TY  - JOUR
PY  - 2022//
TI  - Effect of physical exercise on fear of falling in patients with stroke: a systematic review and meta-analysis
JO  - Clinical rehabilitation
A1  - Chiu, Chi Yat
A1  - Ng, Michael Yu-Hin
A1  - Lam, Sum Chung
A1  - Hui, Ka Yan
A1  - Keung, Chun Ho
A1  - Ouyang, Huixi
A1  - Li, Xun
A1  - Pang, Marco Yiu-Chung
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVE: To consolidate the evidence on the effect of physical exercise on fear of falling in individuals with stroke.     DATA SOURCES: PubMed, CINAHL, Cochrane Database and MEDLINE. <br><br>METHODS: An extensive database search was conducted to identify the randomised controlled trials that examined the effect of physical exercise on fear of falling post-stroke. Grading of Recommendation, Assessment, Development and Evaluation (GRADE) was used to assess the quality of evidence for each meta-analysis. <br><br>RESULTS: Fourteen trials totalling 1211 participants were included in this review. Thirteen of these (1180 participants) were included in the meta-analyses. In the primary analysis, very low-quality evidence suggested that exercise reduced fear of falling post-stroke (standardized mean difference (SMD) 0.48; 95% confidence interval (CI) 0.23 to 0.72). The effect was diminished at three- to six-month follow-up after exercise training ended (SMD -0.09; 95% CI -0.27 to 0.10; high-quality evidence). In the sensitivity analyses, the treatment effect was more pronounced in individuals with a lower baseline Berg balance score (BBS ≤45; SMD 0.53; 95%CI 0.17 to 0.88) and for those trials with exercise frequency of ≥3 sessions per week (SMD 0.70; 95%CI 0.39 to 1.01). Compared with circuit-based training consisting of a combination of walking, balance and strengthening exercises (SMD 0.27; 95% CI -0.09 to 0.63), walking programmes seemed to generate a larger effect on fear of falling (SMD 1.06; 95%CI 0.43 to 1.70). <br><br>CONCLUSION: Physical exercise was beneficial for reducing fear of falling in individuals with stroke, particularly those with poorer balance ability.<p />  <p>Language: en</p>
LA  - en
SN  - 0269-2155
UR  - http://dx.doi.org/10.1177/02692155221135028
ID  - ref1
ER  -