ReviewFrontiers in neurology
Core muscle rehabilitation during early mobilization after stroke: a narrative review and clinical framework.
Review in Frontiers in neurology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: This narrative review clarifies the clinical framework for trunk- or core-focused rehabilitation after stroke, with particular attention to the early rehabilitation period. It distinguishes between preparatory bed-level exercise and true early mobilization. Methods: This narrative review selectively synthesizes recent reviews, consensus statements, randomized controlled trials, and cohort studies to inform clinical statements on early mobilization, trunk training, balance, falls, dysphagia, and clinical safety. Supplementary clinical reports are included primarily to illustrate practical exercise content and implementation patterns, rather than to form the primary basis for strong recommendations. Results: This review distinguishes upright early mobilization from preparatory bed-level trunk activation. Fixed hyperacute dose prescriptions are not supported by current evidence; core training is positioned as an adjunct to, rather than a substitute for, evidence-based functional training. Statements on falls and dysphagia are framed with greater caution. Table presents a pragmatic clinical decision-support framework, with acknowledged limitations in formal validation. Individualization according to age, stroke severity, stroke subtype, neurological status, and hemodynamic tolerance is consistently emphasized. Conclusion: Core muscle rehabilitation can be integrated into early stroke rehabilitation once patients achieve medical and neurological stability. The current evidence most strongly supports its efficacy for improving trunk control and balance; recommendations regarding dosage, direct fall prevention, and specific benefits for dysphagia should remain individualized and conservative.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.