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The effect of interventions on balance self-efficacy in the stroke population

TANG A; TAO A; SOH M; TAM C; TAN H; THOMPSON J; ENG JJ
CLIN REHABIL , 2015, vol. 29, n° 12, p. 1168-1177
Doc n°: 176731
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1177/0269215515570380
Descripteurs : AF21 - ACCIDENTS VASCULAIRES CEREBRAUX, DF1 - EQUILIBRATION

OBJECTIVE: To conduct a systematic review of clinical trials that examined the
effectiveness of interventions on balance self-efficacy among individuals with
stroke. DESIGN: Systematic review. SUMMARY OF REVIEW: Searches of the following
databases were completed in December 2014: MEDLINE (1948-present), CINAHL
(1982-present), EMBASE (1980-present) and PsycINFO
(1987-present) for controlled
clinical trials that measured balance self-efficacy in adults with stroke.
Reference lists of selected articles were hand-searched to identify further
relevant studies. REVIEW METHODS: Two independent reviewers performed data
extraction and assessed the methodological quality of the studies using the
Physical Therapy Evidence Database Scale. Standardized mean differences (SMD)
were calculated. RESULTS:
A total of 19 trials involving 729 participants used
balance self-efficacy as a secondary outcome. Study quality ranged from poor (n =
3) to good (n = 8). In the meta-analysis of 15 trials that used intensive
physical activity interventions, a moderate beneficial effect on balance
self-efficacy was observed immediately following the programs (SMD 0.44, 95% CI
0.11-0.77, P = 0.009). In the studies that included follow-up assessments, there
was no difference between groups across retention periods (eight studies, SMD
0.32, 95% CI -0.17-0.80, P = 0.20). In the four studies that used motor imagery
interventions, there was no between-group difference in change in balance
self-efficacy (fixed effects SMD 0.68, 95% CI -0.33-1.69,
P = 0.18). CONCLUSIONS:
Physical activity interventions appear to be effective in improving balance
self-efficacy after stroke.
CI - (c) The Author(s) 2015.

Langue : ANGLAIS

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