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Effects of Mind-Body Exercises for Mood and Functional Capabilities in Patients with Stroke: An Analytical Review of Randomized Controlled Trials

Author

Listed:
  • Liye Zou

    (Department of Sports Science and Physical Education, The Chinese University of Hong Kong, Shatin, Hong Kong, China)

  • Albert Yeung

    (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)

  • Nan Zeng

    (School of Kinesiology, University of Minnesota-Twin Cities, Minneapolis, MN 55455, USA)

  • Chaoyi Wang

    (Department of Physical Education and Sports Science, Jilin University, Changchun 130012, China)

  • Li Sun

    (School of Humanities and Social Science, The Chinese University of Hong Kong, Shenzhen 518172, China)

  • Garrett Anthony Thomas

    (Depression Clinical and Research Program, Massachusetts General Hospital, Harvard University, Boston, MA 02114, USA)

  • Huiru Wang

    (Department of Physical Education, Shanghai Jiao Tong University, Shanghai 200240, China)

Abstract

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, I 2 = 79.82%) and mobility (Hedges’ g = 0.67, 95% CI 0.25 to 1.09, p < 0.001, I 2 = 69.65%), and reduced depression (Hedges’ g = −0.76, 95% CI −1.16 to −0.35, p < 0.001, I 2 = 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.

Suggested Citation

  • Liye Zou & Albert Yeung & Nan Zeng & Chaoyi Wang & Li Sun & Garrett Anthony Thomas & Huiru Wang, 2018. "Effects of Mind-Body Exercises for Mood and Functional Capabilities in Patients with Stroke: An Analytical Review of Randomized Controlled Trials," IJERPH, MDPI, vol. 15(4), pages 1-13, April.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:4:p:721-:d:140573
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    References listed on IDEAS

    as
    1. Liye Zou & Chaoyi Wang & Kevin Chen & Yankai Shu & Xiaoan Chen & Lin Luo & Xitang Zhao, 2017. "The Effect of Taichi Practice on Attenuating Bone Mineral Density Loss: A Systematic Review and Meta-Analysis of Randomized Controlled Trials," IJERPH, MDPI, vol. 14(9), pages 1-19, September.
    2. Liye Zou & Albert Yeung & Xinfeng Quan & Stanley Sai-Chuen Hui & Xiaoyue Hu & Jessie S. M. Chan & Chaoyi Wang & Sean David Boyden & Li Sun & Huiru Wang, 2018. "Mindfulness-Based Baduanjin Exercise for Depression and Anxiety in People with Physical or Mental Illnesses: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 15(2), pages 1-17, February.
    3. Liye Zou & Albert Yeung & Xinfeng Quan & Sean David Boyden & Huiru Wang, 2018. "A Systematic Review and Meta-Analysis of Mindfulness-Based (Baduanjin) Exercise for Alleviating Musculoskeletal Pain and Improving Sleep Quality in People with Chronic Diseases," IJERPH, MDPI, vol. 15(2), pages 1-19, January.
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    Cited by:

    1. Ke Wang & Shijie Liu & Zhaowei Kong & Yanjie Zhang & Jing Liu, 2018. "Mind-Body Exercise (Wuqinxi) for Patients with Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis of Randomized Controlled Trials," IJERPH, MDPI, vol. 16(1), pages 1-12, December.
    2. Jiafu Huang & Mengting Zhong & Jinghao Wang, 2022. "Effects of Exercise-Based Interventions on Functional Movement Capability in Untrained Populations: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 19(15), pages 1-16, July.
    3. Hsiao-Mei Chen & Hsiao-Lu Lee & Fu-Chi Yang & Yi-Wen Chiu & Shu-Yuan Chao, 2020. "Effectiveness of Motivational Interviewing in Regard to Activities of Daily Living and Motivation for Rehabilitation among Stroke Patients," IJERPH, MDPI, vol. 17(8), pages 1-13, April.
    4. Liye Zou & Yangjie Zhang & Jeffer Eidi Sasaki & Albert S. Yeung & Lin Yang & Paul D. Loprinzi & Jian Sun & Shijie Liu & Jane Jie Yu & Shengyan Sun & Yuqiang Mai, 2019. "Wuqinxi Qigong as an Alternative Exercise for Improving Risk Factors Associated with Metabolic Syndrome: A Meta-Analysis of Randomized Controlled Trials," IJERPH, MDPI, vol. 16(8), pages 1-15, April.
    5. Yanjie Zhang & Chunxiao Li & Liye Zou & Xiaolei Liu & Wook Song, 2018. "The Effects of Mind-Body Exercise on Cognitive Performance in Elderly: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 15(12), pages 1-16, December.
    6. Zaimin Li & Shijie Liu & Lin Wang & Lee Smith, 2019. "Mind–Body Exercise for Anxiety and Depression in COPD Patients: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 17(1), pages 1-15, December.

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