Evidence map›Paper›PMID 42219469›Full record

SynthesisBMC neurology2026

Comparative effectiveness of exercise interventions on postural balance and activity ability in stroke patients: a systematic review and network meta-analysis.

Yan Shi, Yiming Lu, Lihong Zhao, Cong Yu, Guo Zeng Zhang

Abstract readSystematic ReviewNetwork Meta-AnalysisComparative Study
In one paragraph

Synthesis in BMC neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Yan Shi *Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University, Shenzhen, China.
Yiming Lu *Institute of Nursing and Health, School of Nursing and Health, Henan University, Jinming Avenue, Kaifeng, Henan, 475004, China.
Lihong ZhaoShenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University, Shenzhen, China.
Cong YuShenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University, Shenzhen, China. yucong0923@163.com.
Guo Zeng ZhangInstitute of Nursing and Health, School of Nursing and Health, Henan University, Jinming Avenue, Kaifeng, Henan, 475004, China. zhanggz@henu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis systematic review and network meta-analysis aims to synthesize and compare the evidence on the effects of different exercise interventions on postural balance and activity ability in stroke survivors, and to determine their relative effectiveness through probability ranking, to provide to offer preliminary evidence for clinical practice in post-stroke rehabilitation.

methodsA systematic literature search was performed across the following electronic databases from inception until January 2026, China National Knowledge Infrastructure, Wanfang Data, Chinese Scientific Journal Database, Cochrane Library, Embase, PubMed, Web of Science, and MEDLINE. Version 2 of the Cochrane risk-of-bias tool for randomized trials (RoB-2) was used to assess the quality of included studies. The study protocol was registered a priori with PROSPERO CRD420251031404.

resultsThis study included a total of 24 randomized controlled trials, which compared the effects of six types of exercise interventions on the postural balance and activity ability of stroke patients: robot-assisted training, treadmill training, core stability training, resistance training, aquatic therapy, and overground gait. The analysis demonstrated that exercise interventions significantly improved postural balance (SMD = 0.27, 95% CI: 0.03, 0.51) and activity ability (SMD = 0.96, 95% CI: 0.15, 1.76) of stroke patients. Probability ranking further indicated that, compared to other exercise interventions, core stability training showed a superior potential in enhancing both postural balance (SUCRA = 75.4%; SMD = 0.50, 95% CI: 0.04, 0.96) and activity ability (SUCRA = 96.0%; SMD = 2.68, 95% CI: 0.66, 4.70).

conclusionsThis network meta-analysis indicates that core stability training shows the greatest potential in improving postural balance and activity ability in stroke patients. In clinical rehabilitation practice, it may be considered as a preferred option; however, given the limitations of evidence certainty, these findings should be interpreted cautiously and further validated by high-quality studies.

Indexed as

Exercise TherapyPostural BalanceStrokeStroke RehabilitationHumansRandomized Controlled Trials as TopicActivity abilityExercise interventionNetwork meta-analysisPostural balanceStroke

Identifiers

PMID42219469
PMCPMC13435453

What OpenQuestion holds

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Registered trials

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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.