Effects of Mind-Body Exercises for Mood and Functional Capabilities in Patients with Stroke: An Analytical Review of Randomized Controlled Trials
Department of Sports Science and Physical Education, The Chinese University of Hong Kong, Shatin, Hong Kong, China
Depression Clinical and Research Program, Massachusetts General Hospital, Harvard University, Boston, MA 02114, USA
Behavioral Health Department, The South Cove Community Health Center, Boston, MA 02111, USA
School of Kinesiology, University of Minnesota-Twin Cities, Minneapolis, MN 55455, USA
Department of Physical Education and Sports Science, Jilin University, Changchun 130012, China
School of Humanities and Social Science, The Chinese University of Hong Kong, Shenzhen 518172, China
Department of Physical Education, Shanghai Jiao Tong University, Shanghai 200240, China
Authors to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2018, 15(4), 721; https://doi.org/10.3390/ijerph15040721
Received: 23 February 2018 / Revised: 14 March 2018 / Accepted: 10 April 2018 / Published: 11 April 2018
Objective: The effects of stroke are both physical and mental in nature and may have serious implications on the overall well-being of stroke survivors. This analytical review aims to critically evaluate and statistically synthesize the existing literature regarding the effects of mind-body (MB) exercises on mood and functional capabilities in patients with stroke. Methods: A structured literature review was performed in both English (PubMed, PEDro, and Cochrane Library) and Chinese (Wanfang and CNKI (Chinese National Knowledge Information Database)) databases. Sixteen randomized controlled trials were considered eligible for meta-analysis. Based on the random effects model, we used the pooled effect size to determine the magnitude of rehabilitative effect of MB exercise intervention on depression, anxiety, activities of daily living, and functional mobility among stroke survivors. The sum PEDro score ranged from five to nine points (fair-to-good methodological quality), but the absence of concealed allocation and blinded assessors were reported in most studies. Results: The aggregated results showed that MB exercise intervention is associated with significantly improved ADL (Hedges’ g = 1.31, 95% CI 0.85 to 1.77, p < 0.001, I2 = 79.82%) and mobility (Hedges’ g = 0.67, 95% CI 0.25 to 1.09, p < 0.001, I2 = 69.65%), and reduced depression (Hedges’ g = −0.76, 95% CI −1.16 to −0.35, p < 0.001, I2 = 74.84%). Conclusions: as add-on treatments, the MB exercises may potentially improve depression, activities of daily living, and mobility of these post-stroke patients. Future studies with more robust methodology will be needed to provide a more definitive conclusion.