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The efficacy of trunk training treatment intensities on trunk control of stroke patients: a systematic review, meta-analysis and meta-regression

This study aims to assess the efficacy of trunk training treatment intensities on trunk control of stroke patients with the Trunk Impairment Scale (TIS) score. A structured literature search was performed in several databases from the first indexed article until December 2022, including PubMed, Web...

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Main Authors: Nur-Akasyah J,, Ridzwan MIZ,, Razali MF,, Mohd Ripin Z,
Format: Article
Language:English
Published: Penerbit Universiti Kebangsaan Malaysia 2023
Online Access:http://journalarticle.ukm.my/24406/1/MH_2pdf_.pdf
http://journalarticle.ukm.my/24406/
https://www.medicineandhealthukm.com/sites/medicineandhealthukm.com/files/article/2023/2_ms0678_pdf_20497.pdf
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spelling my-ukm.journal.244062024-10-18T07:47:59Z http://journalarticle.ukm.my/24406/ The efficacy of trunk training treatment intensities on trunk control of stroke patients: a systematic review, meta-analysis and meta-regression Nur-Akasyah J, Ridzwan MIZ, Razali MF, Mohd Ripin Z, This study aims to assess the efficacy of trunk training treatment intensities on trunk control of stroke patients with the Trunk Impairment Scale (TIS) score. A structured literature search was performed in several databases from the first indexed article until December 2022, including PubMed, Web of Science, PEDro, Cochrane Library, and Scopus. In addition, the study selection was investigated following the PRISMA guideline. Only randomised controlled trials that examined the trunk training effectiveness on trunk control (measured by the TIS after stroke) were included. A total of 25 trials with 976 stroke patients were evaluated. Meanwhile, seven studies were classified as high bias risk. Irrespective of the training mode and methodology quality, the large effects favored trunk training compared to the control group. The sensitivity analysis revealed a large effect in favour of trunk training on trunk control [SMD = 1.16 (95% CI: 0.93-1.39); p<0.00001, I2 = 80%]. Subsequently, the most effective trunk training treatment duration was 10 hours of core stability exercise for trunk control improvement [SMD = 3.20 (95% CI: 2.25- 4.15)]. The meta-regression analysis demonstrated no strong evidence of trunk training treatment intensities on the effect sizes. Trunk training was effective in trunk rehabilitation. Nonetheless, specific trunk training was required for different stroke phases. Interestingly, the effect size was meaningfully enlarged by adding 15 minutes of core stability exercise to the conventional therapy (five sessions per week over eight weeks of intervention). This result was useful in determining the number of sessions for effective trunk rehabilitation Penerbit Universiti Kebangsaan Malaysia 2023 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/24406/1/MH_2pdf_.pdf Nur-Akasyah J, and Ridzwan MIZ, and Razali MF, and Mohd Ripin Z, (2023) The efficacy of trunk training treatment intensities on trunk control of stroke patients: a systematic review, meta-analysis and meta-regression. Medicine & Health, 18 (2). pp. 300-328. ISSN 1823-2140 https://www.medicineandhealthukm.com/sites/medicineandhealthukm.com/files/article/2023/2_ms0678_pdf_20497.pdf
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 This study aims to assess the efficacy of trunk training treatment intensities on trunk control of stroke patients with the Trunk Impairment Scale (TIS) score. A structured literature search was performed in several databases from the first indexed article until December 2022, including PubMed, Web of Science, PEDro, Cochrane Library, and Scopus. In addition, the study selection was investigated following the PRISMA guideline. Only randomised controlled trials that examined the trunk training effectiveness on trunk control (measured by the TIS after stroke) were included. A total of 25 trials with 976 stroke patients were evaluated. Meanwhile, seven studies were classified as high bias risk. Irrespective of the training mode and methodology quality, the large effects favored trunk training compared to the control group. The sensitivity analysis revealed a large effect in favour of trunk training on trunk control [SMD = 1.16 (95% CI: 0.93-1.39); p<0.00001, I2 = 80%]. Subsequently, the most effective trunk training treatment duration was 10 hours of core stability exercise for trunk control improvement [SMD = 3.20 (95% CI: 2.25- 4.15)]. The meta-regression analysis demonstrated no strong evidence of trunk training treatment intensities on the effect sizes. Trunk training was effective in trunk rehabilitation. Nonetheless, specific trunk training was required for different stroke phases. Interestingly, the effect size was meaningfully enlarged by adding 15 minutes of core stability exercise to the conventional therapy (five sessions per week over eight weeks of intervention). This result was useful in determining the number of sessions for effective trunk rehabilitation
format Article
author Nur-Akasyah J,
Ridzwan MIZ,
Razali MF,
Mohd Ripin Z,
spellingShingle Nur-Akasyah J,
Ridzwan MIZ,
Razali MF,
Mohd Ripin Z,
The efficacy of trunk training treatment intensities on trunk control of stroke patients: a systematic review, meta-analysis and meta-regression
author_facet Nur-Akasyah J,
Ridzwan MIZ,
Razali MF,
Mohd Ripin Z,
author_sort Nur-Akasyah J,
title The efficacy of trunk training treatment intensities on trunk control of stroke patients: a systematic review, meta-analysis and meta-regression
title_short The efficacy of trunk training treatment intensities on trunk control of stroke patients: a systematic review, meta-analysis and meta-regression
title_full The efficacy of trunk training treatment intensities on trunk control of stroke patients: a systematic review, meta-analysis and meta-regression
title_fullStr The efficacy of trunk training treatment intensities on trunk control of stroke patients: a systematic review, meta-analysis and meta-regression
title_full_unstemmed The efficacy of trunk training treatment intensities on trunk control of stroke patients: a systematic review, meta-analysis and meta-regression
title_sort efficacy of trunk training treatment intensities on trunk control of stroke patients: a systematic review, meta-analysis and meta-regression
publisher Penerbit Universiti Kebangsaan Malaysia
publishDate 2023
url http://journalarticle.ukm.my/24406/1/MH_2pdf_.pdf
http://journalarticle.ukm.my/24406/
https://www.medicineandhealthukm.com/sites/medicineandhealthukm.com/files/article/2023/2_ms0678_pdf_20497.pdf
_version_ 1814049140022181888
score 13.211869

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