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Exercise Interventions for Individuals with Neurological Disorders

A Systematic Review of Systematic Reviews

Lai, Chien-Hung MD, PhD1,2; Chen, Hung-Chou MD1,3; Liou, Tsan-Hon MD, PhD1,3; Li, Wei MD2; Chen, Shih-Ching MD, PhD1,2

American Journal of Physical Medicine & Rehabilitation: June 13, 2019 - Volume Publish Ahead of Print - Issue - p
doi: 10.1097/PHM.0000000000001247
Invited Literature Review: PDF Only
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Fall prevention requires a multifaceted approach that should include individual risk assessment and intervention strategies. Exercise interventions may mitigate most risk factors for falls (e.g., balance impairment, gait impairment, and muscle weakness). Numerous systematic reviews (SRs) or meta-analyses have assessed the effectiveness of exercise interventions among people with various types of neurological disorders; however, the evidence obtained has not been synthesized into an overview. Therefore, the present SR assessed SRs of exercise intervention for fall prevention among people with neurological disorders. The research sources were the Cochrane Database of Systematic Reviews, PubMed, and Embase. Eligible studies were selected, and data were extracted independently by two reviewers. A total of 15 studies (6 SRs and 9 meta-analyses) were included. These SRs examined in this study have demonstrated that exercise interventions reduced the number, frequency, and rate of falls among people with neurological disorders, including cognitive impairment, dementia, and Parkinson disease. Furthermore, the current study presented insufficient evidence regarding the effectiveness of exercise interventions for fall prevention among people with stroke, multiple sclerosis (MS), and diabetes mellitus with polyneuropathy (DMP). Therefore, additional investigations are necessary to evaluate the effectiveness of exercise for fall prevention among people with MS, stroke, and DMP.

1Department of Physical Medicine and Rehabilitation, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan

2Department of Physical Medicine and Rehabilitation, Taipei Medical University Hospital, Taipei, Taiwan

3Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan

Correspondence to: Shih-Ching Chen, Department of Physical Medicine and Rehabilitation, Taipei Medical University Hospital, No. 252, Wu-Hsing St., Taipei City 110, Taiwan, Tel: 886-2-27372181 ext. 3538; Fax: 886-2-55589880; E-mail: csc@tmu.edu.tw

Conflicts of Interest/Disclosure: The authors have no conflicts of interest to report.

Funding: This study received no funding.

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