Evidence map›Paper›PMID 39758777›Full record

SynthesisFrontiers in neurology2024

Optimal proprioceptive training combined with rehabilitation regimen for lower limb dysfunction in stroke patients: a systematic review and network meta-analysis.

Kaiqi Zheng, Li Li, Yahui Zhou, Xiaokun Gong, Gangbin Zheng, Liang Guo

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Frontiers in neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Kaiqi ZhengSchool of Physical Education and Sports Science, South China Normal University, Guangzhou, Guangdong, China.
Li LiSchool of Health and Kinesiology, Georgia Southern University, Statesboro, CA, United States.
Yahui ZhouPhysical Education Department, Guangdong Pharmaceutical University, Guangzhou, Guangdong, China.
Xiaokun GongSchool of Physical Education and Sports Science, South China Normal University, Guangzhou, Guangdong, China.
Gangbin ZhengSchool of Physical Education and Sports Science, South China Normal University, Guangzhou, Guangdong, China.
Liang GuoSchool of Physical Education and Sports Science, South China Normal University, Guangzhou, Guangdong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This study aims to evaluate the optimal rehabilitation regimen for lower limb dysfunction in stroke patients by analyzing the effects of proprioceptive training (PT) in combination with different rehabilitation interventions. Methods: Randomized controlled trials (RCTs) published up to April 23, 2024, were searched from PubMed, Embase, Cochrane Library, Web of Science, CNKI, Wanfang, VIP, and SinoMed. The quality of the included studies was assessed using the Cochrane Risk of Bias tool (ROB 2.0). Network meta-analysis was performed via R studio and STATA 15.0. Results: A total of 64 RCTs involving 4,084 stroke patients with lower limb dysfunction were included. For balance ability in stroke patients, PT in combination with motor relearning programme (PT + MRP) demonstrated the optimal rehabilitation effect [surface under the cumulative ranking curve (SUCRA) 77.94%]. For lower limb motor function, PT in combination with closed kinematic chain exercises (PT + CKCE) was most effective (SUCRA 88.39%). For walking ability, PT in combination with visual feedback training (PT + VFT) was superior (SUCRA 96.61%). Cluster analysis indicated that PT + CKCE and PT + RT1 were the optimal rehabilitation regimens for lower limb dysfunction in stroke patients. Conclusion: PT+MRP was the optimal rehabilitation regimen for improving balance ability in stroke patients; PT+CKCE was the best for enhancing lower limb motor function; and PT+VFT was most effective for improving walking ability. Overall, PT+CKCE and PT+RT1 represented the optimal rehabilitation regimens for lower limb dysfunction in stroke patients, while PT+RT1 is most effective within 5 days of stroke onset. Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/#recordDetailsCRD42024548889, PROSPERO CRD42024548889.

Indexed as

closed kinematic chain exerciselower limb functionnetwork meta-analysisproprioceptive trainingstroke

Identifiers

PMID39758777
PMCPMC11695241

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.