Effect of Home-based Rehabilitation on Balance and Gait Function in Patient With Stroke: A Systematic Review and Meta-analysis
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Stroke is one of the most common disabilities experienced by the elderly in the community. However, stroke progresses to a chronic level, patients are discharged from medical institutions and eventually no longer receive therapeutic interventions at home. In this systematic review, we compared home-based rehabilitation (HBR) with comparison for patients with stroke. Literature published in Cumulative Index for Nursing and Allied Health Literature (CINAHL), Embase, Physiotherapy Evidence Database (PEDro), PubMed, and Google Scholar were reviewed. A total of 1,158 studies were initially retrieved. After reading the full texts, 11 articles were included in the systematic review. Quality assessment of the included studies was conducted using Risk of Bias (RoB) 2.0, and Egger’s regression test was used to evaluate publication bias. Data analysis was performed using the R studio software (R Studio). According to the quality assessment using RoB 2.0, three studies were evaluated as low risk, two as of some concern, and three as high risk. The overall effect size was moderate (0.309). The value of the balance function was a small effect size (0.201), while the value of the gait function was a moderate effect size (0.353). The values were small and moderate effect (0.154, 0.411) for the chronic and subacute conditions, respectively. According to the Egger’s regression test, no publication bias was observed. The findings of this study indicate that HBR resulted in the greatest improvement in gait function in patients with subacute stroke compared to those with chronic stroke. Therefore, the application of this intervention to patients with stroke in the community is recommended.
Abstract
Stroke is one of the most common disabilities experienced by the elderly in the community. However, stroke progresses to a chronic level, patients are discharged from medical institutions and eventually no longer receive therapeutic interventions at home. In this systematic review, we compared home-based rehabilitation (HBR) with comparison for patients with stroke. Literature published in Cumulative Index for Nursing and Allied Health Literature (CINAHL), Embase, Physiotherapy Evidence Database (PEDro), PubMed, and Google Scholar were reviewed. A total of 1,158 studies were initially retrieved. After reading the full texts, 11 articles were included in the systematic review. Quality assessment of the included studies was conducted using Risk of Bias (RoB) 2.0, and Egger’s regression test was used to evaluate publication bias. Data analysis was performed using the R studio software (R Studio). According to the quality assessment using RoB 2.0, three studies were evaluated as low risk, two as of some concern, and three as high risk. The overall effect size was moderate (0.309). The value of the balance function was a small effect size (0.201), while the value of the gait function was a moderate effect size (0.353). The values were small and moderate effect (0.154, 0.411) for the chronic and subacute conditions, respectively. According to the Egger’s regression test, no publication bias was observed. The findings of this study indicate that HBR resulted in the greatest improvement in gait function in patients with subacute stroke compared to those with chronic stroke. Therefore, the application of this intervention to patients with stroke in the community is recommended.
참고문헌 (49)
- Sharififar S, "Adding electrical stimulation during standard rehabilitation after stroke to improve motor function. A systematic review and meta-analysis", Ann Phys Rehabil Med, 61(5), pp.339~344 (2018)
- Chien WT, "Robot-assisted therapy for upper-limb rehabilitation in subacute stroke patients : a systematic review and meta-analysis", Brain Behav, 10(8), pp.e01742~ (2020)
- Veldema J, "Resistance training in stroke rehabilitation : systematic review and meta-analysis", Clin Rehabil, 34(9), pp.1173~1197 (2020)
- Chen J, "Effectiveness of using virtual reality-supported exercise therapy for upper extremity motor rehabilitation in patients with stroke : systematic review and meta-analysis of randomized controlled trials", J Med Internet Res, 24(6), pp.e24111~ (2022)
- Huang J, "Effects of physical therapy-based rehabilitation on recovery of upper limb motor function after stroke in adults : a systematic review and meta-analysis of randomized controlled trials", Ann Palliat Med, 11(2), pp.521~531 (2022)
- Baek CY, "The effect of the degree of dual-task interference on gait, dual-task cost, cognitive ability, balance, and fall efficacy in people with stroke : a cross-sectional study", Medicine(Baltimore), 100(24), pp.e26275~ (2021)
- Wolfe CD, "The effectiveness of community-based rehabilitation for stroke patients who remain at home : a pilot randomized trial", Clin Rehabil, 14(6), pp.563~569 (2000)
- Nadeau SE, "Effects of task-specific and impairment-based training compared with usual care on functional walking ability after inpatient stroke rehabilitation : LEAPS Trial", Neurorehabil Neural Repair, 27(4), pp.370~380 (2013)
- Malagoni AM, "Effects of a"test in-train out"walking program versus supervised standard rehabilitation in chronic stroke patients : a feasibility and pilot randomized study", Eur J Phys Rehabil Med, 52(3), pp.279~287 (2016)
- Chen J, "Effects of home-based telesupervising rehabilitation on physical function for stroke survivors with hemiplegia : a randomized controlled trial", Am J Phys Med Rehabil, 96(3), pp.152~160 (2017)
- Vahlberg B, "Short-term and long-term effects of a progressive resistance and balance exercise program in individuals with chronic stroke : a randomized controlled trial", Disabil Rehabil, 39(16), pp.1615~1622 (2017)
- Nordin NAM, "Effectiveness of home-based carer-assisted in comparison to hospital-based therapist-delivered therapy for people with stroke : a randomised controlled trial", NeuroRehabilitation, 45(1), pp.87~97 (2019)
- Chen S, "Effectiveness of a home-based exercise program among patients with lower limb spasticity post-stroke : a randomized controlled trial", Asian Nurs Res(Korean Soc Nurs Sci), 15(1), pp.1~7 (2021)
- Lim JH, "Home-based rehabilitation programs on postural balance, walking, and quality of life in patients with stroke : a single-blind, randomized controlled trial", Medicine(Baltimore), 100(35), pp.e27154~ (2021)
- Aphiphaksakul P, "Home-based exercise using balance disc and smartphone inclinometer application improves balance and activity of daily living in individuals with stroke : a randomized controlled trial", PLoS One, 17(11), pp.e0277870~ (2022)
- Jarbandhan A, "Feasibility of a home-based physiotherapy intervention to promote post-stroke mobility : a randomized controlled pilot study", PLoS One, 17(3), pp.e0256455~ (2022)
- Mao YR, "Spatiotemporal, kinematic and kinetic assessment of the effects of a foot drop stimulator for home-based rehabilitation of patients with chronic stroke : a randomized clinical trial", J Neuroeng Rehabil, 19(1), pp.56~ (2022)
- Jang HY, "Perception and use of balance measures for stroke patients among physical therapists in South Korea", J Phys Ther Sci, 29(2), pp.255~260 (2017)
- Cho KH, "Factors related to gait function in post-stroke patients", J Phys Ther Sci, 26(12), pp.1941~1944 (2014)
- Lewek MD, "The relationship between spatiotemporal gait asymmetry and balance in individuals with chronic stroke", J Appl Biomech, 30(1), pp.31~36 (2014)
- Lopes PG, "Relationships of balance, gait performance, and functional outcome in chronic stroke patients : a comparison of left and right lesions", Biomed Res Int, 2015, pp.716042~ (2015)
- Hornby TG, "Clinical practice guideline to improve locomotor function following chronic stroke, incomplete spinal cord injury, and brain injury", J Neurol Phys Ther, 44(1), pp.49~100 (2020)
- Johnston TE, "A clinical practice guideline for the use of ankle-foot orthoses and functional electrical stimulation post-stroke", J Neurol Phys Ther, 45(2), pp.112~196 (2021)
- Winstein CJ, "Guidelines for adult stroke rehabilitation and recovery : a guideline for healthcare professionals from the American Heart Association", American Stroke Association, 2016, pp.47(6), e98~e169
- Deutschbein J, "Community care coordination for stroke survivors : results of a complex intervention study", BMC Health Serv Res, 20(1), pp.1143~ (2020)
- Wang F, "Early physical rehabilitation therapy between 24 and 48 h following acute ischemic stroke onset : a randomized controlled trial", Disabil Rehabil, 44(15), pp.3967~3972 (2022)
- Lee M, "A literature review of issues and tasks by period of revision of regulations related to convalescent rehabilitation wards in Japan : focusing on quality evaluation", J Korean Phys Ther, 34(1), pp.26~37 (2022)
- Moshabela M, "Needs assessment for home-based care and the strengthening of social support networks : the role of community care workers in rural South Africa", Glob Health Action, 8, pp.29265~ (2015)
- Yamada T, "Behavioral analysis of the choice of community-based formal home care, informal home care and nursing home care in Japan", Geneva Pap Risk Insur Issues Pract, 31(4), pp.600~632 (2006)
- Chan A, "Coping with rapid population ageing in Asia", pp.28~35 (2021), ERIA
- Lee H, "Effectiveness of multicomponent home-based rehabilitation in older patients after hip fracture surgery : a systematic review and meta-analysis", J Clin Nurs, 32(1-2), pp.31~48 (2023)
- Costa SN, "Effects of home-based exercise programs on mobility, muscle strength, balance, and gait in community-dwelling older adults : a systematic review and meta-analysis", J Aging Phys Act, 31(4), pp.693~704 (2023)
- Page MJ, "The PRISMA 2020 statement : an updated guideline for reporting systematic reviews", BMJ, 372, pp.n71~ (2021)
- Farrah K, "Risk of bias tools in systematic reviews of health interventions : an analysis of PROSPERO-registered protocols", Syst Rev, 8(1), pp.280~ (2019)
- Linares-Espinós E, "Methodology of a systematic review", Actas Urol Esp(Engl Ed), 42(8), pp.499~506 (2018)
- Martimbianco ALC, "Most Cochrane systematic reviews and protocols did not adhere to the Cochrane's risk of bias 2. 0 tool", Rev Assoc Med Bras(1992), 69(3), pp.469~472 (2023)
- Bowden J, "Mendelian randomization with invalid instruments : effect estimation and bias detection through Egger regression", Int J Epidemiol, 44(2), pp.512~525 (2015)
- Han YG, "Effectiveness of whole-body vibration in patients with cerebral palsy : a systematic review and meta-analysis", Medicine(Baltimore), 102(48), pp.e36441~ (2023)
- Zainal NZ, "The efficacy of mindfulness-based stress reduction on mental health of breast cancer patients : a meta-analysis", Psychooncology, 22(7), pp.1457~1465 (2013)
- Borenstein M, "Introduction to meta-analysis" (2021), Wiley
- Han YG, "Effectiveness of treadmill training on gait function in children with cerebral palsy : meta-analysis", J Exerc Rehabil, 16(1), pp.10~19 (2020)
- Grigoras IF, "Recent advances in the role of excitation-inhibition balance in motor recovery post-stroke", Fac Rev, 10, pp.58~ (2021)
- Meltzer EO, "Minimal clinically important difference(MCID)in allergic rhinitis : agency for healthcare research and quality or anchor-based thresholds?", J Allergy Clin Immunol Pract, 4(4), pp.682~688 (2016)
- Han YG, "Effects of home-visit rehabilitation services provided via community-integrated care on the quality of life, balance control, cognitive function, activities of daily living and occupational performance among home-based people with disabilities", Korean J Phys Mult Health Disabil, 66(3), pp.95~108 (2023)
- Rauch A, "How to apply the International Classification of Functioning, Disability and Health(ICF)for rehabilitation management in clinical practice", Eur J Phys Rehabil Med, 44(3), pp.329~342 (2008)
- Grzelczyk D, "Gait pattern generator for control of a lower limb exoskeleton", Vib Phys Syst, 29, pp.2018007~ (2018)
- Lee KB, "Six-month functional recovery of stroke patients : a multi-time-point study", Int J Rehabil Res, 38(2), pp.173~180 (2015)
- Andrews AW, "Short-term recovery of limb muscle strength after acute stroke", Arch Phys Med Rehabil, 84(1), pp.125~130 (2003)
- Hunt S, "Nursing care of older people with diabetes" (2005), Blackwell Publishing;