@article{ref1,
title="The effect of interventions on balance self-efficacy in the stroke population: a systematic review and meta-analysis",
journal="Clinical rehabilitation",
year="2015",
author="Tang, Ada and Tao, Amy and Soh, Michelle and Tam, Carolyn and Tan, Hannah and Thompson, Jessica and Eng, Janice J.",
volume="29",
number="12",
pages="1168-1177",
abstract="OBJECTIVE: To conduct a systematic review of clinical trials that examined the effectiveness of interventions on balance self-efficacy among individuals with stroke. <br><br>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. <br><br>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). <br><br>CONCLUSIONS: Physical activity interventions appear to be effective in improving balance self-efficacy after stroke.<p /> <p>Language: en</p>",
language="en",
issn="0269-2155",
doi="10.1177/0269215515570380",
url="http://dx.doi.org/10.1177/0269215515570380"
}