Evidence map›Paper›PMID 40866917›Full record

ArticleBMC sports science, medicine & rehabilitation2025

Effectiveness of different exercise interventions on balance and cognitive functions in stroke patients: A network meta-analysis.

Minghui Du, Longwei Chen, Liang Xia, Yunan Li, Enyi Ma, Zhiwei Hu, Xu Gao

Abstract read
In one paragraph

Article in BMC sports science, medicine & rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. 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

7 authors.

Minghui Du *Sports Center, Xi'an Jiaotong University, Xi'an Shaanxi, 710049, People's Republic of China.
Longwei Chen *Sports Center, Xi'an Jiaotong University, Xi'an Shaanxi, 710049, People's Republic of China.
Liang XiaSports Center, Xi'an Jiaotong University, Xi'an Shaanxi, 710049, People's Republic of China.
Yunan LiSports Center, Xi'an Jiaotong University, Xi'an Shaanxi, 710049, People's Republic of China.
Enyi MaSports Center, Xi'an Jiaotong University, Xi'an Shaanxi, 710049, People's Republic of China.
Zhiwei HuSports Center, Xi'an Jiaotong University, Xi'an Shaanxi, 710049, People's Republic of China.
Xu GaoSchool of Physical Education, Northeast Normal University, 5268 Renmin Street, Changchun Jilin, 130024, People's Republic of China. Gaoxu320@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExercise interventions are proven to improve functional outcomes in stroke patients, yet the optimal and safest exercise modalities remain uncertain. This network meta-analysis (NMA) aims to systematically compare the effects of various exercise interventions on balance and cognitive functions, providing robust evidence to guide clinical decision-making.

methodsWeb of Science, PubMed, Embase, and Cochrane Library were searched up to September 2024. Randomized controlled trials (RCTs) evaluating exercise interventions for balance and cognitive improvements in stroke patients were included. Quality assessment and data extraction were performed, followed by Bayesian NMA using Stata 15.0 and R 4.41.

resultsThis study ultimately included 40 RCTs with 2,302 patients. Six commonly employed exercise interventions in clinical treatment were covered, including aerobic exercise (AE), core stability exercise (CSE), physical/mental exercise (PME), resistance training (RT), high-intensity interval training (HIIT), and mixed-component exercise (Mixed). According to the surface under the cumulative ranking curve (SUCRA), Mixed was the most effective intervention for improving Berg balance scale scores (SUCRA = 82.89%). AE was the most effective intervention for improving patients' performance on the timed up and go test (SUCRA = 88.46%). PME exhibited superior effectiveness in improving Montreal cognitive assessment scores (SUCRA = 86.43%).

conclusionsMixed and AE noticeably improves balance function in stroke patients, while PME and AE notably enhance cognitive function. The efficacy of other forms of exercise requires further validation. For patients whose primary objective is to improve balance, we recommend prioritizing Mixed. In cases of markedly impaired physical function, a single type of exercise should be selected. For patients aiming to enhance cognitive function, we recommend the selection of PME as the preferred option.

trial registrationRegistration date: 23 September 2024. PROSPERO registration number: CRD42024593741.

Indexed as

Balance functionCognitive functionExercise therapyStroke

Identifiers

PMID40866917
PMCPMC12382136

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.