Effects of mind–body movements on balance function in stroke survivors

A meta-analysis of randomized controlled trials

Liye Zou, Albert Yeung, Chunxiao Li, Shin Yi Chiou, Nan Zeng, Huey-Ming Tzeng, Lin Wang, Zhanbing Ren, Taquesha Dean, Garrett Anthony Thomas

Research output: Contribution to journalReview article

9 Citations (Scopus)

Abstract

Objective: We performed a systematic review with meta-analysis and meta-regression to determine if mind–body movements (MBM) could be effective in rehabilitating balance function among stroke survivors. Methods: A literature search was conducted using major Chinese and English electronic databases from an inception until January 2018. Randomized controlled studies were included in our meta-analysis. Data was independently extracted by two review authors using a pre-developed table and confirmed by a third party to reach a consensus. Pooled effect size (Hedge’s g) was computed while the random-effect model was set. Results: The meta-analytic results showed a significant benefit of the MBM intervention on increased balance function compared to the control groups (Hedge’s g = 1.59, CI 0.98 to 2.19, p < 0.001, I2 = 94.95%). Additionally, the meta-regression indicated that the total number of sessions (β = 0.00142, 95% CI 0.0039 to 0.0244, p = 0.0067) and dose of weekly training (β = 0.00776, 95% CI 0.00579 to 0.00972, p = 0.00) had significantly positive effects on balance function. Conclusions: The study encouraging findings indicate the rehabilitative effect of a MBM intervention for balance function in stroke survivors. However, there were significant limitations in the design among several of the included trials. Additional studies with more robust methodologies are needed to provide a more definitive conclusion.

Original languageEnglish (US)
Article number1292
JournalInternational Journal of Environmental Research and Public Health
Volume15
Issue number6
DOIs
StatePublished - Jun 20 2018
Externally publishedYes

Fingerprint

Meta-Analysis
Randomized Controlled Trials
Stroke
Databases
Control Groups

Keywords

  • Mindfulness movement
  • Rehabilitation
  • Stroke
  • Tai Chi
  • Yoga

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

Cite this

Effects of mind–body movements on balance function in stroke survivors : A meta-analysis of randomized controlled trials. / Zou, Liye; Yeung, Albert; Li, Chunxiao; Chiou, Shin Yi; Zeng, Nan; Tzeng, Huey-Ming; Wang, Lin; Ren, Zhanbing; Dean, Taquesha; Thomas, Garrett Anthony.

In: International Journal of Environmental Research and Public Health, Vol. 15, No. 6, 1292, 20.06.2018.

Research output: Contribution to journalReview article

Zou, Liye ; Yeung, Albert ; Li, Chunxiao ; Chiou, Shin Yi ; Zeng, Nan ; Tzeng, Huey-Ming ; Wang, Lin ; Ren, Zhanbing ; Dean, Taquesha ; Thomas, Garrett Anthony. / Effects of mind–body movements on balance function in stroke survivors : A meta-analysis of randomized controlled trials. In: International Journal of Environmental Research and Public Health. 2018 ; Vol. 15, No. 6.
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abstract = "Objective: We performed a systematic review with meta-analysis and meta-regression to determine if mind–body movements (MBM) could be effective in rehabilitating balance function among stroke survivors. Methods: A literature search was conducted using major Chinese and English electronic databases from an inception until January 2018. Randomized controlled studies were included in our meta-analysis. Data was independently extracted by two review authors using a pre-developed table and confirmed by a third party to reach a consensus. Pooled effect size (Hedge’s g) was computed while the random-effect model was set. Results: The meta-analytic results showed a significant benefit of the MBM intervention on increased balance function compared to the control groups (Hedge’s g = 1.59, CI 0.98 to 2.19, p < 0.001, I2 = 94.95{\%}). Additionally, the meta-regression indicated that the total number of sessions (β = 0.00142, 95{\%} CI 0.0039 to 0.0244, p = 0.0067) and dose of weekly training (β = 0.00776, 95{\%} CI 0.00579 to 0.00972, p = 0.00) had significantly positive effects on balance function. Conclusions: The study encouraging findings indicate the rehabilitative effect of a MBM intervention for balance function in stroke survivors. However, there were significant limitations in the design among several of the included trials. Additional studies with more robust methodologies are needed to provide a more definitive conclusion.",
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