Intensive Training for Stroke: Evidence of Safety from Meta-analysis and Systematic Reviews
刊名 Medicinal Plant
作者 Wei XU,Jinlong CUI,Jiuxu ZHAO
作者单位 Department of Rehabilitation Medicine, Taihe Hospital, Hubei University of Medicine; Department of Rehabilitation Medicine
DOI 10.19601/j.cnki.issn2152-3924.2023.04.023
年份 2023
刊期 4
页码 90-92,98
关键词 Stroke, Intensive training, Safety, Meta-analysis
摘要 [Objectives] To investigate the safety of intensive training for stroke recovery. [Methods] A systematic electronic search was conducted up to December 1st, 2022, and the number of falls and fall-related injuries, as well as other adverse events, were extracted. Odds ratios (ORs) were calculated to assess the two intervention methods, and a 95% confidence interval (95% CI) was calculated for each of them to ensure the statistical accuracy of the results. The heterogeneity of the included studies was also tested. [Results] Five moderate to high quality studies comprising a total of 184 participants were included in this review. All five randomized controlled trials reported adverse events, including falls that did not result in injury, pain in the joints, back, muscle, or chest, and skin injuries such as cuts, bruises, and scrapes. The pooled analysis of these trials showed no statistically significant differences between the intensive training and control groups in terms of falls (P=0.35), pain (P=0.07), or skin injuries (P=0.90). [Conclusions] This review provides good evidence to suggest that intensive training is safe and feasible as a novel intervention during the stroke recovery.