Effect of Exercises in Hemiplegic Patients-A Systematic Review

Effect of Exercises in Hemiplegic Patients-A Systematic Review - Introduction: Muscle weakness is a common consequence of stroke and can result in a decrease in physical activity. Changes in gait performance can be observed, especially a reduction in gait speed, and increased gait asymmetry, and energy cost is also reported. Objective: The aim was to determine whether exercise can improve strength, balance and walking abilities in patients with hemiplegia. Method: Five databases (PubMed, Cochrane, PEDro, Web of Science, Embase) were searched to identify eligible studies. Randomized controlled trials were included. Pooled standardized mean differences were calculated using a random effects model. The PRISMA statement was followed to increase clarity of reporting. Results: Five studies, including 173 patients, reporting on the subject of progressive resistance training, specific task training, functional and aerobic cycling at high-intensity were analyzed. These interventions showed a statistically significant effect on strength and the Timed Up-and- Go test, and a non-significant effect on walking and the Berg Balance Scale. Conclusion: Progressive resistance training seemed to be the most effective treatment to improve strength. When it is appropriately targeted, it significantly improves strength.