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Effectiveness of rehabilitative interventions beginning within the first month of stroke onset in improving lower extremity-related outcomes: a systematic review and network meta-analysis

Reviews about early interventions, which are important in stroke rehabilitation due to significant neural plasticity, are relatively less. This study objective was to investigate the effectiveness of different interventions started within one-month post-stroke in improving lower extremity-related ou...

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Main Authors: Yeo Yh,, Razali Mf,, Ripin Zm,, Ridzwan Miz,
Format: Article
Language:English
Published: Penerbit UKM 2023
Online Access:http://journalarticle.ukm.my/24391/1/MH_3pdf_.pdf
http://journalarticle.ukm.my/24391/
https://medicineandhealthukm.com/toc/18/2
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spelling my-ukm.journal.243912024-10-15T03:20:01Z http://journalarticle.ukm.my/24391/ Effectiveness of rehabilitative interventions beginning within the first month of stroke onset in improving lower extremity-related outcomes: a systematic review and network meta-analysis Yeo Yh, Razali Mf, Ripin Zm, Ridzwan Miz, Reviews about early interventions, which are important in stroke rehabilitation due to significant neural plasticity, are relatively less. This study objective was to investigate the effectiveness of different interventions started within one-month post-stroke in improving lower extremity-related outcomes as compared to conventional rehabilitation and the corresponding effectiveness ranking. Cochrane Library, Ovid, PubMed, and Scopus were searched for articles dated up to 18 March 2022. Randomised controlled trials were included if they evaluated the effectiveness of two or more different non-drug, non-invasive, and non-surgical interventions which were started within one-month post-stroke on lower extremity-related outcomes. Network meta-analysis revealed that transcranial direct current stimulation, repetitive transcranial magnetic stimulation, mirror therapy, cycling, transcutaneous auricular vagus nerve stimulation, neuromuscular electrical stimulation (NMES), combination of robot and NMES, and thermal stimulation were significantly more effective in improving lower extremity motor function than conventional rehabilitation. In improving mobility, mirror therapy, cycling, and thermal stimulation were significantly more effective. In enhancing balance, physio ball, transcutaneous electrical nerve stimulation, cycling, thermal stimulation, and robot showed significantly higher effectiveness. Thermal stimulation scored the highest effectiveness ranking in improving lower extremity motor function and mobility whereas robot and backward walking achieved the highest effectiveness ranking in improving balance and gait speed respectively. Penerbit UKM 2023 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/24391/1/MH_3pdf_.pdf Yeo Yh, and Razali Mf, and Ripin Zm, and Ridzwan Miz, (2023) Effectiveness of rehabilitative interventions beginning within the first month of stroke onset in improving lower extremity-related outcomes: a systematic review and network meta-analysis. Medicine & Health, 18 (2). pp. 328-372. ISSN 1823-2140 https://medicineandhealthukm.com/toc/18/2
institution Universiti Kebangsaan Malaysia
building Tun Sri Lanang Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Kebangsaan Malaysia
content_source UKM Journal Article Repository
url_provider http://journalarticle.ukm.my/
language English
description Reviews about early interventions, which are important in stroke rehabilitation due to significant neural plasticity, are relatively less. This study objective was to investigate the effectiveness of different interventions started within one-month post-stroke in improving lower extremity-related outcomes as compared to conventional rehabilitation and the corresponding effectiveness ranking. Cochrane Library, Ovid, PubMed, and Scopus were searched for articles dated up to 18 March 2022. Randomised controlled trials were included if they evaluated the effectiveness of two or more different non-drug, non-invasive, and non-surgical interventions which were started within one-month post-stroke on lower extremity-related outcomes. Network meta-analysis revealed that transcranial direct current stimulation, repetitive transcranial magnetic stimulation, mirror therapy, cycling, transcutaneous auricular vagus nerve stimulation, neuromuscular electrical stimulation (NMES), combination of robot and NMES, and thermal stimulation were significantly more effective in improving lower extremity motor function than conventional rehabilitation. In improving mobility, mirror therapy, cycling, and thermal stimulation were significantly more effective. In enhancing balance, physio ball, transcutaneous electrical nerve stimulation, cycling, thermal stimulation, and robot showed significantly higher effectiveness. Thermal stimulation scored the highest effectiveness ranking in improving lower extremity motor function and mobility whereas robot and backward walking achieved the highest effectiveness ranking in improving balance and gait speed respectively.
format Article
author Yeo Yh,
Razali Mf,
Ripin Zm,
Ridzwan Miz,
spellingShingle Yeo Yh,
Razali Mf,
Ripin Zm,
Ridzwan Miz,
Effectiveness of rehabilitative interventions beginning within the first month of stroke onset in improving lower extremity-related outcomes: a systematic review and network meta-analysis
author_facet Yeo Yh,
Razali Mf,
Ripin Zm,
Ridzwan Miz,
author_sort Yeo Yh,
title Effectiveness of rehabilitative interventions beginning within the first month of stroke onset in improving lower extremity-related outcomes: a systematic review and network meta-analysis
title_short Effectiveness of rehabilitative interventions beginning within the first month of stroke onset in improving lower extremity-related outcomes: a systematic review and network meta-analysis
title_full Effectiveness of rehabilitative interventions beginning within the first month of stroke onset in improving lower extremity-related outcomes: a systematic review and network meta-analysis
title_fullStr Effectiveness of rehabilitative interventions beginning within the first month of stroke onset in improving lower extremity-related outcomes: a systematic review and network meta-analysis
title_full_unstemmed Effectiveness of rehabilitative interventions beginning within the first month of stroke onset in improving lower extremity-related outcomes: a systematic review and network meta-analysis
title_sort effectiveness of rehabilitative interventions beginning within the first month of stroke onset in improving lower extremity-related outcomes: a systematic review and network meta-analysis
publisher Penerbit UKM
publishDate 2023
url http://journalarticle.ukm.my/24391/1/MH_3pdf_.pdf
http://journalarticle.ukm.my/24391/
https://medicineandhealthukm.com/toc/18/2
_version_ 1814049138013110272
score 13.211869

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