Article

Several interventions have been proposed to rehabilitate patients
with neurologic dysfunctions due to stroke. However, the effectiveness of
circuit-based exercises according to its actual definition, ie, an overall
program to improve strength, stamina, balance or functioning, was not provided.
OBJECTIVE: To examine the effectiveness of circuit-based exercise in the
treatment of people affected by stroke. METHODS: A search through PubMed, Embase,
Cochrane Library, and Physiotherapy Evidence Database databases was performed to
identify controlled clinical trials without language or date restriction. The
overall mean difference with 95% confidence interval was calculated for all
outcomes. Two independent reviewers assessed the risk of bias. RESULTS: Eleven
studies met the inclusion criteria, and 8 presented suitable data to perform a
meta-analysis. Quantitative analysis showed that circuit-based exercise was more
effective than conventional intervention on gait speed (mean difference of 0.11
m/s) and circuit-based exercise was not significantly more effective than
conventional intervention on balance and functional mobility. CONCLUSION: Our
results demonstrated that circuit-based exercise presents better effects on gait
when compared with conventional intervention and that its effects on balance and
functional mobility were not better than conventional interventions. LEVEL OF
EVIDENCE: I.
CI - Copyright (c) 2018 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS