title: Circuit class therapy for improving mobility after stroke: a systematic review.
abstract: OBJECTIVE
  To examine the effectiveness of group circuit class therapy for improving the mobility of adults after stroke.
  
  
  METHODS
  Cochrane systematic review.
  
  
  METHODS
  A comprehensive search strategy was used to find randomized and quasi-randomized controlled trials of adults post-stroke receiving circuit class therapy. Two authors independently selected trials for inclusion, assessed the methodological rigor and extracted data.
  
  
  RESULTS
  Six trials were included, involving 292 participants; most were community-dwelling survivors who were able to walk independently. Circuit class therapy was effective in improving walking ability (6-minute walk test mean difference, 76.6 m, 95% confidence interval 38.4-114.7, walking speed mean difference 0.12 m/s, 95% confidence interval 0-0.24) and balance (step test mean difference 3.0 steps, 95% confidence interval 0.08-5.9, activities specific balance confidence mean difference 7.76 points, 95% confidence interval 0.66-14.9). Other balance measures did not show a difference in effect. Results from two studies suggest that circuit class therapy can reduce length of hospital stay (mean difference -19.7 days, 95% confidence interval -35.4 to -4.0). Two studies measured adverse events (falls); all were minor.
  
  
  CONCLUSIONS
  Circuit class therapy is safe and effective in improving mobility in people after stroke and, when provided as part of hospital-based rehabilitation, may reduce length of stay.
authors.affiliation: School of Health Sciences, University of South Australia, Adelaide, SA 5001, Australia. coralie.english@unisa.edu.au
authors.forename: Coralie
authors.initials: C
authors.lastname: English
authors.forename: Susan
authors.initials: S
authors.lastname: Hillier
mesh_terms: D000328:Adult; D019317:Evidence-Based Medicine; D005081:Exercise Therapy / Q000379:methods; D006801:Humans; D007902:Length of Stay; D009043:Motor Activity / Q000502:physiology; D017063:Outcome Assessment, Health Care; D026741:Physical Therapy Modalities; D020521:Stroke / Q000503:physiopathology; D000071939:Stroke Rehabilitation; D013997:Time Factors; D016896:Treatment Outcome; D016138:Walking / Q000502:physiology*