Effects of exercise therapy on patients with poststroke cognitive impairment: A systematic review and meta-analysis

ObjectiveTo evaluate the effects of exercise therapy on patients with poststroke cognitive impairment and compare the differences in the effect of this method when compared with conventional measures, providing evidence for a more standardized and effective clinical application of exercise therapy.M...

Full description

Bibliographic Details
Main Authors: Yuanxing Zhang, Xichenhui Qiu, Jinghao Chen, Cuiling Ji, Fang Wang, Dan Song, Caiyan Liu, Lu Chen, Ping Yuan
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-04-01
Series:Frontiers in Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnins.2023.1164192/full
_version_ 1797851407389294592
author Yuanxing Zhang
Xichenhui Qiu
Jinghao Chen
Cuiling Ji
Fang Wang
Dan Song
Caiyan Liu
Lu Chen
Ping Yuan
author_facet Yuanxing Zhang
Xichenhui Qiu
Jinghao Chen
Cuiling Ji
Fang Wang
Dan Song
Caiyan Liu
Lu Chen
Ping Yuan
author_sort Yuanxing Zhang
collection DOAJ
description ObjectiveTo evaluate the effects of exercise therapy on patients with poststroke cognitive impairment and compare the differences in the effect of this method when compared with conventional measures, providing evidence for a more standardized and effective clinical application of exercise therapy.MethodsA search was conducted using 7 electronic databases, including PubMed, CINAHL, Web of Science, CENTRAL, CNKI, Wanfang, SinoMed, and clinical trials registry platforms for randomized controlled trials concerning exercise therapy on patients with poststroke cognitive impairment. Two researchers independently screened the literature, evaluated the quality, and extracted information. Meta-analysis was carried out using Review Manager 5.4 software.ResultsThere were 11 studies with 1,382 patients. Meta-analysis showed that exercise therapy could improve cognitive function [SMD = 0.67, 95% CI (0.31, 1.04), P = 0.0003], motor function [SMD = 1.81, 95% CI (0.41, 3.20), P = 0.01], and the activities of daily living [MD = 8.11, 95% CI (3.07, 13.16), P = 0.002] in patients with poststroke cognitive impairment.ConclusionExercise therapy can not only improve cognitive function in patients with poststroke cognitive impairment but also improve motor function and the activities of daily living. Medical staff should prioritize the management of patients with poststroke cognitive impairment and carry out exercise therapy actively to improve the cognitive function of patients with stroke.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/, identifier: CRD42023397553.
first_indexed 2024-04-09T19:17:25Z
format Article
id doaj.art-f83c78801f6a4038b7e04f16ef17636c
institution Directory Open Access Journal
issn 1662-453X
language English
last_indexed 2024-04-09T19:17:25Z
publishDate 2023-04-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Neuroscience
spelling doaj.art-f83c78801f6a4038b7e04f16ef17636c2023-04-06T05:00:44ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2023-04-011710.3389/fnins.2023.11641921164192Effects of exercise therapy on patients with poststroke cognitive impairment: A systematic review and meta-analysisYuanxing Zhang0Xichenhui Qiu1Jinghao Chen2Cuiling Ji3Fang Wang4Dan Song5Caiyan Liu6Lu Chen7Ping Yuan8Department of Neurosurgery, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing, ChinaHealth Science Center, Shenzhen University, Shenzhen, ChinaDepartment of Neurosurgery, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing, ChinaDepartment of Neurosurgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, Jiangsu Province, ChinaDepartment of Neurosurgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, Jiangsu Province, ChinaNursing Department, Shenzhen Shekou People's Hospital, Shenzhen, ChinaDepartment of Neurosurgery, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing, ChinaDepartment of Neurosurgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, Jiangsu Province, ChinaDepartment of Neurosurgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, Jiangsu Province, ChinaObjectiveTo evaluate the effects of exercise therapy on patients with poststroke cognitive impairment and compare the differences in the effect of this method when compared with conventional measures, providing evidence for a more standardized and effective clinical application of exercise therapy.MethodsA search was conducted using 7 electronic databases, including PubMed, CINAHL, Web of Science, CENTRAL, CNKI, Wanfang, SinoMed, and clinical trials registry platforms for randomized controlled trials concerning exercise therapy on patients with poststroke cognitive impairment. Two researchers independently screened the literature, evaluated the quality, and extracted information. Meta-analysis was carried out using Review Manager 5.4 software.ResultsThere were 11 studies with 1,382 patients. Meta-analysis showed that exercise therapy could improve cognitive function [SMD = 0.67, 95% CI (0.31, 1.04), P = 0.0003], motor function [SMD = 1.81, 95% CI (0.41, 3.20), P = 0.01], and the activities of daily living [MD = 8.11, 95% CI (3.07, 13.16), P = 0.002] in patients with poststroke cognitive impairment.ConclusionExercise therapy can not only improve cognitive function in patients with poststroke cognitive impairment but also improve motor function and the activities of daily living. Medical staff should prioritize the management of patients with poststroke cognitive impairment and carry out exercise therapy actively to improve the cognitive function of patients with stroke.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/, identifier: CRD42023397553.https://www.frontiersin.org/articles/10.3389/fnins.2023.1164192/fullstrokecognitive impairmentexercise therapysystematic reviewmeta-analysis
spellingShingle Yuanxing Zhang
Xichenhui Qiu
Jinghao Chen
Cuiling Ji
Fang Wang
Dan Song
Caiyan Liu
Lu Chen
Ping Yuan
Effects of exercise therapy on patients with poststroke cognitive impairment: A systematic review and meta-analysis
Frontiers in Neuroscience
stroke
cognitive impairment
exercise therapy
systematic review
meta-analysis
title Effects of exercise therapy on patients with poststroke cognitive impairment: A systematic review and meta-analysis
title_full Effects of exercise therapy on patients with poststroke cognitive impairment: A systematic review and meta-analysis
title_fullStr Effects of exercise therapy on patients with poststroke cognitive impairment: A systematic review and meta-analysis
title_full_unstemmed Effects of exercise therapy on patients with poststroke cognitive impairment: A systematic review and meta-analysis
title_short Effects of exercise therapy on patients with poststroke cognitive impairment: A systematic review and meta-analysis
title_sort effects of exercise therapy on patients with poststroke cognitive impairment a systematic review and meta analysis
topic stroke
cognitive impairment
exercise therapy
systematic review
meta-analysis
url https://www.frontiersin.org/articles/10.3389/fnins.2023.1164192/full
work_keys_str_mv AT yuanxingzhang effectsofexercisetherapyonpatientswithpoststrokecognitiveimpairmentasystematicreviewandmetaanalysis
AT xichenhuiqiu effectsofexercisetherapyonpatientswithpoststrokecognitiveimpairmentasystematicreviewandmetaanalysis
AT jinghaochen effectsofexercisetherapyonpatientswithpoststrokecognitiveimpairmentasystematicreviewandmetaanalysis
AT cuilingji effectsofexercisetherapyonpatientswithpoststrokecognitiveimpairmentasystematicreviewandmetaanalysis
AT fangwang effectsofexercisetherapyonpatientswithpoststrokecognitiveimpairmentasystematicreviewandmetaanalysis
AT dansong effectsofexercisetherapyonpatientswithpoststrokecognitiveimpairmentasystematicreviewandmetaanalysis
AT caiyanliu effectsofexercisetherapyonpatientswithpoststrokecognitiveimpairmentasystematicreviewandmetaanalysis
AT luchen effectsofexercisetherapyonpatientswithpoststrokecognitiveimpairmentasystematicreviewandmetaanalysis
AT pingyuan effectsofexercisetherapyonpatientswithpoststrokecognitiveimpairmentasystematicreviewandmetaanalysis