Rehabilitation for balance impairment in patients after stroke: a protocol of a systematic review and network meta-analysis

作者：Juan Li, Dongling Zhong, Jing Ye, Mingxing He, Xicen Liu, Hui Zheng, Rongjiang Jin, Shaolan Zhang · 发表于：BMJ Open · 年份：2019 · DOI：10.1136/bmjopen-2018-026844 · 被引用次数：98 · 研究领域：Stroke Rehabilitation and Recovery、Balance, Gait, and Falls Prevention、Botulinum Toxin and Related Neurological Disorders

INTRODUCTION: Multiple rehabilitation therapies have been reported to be effective for poststroke balance impairment. However, the comparative effectiveness of these rehabilitation therapies is still unclear. Therefore, the aim of this study is to summarise evidence and identify the most effective rehabilitation therapy for poststroke balance impairment. METHODS AND ANALYSIS: The following databases will be searched: China Biology Medicine, China National Knowledge Infrastructure, Wan Fang Data, the Chinese Science and Technology Periodical Database, Medline, Excerpt Medical Database (EMBASE), Web of Science, the Cochrane Library, from inception to June 2019. All randomised controlled trials that have used rehabilitation interventions to treat poststroke balance impairment will be included. The primary outcomes are the Berg Balance Scale, the Fugl-Meyer Assessment (balance), the Postural Assessment Scale for Stroke, as well as the function in sitting test, the Sitting Balance Scale, the Ottawa Sitting Scale, the Activities-specific Balance Confidence Scale, the Overall Balance Index and the Brunel Balance Assessment. The secondary outcomes include the Barthel Index, the Functional Ambulation Category Scale, fall rates, the Timed Up and Go test, the MOS 36-Item Short-Form Health Survey, and adverse events. To ensure that all relevant studies are included without personal bias, study selection, data extraction and quality assessment will be performed independently by two review...