Content » Vol 43, Issue 7

Review article

Circuit class therapy for improving mobility after stroke: A systematic review.

Coralie English, Susan L. Hillier
DOI: 10.2340/16501977-0824

Abstract

Objective: To examine the effectiveness of group circuit class therapy for improving the mobility of adults after stroke.
Design: Cochrane systematic review.
Methods: A comprehensive search strategy was used to find randomized and quasi-randomized controlled trials of adults post-stroke receiving circuit class therapy. Two authors independently selected trials for inclusion, assessed the methodological rigor and extracted data.
Results: Six trials were included, involving 292 participants; most were community-dwelling survivors who were able to walk independently. Circuit class therapy was effective in improving walking ability (6-minute walk test mean difference, 76.6 m, 95% confidence interval 38.4–114.7, walking speed mean difference 0.12 m/s, 95% confidence interval 0–0.24) and balance (step test mean difference 3.0 steps, 95% confidence interval 0.08–5.9, activities specific balance confidence mean difference 7.76 points, 95% confidence interval 0.66–14.9). Other balance measures did not show a difference in effect. Results from two studies suggest that circuit class therapy can reduce length of hospital stay (mean difference –19.7 days, 95% confidence interval –35.4 to –4.0). Two studies measured adverse events (falls); all were minor.
Conclusion: Circuit class therapy is safe and effective in improving mobility in people after stroke and, when provided as part of hospital-based rehabilitation, may reduce length of stay.

Lay Abstract

Comments

Do you want to comment on this paper? The comments will show up here and if appropriate the comments will also separately be forwarded to the authors. You need to login/create an account to comment on articles. Click here to login/create an account.
Advertisement