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Titre : | Effects of Physical Exercise Interventions on DualTask Gait Speed Following Stroke: A Systematic Review and MetaAnalysis (2018) |
Auteurs : | Prudence Plummer ; Gözde Iyigün |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 12, 2018) |
Article en page(s) : | p. 2548-2560 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Attention ; Rééducation et réadaptation ; Vitesse de marche |
Mots-clés: | Gait ; Démarche ; Stroke ; Walking speed |
Résumé : |
Objectives To estimate the treatment effects of exercise and/or gait training interventions on dualtask walking in people with stroke. The secondary objective was to conduct subgroup analyses to compare the treatment effects of interventions involving dualtask training to those without any dualtask training. Data Sources A systematic search of the literature was conducted in 6 databases (PubMed, CINAHL, EMBASE, Web of Science, Cochrane Central Register of Controlled Trials, and Physiotherapy Evidence Database) up to July 18, 2017. Study Selection Randomized controlled trials (RCTs), nonrandomized controlled trials, or uncontrolled studies involving individuals with stroke and examining the effects of exercise and/or gait training interventions on dualtask gait speed. Data Extraction We extracted data on participant characteristics, intervention duration, frequency, and type; pre and post gait speed and secondary nongait task performance for single and dualtask conditions, types of tasks used for dualtask assessment and dualtask prioritization instructions. Data Synthesis Of 313 articles identified, 7 studies involving 12 independent treatment arms (n=124) met the inclusion criteria. There was a significant prepost intervention increase in dualtask gait speed (MD: 0.03m/s, 95% CI: 0.01, 0.06) and singletask gait speed (MD: 0.06m/s, 95% CI: 0.03, 0.09). Dualtask training tended to have a larger effect on dualtask gait speed than interventions without dualtask training. Betweengroup analysis of three RCTs found evidence of superiority of dualtask gait training over singletask gait training for improving dualtask gait speed (MD: 0.08m/s, 95% CI: 0.02, 0.14). Conclusions Exercise and gait training interventions, especially those involving dualtask practice, may improve dualtask gait speed after stroke, but the clinical significance is unclear. Current effect size estimates lack precision due to small sample sizes of existing studies. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S000399931830282X |