A systematic review to examine the functional balance in individuals with stroke

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Type: 
Thesis
Year: 
2013
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Thesis for staff homepage.pdf309.85 KB
Abstract: 

Abstract

Background: Treadmill training is a new popular method of treating walking problems and enhancing the balance in individuals with stroke.

Objectives: To evaluate the effectiveness of the treadmill training on the functional balance in individuals with stroke.

Search methods: A comprehensive search was conducted on the databases; CINAHL (1981 to 2013), AMED (1985 to 2013), EMBASE (1985 to 2013), Medline (1946 to 2013), Pubmed, Cochrane library, SIGLE and PEDro in addition to the conference and abstract search, hand search, citation and internet sources.

Selection criteria: Randomised or quasi- randomised controlled trials and cohort studies of the efficacy of treadmill training on functional balance in individuals with stroke.

Data collection: One author selected the trials, extracted the data and assessed the quality of the studies using quality appraisal tools.

Main results: Ten included randomised controlled trials involved 475 participants were included. The methodological weaknesses and strengths varied between the trails. The results of the trials identified significant improvement of the functional balance in stroke patients after receiving the treadmill training as intervention. Berg balance scale score identified significant differences before and after treatment in most of the included articles.

Conclusion: Despite of the methodological weaknesses in the involved trials, there is evidence about the efficacy of the treadmill training on the functional balance in individuals with stroke.