The effectiveness of hydrokinesiotherapy on postural balance of hemiplegic patients after stroke: a systematic review and meta-analysis

Ιατρίδου, Γεωργία; Pelidou, Sygkliti-Henrietta; Varvarousis, Dimitrios; Stergiou, Alexandra; Beris, Alexander; Givissis, Panagiotis; Ploumis, Avraam

doi:10.1177/0269215517748454

Cited by 22 publications

(18 citation statements)

References 32 publications

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“…It has also been noted that increased somatosensory inputs and visual deprivation might exert positive effects on top of balance training, as well as enriched environment 4,5,18,19 . Water-based exercise, by utilizing the properties of water, including buoyancy, viscosity, turbulence, and hydrostatic pressure, has been suggested to improve balance control 20,21 . Two reviews summarized that the water-based exercise for neurological disorder covers a wide variety, including resistance training, movement facilitation, motor control training, balance training, coordination training and other specific techniques 21,22 .…”

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confidence: 99%

“…Two reviews summarized that the water-based exercise for neurological disorder covers a wide variety, including resistance training, movement facilitation, motor control training, balance training, coordination training and other specific techniques 21,22 . They indicated that stroke patients improved significantly more in weight shifting ability, dynamic balance, and functional mobility as compared with the land-based intervention 21,22 .Ai Chi, first developed by Jun Konno in 1990s 23 , is one kind of water-based exercise emphasizing characteristics of balance training 24 . It resembles Tai Chi on land, complemented by Zen shiatzu and Watsu concepts 25 .…”

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“…weight bearing is required and larger displacement can be achieved. Currently, some studies have mentioned the benefits of Ai Chi for neurological involved patients 21,22 . Bayraktar et al showed positive effects of 8 weeks of Ai Chi training on muscle strength, muscle endurance, functional mobility, and fatigue severity in patients with multiple sclerosis 26 .…”

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The effects of Ai Chi for balance in individuals with chronic stroke: a randomized controlled trial

Ku¹,

Chen

Yang³

et al. 2020

Sci Rep

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This study investigated the effectiveness of Ai Chi compared to conventional water-based exercise on balance performance in individuals with chronic stroke. A total of 20 individuals with chronic stroke were randomly allocated to receive either Ai Chi or conventional water-based exercise for 60 min/time, 3 times/week, and a total of 6 weeks. Balance performance assessed by limit of stability (LOS) test and Berg balance scale (BBS). Fugl-Meyer assessment (FMA) and gait performance were documented for lower extremity movement control and walking ability, respectively. Excursion and movement velocity in LOS test was significantly increased in anteroposterior axis after receiving Ai Chi (p = 0.005 for excursion, p = 0.013 for velocity) but not conventional water-based exercise. In particular, the improvement of endpoint excursion in the Ai Chi group has significant inter-group difference (p = 0.001). Both groups showed significant improvement in BBS and FMA yet the Ai Chi group demonstrated significantly better results than control group (p = 0.025). Ai Chi is feasible for balance training in stroke, and is able to improve weight shifting in anteroposterior axis, functional balance, and lower extremity control as compared to conventional water-based exercise.Stroke is a cerebral vascular disease caused by the interruption of the blood supply to the brain, cutting off the supply of oxygen and nutrients 1 . Damage to the brain tissue leads to sensory, motor, cognitive, and emotional deficits. With impaired motor and sensory functions, stroke patients suffer from deficits in balance control which plays crucial role in ambulatory function and thus as an important clinical indicator 2-5 . Balance is defined as the ability to maintain center of mass (COM) within the stability limits, the boundaries of the base of support (BOS) 6 . Balance control can be quantified by limit of stability (LOS) test, expressed by movement velocity, displacement excursion, and directional control 7,8 . Individuals with stroke usually show decline in the abovementioned balance performance 9-12 . Bohannon 13 noted the correlation between static standing ability and independent mobility in stroke patients (r = 0.62). Lee et al. 14 found that walking velocity is associated with maximal displacement excursion in LOS test (r = 0.68, p < 0.01) and Berg balance scale (r = 0.66, p < 0.01) in patients with stroke. In addition, the balance-related fall risks should also be addressed in people with chronic stroke 15,16 . Therefore, it is crucial to improve balance control in order to improve the balance-related activities for individuals with stroke.Several elements, such as strengthening, postural control, weight shifting, and agility exercise, are necessary to be incorporated during balance training 17 . It has also been noted that increased somatosensory inputs and visual deprivation might exert positive effects on top of balance training, as well as enriched environment 4,5,18,19 . Water-based exercise, by utilizing the properties of water, including ...

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The effects of Ai Chi for balance in individuals with chronic stroke: a randomized controlled trial

Ku¹,

Chen

Yang³

et al. 2020

Sci Rep

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“…Tekrar sandalyeye oturdukları andaki skorları kronometre tutularak saniye cinsinden kaydedildi. TUG'da testin 10 saniyeden önce bitirilmesi fonksiyonel bağımsızlığı, 30 saniyeden uzun sürede bitirilmesi ise fonksiyonel bağımlılığı gösterir [30][31][32][33] .…”

Section: Ayak Plantar Yüzeyinin Duyu Eşiklerinin öLçümüunclassified

Investigation of the Relationship Between Plantar Sensation, Postural Balance, Falling Risk and Gait in Patients with Schizophrenia

Büyükturan¹,

Kararti²,

Kılıç³

et al. 2019

Kafkas J Med Sci

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Aim: There is no objective data about whether symptom severity is associated with plantar sensation in schizophrenic individuals. In addition, the studies examining relationship between symptom severity and postural balance, falling risk, and gait are also inadequate. Therefore, it was aimed to investigate the relationship between symptom severity and plantar sensation, postural balance, falling risk and gait in terms of parameters examined. Material and Method: A total of 45 healthy schizophrenic individuals were included in the study. Individuals who were diagnosed with schizophrenia by a psychiatrist according to [Diagnostic and Statistical Manual of Mental Disorders-V] (DSM-V) and clinical assessment were assessed by an experienced physiotherapist. In the assessment of the participants, the Positive and Negative Syndrome Scale (PANSS), Semmes-Weinstein Monofilament (SWM), Berg Balance Scale (BBS), Tinetti Falls Efficacy Scale (TFES), Walk-a-Line Ataxia Battery (WLAB), and Timed Up and Go Test (TUG) were used. Pearson Correlation Analysis was used to evaluate the relationship between symptom severity of the cases and plantar sensory, postural balance, falling risk and gait. Results: There was a low-moderate and positive (r=0.35-0.52) correlation between SWM scores and PANSS positive syndrome and total score subscales (p=0.001-0.025). There was a low-to-moderate (r =-0.33 /-0.41) and negative relationship between PANSS all subscales and BBS scores (p = 0.011-0.030). It has been found that there were low-moderate and positive correlations between all subscales of PANSS and TUG (r=0.33-0.42; p=0.009-0.030) and TFES (r=0.36-0.41;p=0.011-0.023) scores. Also, there was a significant low-tomoderate and positive correlation between PANSS scores and WLAB test performed with closed eyes (r= 0.33-0.42; p=0.015-0.043). Conclusion: The increase in the symptom severity of schizophrenia is associated with deterioration in plantar sensation, postural balance, gait and increase in the risk of falling. Secondary problems that may ocur due to increased symptom severity should be kept in mind by the clinician.

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“…Одним из ярких примеров критики «статистического» подхода к интерпретации результатов является комментарий к метаанализу G. Iatridou и соавт. «The effectiveness of hydrokinesiotherapy on postural balance of hemiplegic patients after stroke: a systematic review and metaanalysis» [8], опубликованный M. Saltychev и соавт. [9] в феврале 2018 г. В данном комментарии авторы указывают, что при интерпретации данных метаанализа необходимо ориентироваться не на точечные оценки (средний эффект), а на доверительные интервалы для величины эффекта, и рассматривать нижнюю границу для доверительного интервала (минимальную эффективность) как величину, которая должна сопоставляться с оценкой клинической значимости.…”

Section: № 4 1st Editionunclassified

Critical analysis of the publication 'Metaanalysis: esomeprazole or rabeprazole vs. first-generation pump inhibitors in the treatment of infection'

Nikonov¹,

Solodovnikov²,

Кайбышева³

et al. 2018

Dok. gastroenterol.

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Цель исследования: акцентировать внимание практикующих врачей, научных работников и представителей регуляторных ведомств на необходимости и доступности критической оценки результатов метаанализов Материал и методы. Критический разбор методологического качества, результатов и выводов систематического обзора с метаанализом сравнения схем эрадикационной антихеликобактерной терапии с включением ингибиторов протонной помпы (ИПП) нового или первого поколений Применены русскоязычная версия опросника AMSTAR, а также методы статистической интерпретации результатов метаанализа Результаты. Показано, что анализируемый систематический обзор с метаанализом написан с серьезными нарушениями методов отбора публикаций и интерпретации данных, с отклонениями как от общепринятых правил проведения мета-анализа, так и от заявленных авторами критериев Авторы метаанализа необоснованно преувеличили клиническую значимость полученных минимальных различий между группами и сделали вводящие читателя в заблуждение выводы о превосходстве схем эрадикации H. pylori с включением ИПП нового поколения над схемами с ИПП первого поколения Заключение. Приведенный в статье пример демонстрирует, что не только практикующие врачи, но и разработчики клинических рекомендаций не всегда критически подходят к оценке качества метаанализов, априори полагая результаты такого способа обобщения данных наиболее приближенными к истине В настоящее время принятие клинического решения о выборе ИПП нового или первого поколения в схемах эрадикационной антихеликобактерной терапии на основании результатов разобранного метаанализа представляется необоснованным и нецелесообразным Ключевые слова: метаанализ, доказательная медицина, ингибиторы протонной помпы, H. pylori, эрадикационная антихеликобактерная терапия, пантопразол, рабепразол, эзомепразол, омепразол, лансопразол.

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The effectiveness of hydrokinesiotherapy on postural balance of hemiplegic patients after stroke: a systematic review and meta-analysis

Abstract: HT is superior to land therapy program regarding postural balance in terms of BBS, ML and AP sway velocity of center of pressure.

Cited by 22 publications

References 32 publications

The effects of Ai Chi for balance in individuals with chronic stroke: a randomized controlled trial

The effects of Ai Chi for balance in individuals with chronic stroke: a randomized controlled trial

Investigation of the Relationship Between Plantar Sensation, Postural Balance, Falling Risk and Gait in Patients with Schizophrenia

Critical analysis of the publication 'Metaanalysis: esomeprazole or rabeprazole vs. first-generation pump inhibitors in the treatment of infection'

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