Impact of Active Physiotherapy on Physical Activity Level in Stroke Survivors: A Systematic Review and Meta-Analysis
| dc.rights.license | open | en_US |
| dc.contributor.author | GONCALVES, Stephanie | |
| dc.contributor.author | LE BOURVELLEC, Morgane | |
| dc.contributor.author | MANDIGOUT, Stephane | |
| hal.structure.identifier | Bordeaux population health [BPH] | |
| dc.contributor.author | DUCLOS, Noemie C | |
| dc.date.accessioned | 2024-04-29T14:36:43Z | |
| dc.date.available | 2024-04-29T14:36:43Z | |
| dc.date.issued | 2023-12-01 | |
| dc.identifier.issn | 1524-4628 | en_US |
| dc.identifier.uri | https://oskar-bordeaux.fr/handle/20.500.12278/199511 | |
| dc.description.abstractEn | BACKGROUND: Stroke survivors are frequently physically inactive. However, evidence of the effectiveness of active physiotherapy on physical activity level in stroke survivors is scarce. METHODS: We conducted a systematic review and meta-analysis of randomized controlled trials according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis statement, covering electronic searches from inception to March 16, 2022. PARTICIPANTS: Stroke survivors living in the community. INTERVENTION: Any active physiotherapy, that is, involving exercises that require voluntary effort. OUTCOME MEASURE: Objective and subjective physical activity level. RESULTS: Of 5590 identified references, 25 randomized controlled trials were eligible, and 21 had available data. The random-effects meta-analysis resulted in a small, significant effect size in favor of active physiotherapy measured using objective or subjective tools (21 studies, 1834 participants, standardized mean difference, 0.22 [95% CI, 0.04-0.40]; heterogeneity I(2)=65%), and a medium significant effect when objective tools were used (9 studies, 424 participants, standardized mean differences, 0.48 [95% CI, 0.03-0.92]; I(2)=73%). Meta-regression showed that 35% of the variance in trial outcome was explained by the measurement tool (objective or subjective) and 23% by age. None of the variances were associated with a specific dosage in terms of frequency, time, exercise duration, or the severity of the disability. CONCLUSIONS: Active physiotherapy seems to increase objective physical activity in community-dwelling stroke survivors. However, the evidence is of very low certainty. REGISTRATION: URL: https://www.crd.york.ac.uk/PROSPERO/; Unique identifier: CRD42022315639. | |
| dc.language.iso | EN | en_US |
| dc.subject.en | Exercise | |
| dc.subject.en | Meta-analysis | |
| dc.subject.en | Physical therapy modalities | |
| dc.subject.en | Rehabilitation | |
| dc.subject.en | Stroke | |
| dc.subject.en | Systematic review | |
| dc.title.en | Impact of Active Physiotherapy on Physical Activity Level in Stroke Survivors: A Systematic Review and Meta-Analysis | |
| dc.title.alternative | Stroke | en_US |
| dc.type | Article de revue | en_US |
| dc.identifier.doi | 10.1161/strokeaha.123.043629 | en_US |
| dc.subject.hal | Sciences du Vivant [q-bio]/Santé publique et épidémiologie | en_US |
| dc.identifier.pubmed | 37909205 | en_US |
| bordeaux.journal | Stroke | en_US |
| bordeaux.page | 3097-3106 | en_US |
| bordeaux.volume | 54 | en_US |
| bordeaux.hal.laboratories | Bordeaux Population Health Research Center (BPH) - UMR 1219 | en_US |
| bordeaux.issue | 12 | en_US |
| bordeaux.institution | Université de Bordeaux | en_US |
| bordeaux.institution | INSERM | en_US |
| bordeaux.team | ACTIVE_BPH | en_US |
| bordeaux.peerReviewed | oui | en_US |
| bordeaux.inpress | non | en_US |
| hal.popular | non | en_US |
| hal.audience | Internationale | en_US |
| hal.export | false | |
| dc.rights.cc | Pas de Licence CC | en_US |
| bordeaux.COinS | ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Stroke&rft.date=2023-12-01&rft.volume=54&rft.issue=12&rft.spage=3097-3106&rft.epage=3097-3106&rft.eissn=1524-4628&rft.issn=1524-4628&rft.au=GONCALVES,%20Stephanie&LE%20BOURVELLEC,%20Morgane&MANDIGOUT,%20Stephane&DUCLOS,%20Noemie%20C&rft.genre=article |
