Abstract
Objective
To critically evaluate the rehabilitative effects of mindful exercises for poststroke
patients.
Data Sources
Six databases (PubMed, Physiotherapy Evidence Database, Cochrane Library, Web of Science,
Wanfang, Chinese National Knowledge Infrastructure) and reference lists of relevant
articles were searched.
Study Selection
Randomized controlled trials on the effects of mindful exercises on rehabilitative
outcomes such as sensorimotor function, gait speed, leg strength, aerobic endurance,
cognitive function, and overall motor function.
Data Extraction
Two investigators independently screened eligible studies according to the eligible
criteria, extracted data, and assessed risk of bias.
Data Synthesis
A total of 20 studies that satisfied the eligibility criteria were finally included.
The sum scores of 5-9 points in the adapted Physiotherapy Evidence Database scale
indicates low-to-medium risk of bias. The study results of meta-analysis indicate
that mindful exercise intervention was significantly associated with improved sensorimotor
function on both lower limb (standardized mean difference=0.79; 95% confidence interval,
0.43-1.15; P<.001; I2=62.67%) and upper limb (standardized mean difference=0.7; 95% confidence interval,
0.39-1.01; P<.001; I2=32.36%).
Conclusions
This review suggests that mindful exercises are effective in improving sensorimotor
function of lower and upper limbs in poststroke patients. The effects on gait speed,
leg strength, aerobic endurance, overall motor function, and other outcomes (eg, cognitive
function, gait parameters) require further investigation for allowing evidence-based
conclusions.
Keywords
List of abbreviations:
CI (confidence interval), FMA (Fugl-Meyer assessment), RCT (randomized controlled trial), SMD (standardized mean difference)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: May 05, 2018
Footnotes
Disclosures: none.
Identification
Copyright
© 2018 by the American Congress of Rehabilitation Medicine
