trials, Crossover trials, Exercise therapy |
| 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). [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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