RT journal article
T1 mHealth Impact on Gait and Dynamic Balance Outcomes in Neurorehabilitation: Systematic Review and Meta-analysis
A1 Moreno Ligero, Marta
A1 Lucena Antón, David Manuel
A1 Salazar Couso, Alejandro
A1 Failde Martínez, Inmaculada
A1 Moral Muñoz, José Antonio
A2 BiomedicinaBiotecnología y Salud Pública
A2 Enfermería y Fisioterapia
A2 Estadística e Investigación Operativa
K1 Gait
K1 mHealth
K1 Balance
K1 Mobile applications
K1 Neurological disorders
K1 Rehabilitation
AB Gait and dynamic balance are two main goals in neurorehabilitation that mHealth systems could address. To analyze the impact of using mHealth systems on gait and dynamic balance outcomes in subjects with neurological disorders. Randomized controlled trials (RCT) published in PubMed, Web of Science, Scopus, and PEDro databases were searched up to April 2023. Studies including adults with neurological disorders, analyzing the effectiveness of mHealth systems on gait and dynamic balance compared with conventional therapy and/or not intervention, were included. The PEDro scale and the Cochrane Collaboration’s 2.0 tool were used for the methodological quality and risk of bias assessment. The Review Manager 5.4 software was used to obtain meta-analyses. 13 RCT were included in the systematic review and 11 in the meta-analyses, involving 528 subjects. A total of 21 mobile applications were identified for gait and balance training, and to enhance physical activity behaviors. There were significant differences in gait parameters, speed by 0.10 s/m (95% confidence interval (CI)=0.07,0.13;p<0.001), cadence by 8.01 steps/min (95%CI=3.30,12.72;p<0.001), affected step length by 8.89 cm (95%CI=4.88,12.90;p<0.001), non-affected step length by 8.08 cm (5%CI=2.64,13.51;p=0.004), and in dynamic balance, Timed Up and Go by -7.15 s (95%CI=-9.30,-4.99;p<0.001), and mobility subscale of Posture Assessment Scale for Stroke by 1.71 points (95%CI=1.38,2.04;p[removed]
PB Springer
SN 0148-5598
YR 2023
FD 2023-07-18
LK http://hdl.handle.net/10498/31348
UL http://hdl.handle.net/10498/31348
LA eng
DS Repositorio Institucional de la Universidad de Cádiz
RD 21-sep-2026