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Ravichandran H, Sharma HR, Haile TG, et al. Effects of trunk exercise with physioball to improve trunk balance among subjects with stroke: a systematic review and meta-analysis. J Exerc Rehabil. 2020;16(4):313-324doi: 10.12965/jer.2040292.146.
Ravichandran, H., Sharma, H. R., Haile, T. G., Gelaw, A. Y., Gebremeskel, B. F., & Janakiraman, B. (2020). Effects of trunk exercise with physioball to improve trunk balance among subjects with stroke: a systematic review and meta-analysis. Journal of exercise rehabilitation, 16(4), 313-324. https://doi.org/10.12965/jer.2040292.146
Ravichandran, Hariharasudhan, et al. "Effects of trunk exercise with physioball to improve trunk balance among subjects with stroke: a systematic review and meta-analysis." Journal of exercise rehabilitation vol. 16,4 (2020): 313-324. doi: https://doi.org/10.12965/jer.2040292.146
Ravichandran H, Sharma HR, Haile TG, Gelaw AY, Gebremeskel BF, Janakiraman B. Effects of trunk exercise with physioball to improve trunk balance among subjects with stroke: a systematic review and meta-analysis. J Exerc Rehabil. 2020 Aug 25;16(4):313-324. doi: 10.12965/jer.2040292.146. eCollection 2020 Aug. PMID: 32913836; PMCID: PMC7463064.
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J Exerc Rehabil. 2020 Aug 25;16(4):313-324. doi: 10.12965/jer.2040292.146. eCollection 2020 Aug.

Effects of trunk exercise with physioball to improve trunk balance among subjects with stroke: a systematic review and meta-analysis.

Journal of exercise rehabilitation

Hariharasudhan Ravichandran, Hidangmayum Richa Sharma, Tsiwaye Gebreyesus Haile, Asmare Yitayeh Gelaw, Berihu Fisseha Gebremeskel, Balamurugan Janakiraman

Affiliations

  1. Department of Physiotherapy, School of Medicine, College of Health Sciences and Ayder Comprehensive Specialized Hospital, Mekelle University, Mekelle, Ethiopia.
  2. Department of Physiotherapy, Sakra Institute of Rehabilitation Sciences, Sakra World Hospital, Bengaluru, India.
  3. Department of Physiotherapy, School of Medicine, College of Medicine and Health Sciences, University of Gondar Comprehensive Specialized Hospital, University of Gondar, Gondar, Ethiopia.

PMID: 32913836 PMCID: PMC7463064 DOI: 10.12965/jer.2040292.146

Abstract

Poststroke subjects present with difficulties of reduced functional mobility and balance. Trunk impairment is common among stroke subjects which hinder the performance of upper and lower limb. In poststroke rehabilitation limbs are provided much attention than the trunk. Trunk function has been identified as an important early predictor of functional outcome after stroke. Physioball is commonly used among healthy subjects in performing trunk exercises. This systematic review with meta-analysis is conducted to investigate the effect of trunk exercises performed using physioball in improving trunk performance after stroke. Six authors identified relevant articles from the following databases: PubMed, Google Scholar, CINAHL (Cumulative Index and Nursing and Allied Health Literature), PEDro (Physiotherapy Evidence Database). Articles evaluating the effect of physioball exercise for improving trunk stability among stroke subjects were included. Databases were screened from 2009 and up to 2019. Qualitative synthesis of evidence was prepared and meta-analysis was implemented to draw pooled effects of physioball exercise on improving trunk performance and balance among stroke subjects. Eight papers were included, totaling 273 participants. All the articles included in this review demonstrated moderate to good quality. Meta-analysis performed with seven papers demonstrated statistical significance of physioball in improving trunk performance during acute and subacute stages of stroke. Brunnel Balance Assessment outcomes demonstrated statistically significant improvement of balance among overall stroke survivors. Trunk exercise performed over a physioball is effective during the acute and subacute stage. This meta-analysis could not find its significant effect in improving trunk performance in the chronic stages.

Copyright © 2020 Korean Society of Exercise Rehabilitation.

Keywords: Hemiplegia; Physioball; Stroke; Swiss ball; Trunk impairment scale

Conflict of interest statement

CONFLICT OF INTEREST No potential conflict of interest relevant to this article was reported.

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