Effects of Mind⁻Body Movements on Balance Function in Stroke Survivors: A Meta-Analysis of Randomized Controlled Trials.

Author: Zou L1,2, Yeung A3, Li C4, Chiou SY5, Zeng N6, Tzeng HM7, Wang L8, Ren Z9, Dean T10, Thomas GA11
Affiliation:
1Department of Physical Education, Wuhan University of Technology, Wuhan 430070, China. wanglin123@126.com.
2Department of Sports Science and Physical Education, the Chinese University of Hong Kong, Shatin, Hong Kong, China. wanglin123@126.com.
3Depression Clinical and Research Program, Harvard Medical School, Harvard University, Boston, MA 02114, USA. AYEUNG@mgh.harvard.edu.
4Department of Health and Physical Education, The Education University of Hong Kong, Tai Po, Hong Kong, China. cxli@eduhk.hk.
5School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham B15 2TT, UK. s.chiou12@imperial.ac.uk.
6School of Kinesiology, University of Minnesota-Twin Cities, Minneapolis, MN 55455, USA. zengx185@umn.edu.
7College of Nursing, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK S7N 2Z4, Canada. tzenghm@gmail.com.
8Department of Physical Education, Wuhan University of Technology, Wuhan 430070, China. liyezou123@cuhk.edu.hk.
9Department of Physical Education, Shenzhen University, Shenzhen 518060, China. rzb@szu.edu.cn.
10Depression Clinical and Research Program, Harvard Medical School, Harvard University, Boston, MA 02114, USA. TDEAN4@mgh.harvard.edu.
11Depression Clinical and Research Program, Harvard Medical School, Harvard University, Boston, MA 02114, USA. GTHOMAS12@mgh.harvard.edu.
Conference/Journal: Int J Environ Res Public Health.
Date published: 2018 Jun 20
Other: Volume ID: 15 , Issue ID: 6 , Special Notes: doi: 10.3390/ijerph15061292. , Word Count: 212

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&rsquo;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&rsquo;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 (&beta; = 0.00142, 95% CI 0.0039 to 0.0244, p = 0.0067) and dose of weekly training (&beta; = 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.

KEYWORDS: Tai Chi; Yoga; mindfulness movement; rehabilitation; stroke

PMID: 29925770 DOI: 10.3390/ijerph15061292

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