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||Bank, J., Charles, K., & Morgan, P. (2016). What is the effect of additional physiotherapy on sitting balance following stroke compared to standard physiotherapy treatment: A systematic review. Topics in Stroke Rehabilitation, 23(1), 15-25.
||Equilibrium, exercise, literature reviews, motor skills, physical therapy, positioning, posture, rehabilitation, stroke
||Study reviewed research that compared the effects of standard physiotherapy to standard physiotherapy plus an additional physiotherapy treatment on the outcome of sitting balance after stroke. The Cochrane Library, CINAHL, Embase, Ovid Medline, AMED, and the Physiotherapy Evidence Database (PEDro) databases were searched up to December 2014 for relevant randomized controlled trials published in English in peer-reviewed journals. The PEDro scale was used to assess study quality. Eleven studies met inclusion criteria. Nine targeted the International Classification of Function, Disability and Health (ICF) domain of Activity. The Trunk Control Test (TCT) was used as a primary outcome measure in five studies, and the Trunk Impairment Scale (TIS) was used in four. There was a significant effect (mean difference = 1.67) favoring intervention, as measured by the TIS. There was no evidence to support the effect of additional treatment on sitting balance as measured by the TCT (mean difference = −1.53). The current evidence supports strategies that target deficits at the activity level and increase total treatment time. The TIS is most responsive as a measure of treatment efficacy. Further research is required using recommended outcome measures to facilitate generation of a minimum data set and data pooling.
|Full-Text Availability Options:||https://www.ncbi.nlm.nih.gov/pubmed/26086177|