{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T11:37:46Z","timestamp":1793360266632,"version":"4.5.0"},"reference-count":78,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"General Research Fund"},{"name":"Research Grants Council, Hong Kong","award":["15102921"],"award-info":[{"award-number":["15102921"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Importance<\/jats:title>\n                    <jats:p>Stroke markedly increases fall risk. Physical exercise is a potential approach to reducing falls poststroke.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The objective was to evaluate the effect of physical exercise on falls in people with stroke and to examine participant and exercise protocol characteristics that may affect treatment response.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This was a systematic review and meta-analysis of randomized controlled trials.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Following the PRISMA guidelines, PubMed, CINAHL, Cochrane Database, PsycINFO, Embase, and Web of Science databases were systematically searched.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>People with stroke were studied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention<\/jats:title>\n                    <jats:p>Physical exercise training was the intervention examined in this systematic review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcomes and Measures<\/jats:title>\n                    <jats:p>Number of falls\/injurious falls\/fallers were the outcomes examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eighteen studies (1536 participants) were included. Overall, physical exercise significantly reduced the number of falls by 39% (incidence rate ratio [IRR]\u2009=\u20090.61, 95% CI\u2009=\u2009[0.47, 0.78]). The effect on the number of injurious falls (IRR\u2009=\u20090.63, 95% CI\u2009=\u2009[0.37, 1.05]) and fallers (IRR\u2009=\u20090.88; 95% CI\u2009=\u2009[0.73, 1.0]) was less apparent. Exploratory subgroup analyses revealed that programs focusing on balance training and those integrating physical exercise with cognitive components (eg, dual-task training\/mind\u2013body exercise) were most effective, compared with walking training, combined balance\/walking training, and strength training. People in the chronic stage of stroke and with mild-to-moderate disability may benefit more from exercise.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Physical exercise is effective in improving fall-related outcomes among people with stroke, particularly for people in the chronic stage with mild\/moderate disability levels may gain more benefits. Physical exercise programs incorporating balance training and cognitive components may be more effective for fall prevention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance<\/jats:title>\n                    <jats:p>This results of this systematic review provide insight into exercise training for fall prevention in stroke rehabilitation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ptj\/pzag098","type":"journal-article","created":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T12:03:27Z","timestamp":1789473807000},"source":"Crossref","is-referenced-by-count":0,"title":["Physical exercise reduces fall-related outcomes among people with stroke: a systematic review and meta-analysis"],"prefix":"10.1093","volume":"106","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7187-5320","authenticated-orcid":false,"given":"Xun","family":"Li","sequence":"first","affiliation":[{"name":"Department of Rehabilitation 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,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fangfei","family":"Xiong","sequence":"additional","affiliation":[{"name":"Faculty of Population Health Sciences, University College London , London WC1E 6BT ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stanley Hughwa","family":"Hung","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, University of British Columbia , Vancouver , British Columbia, V6T 1Z3,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hei Yuen","family":"Wan","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sciences, The Hong Kong Polytechnic University , Kowloon, Hong Kong ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ching Hei","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sciences, The Hong Kong Polytechnic 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