http://nnr.sagepub.com/content/30/4/384?etoc
- Adebimpe O. Obembe, PhD1
- Janice J. Eng, PhD1⇑
- Janice J. Eng, PhD, Department of Physical Therapy, Faculty of Medicine, University of British Columbia, T325-2211 Westbrook Mall, Vancouver, BC, V6T 2B5, Canada. Email: janice.eng@ubc.ca
Abstract
Background. Despite the fact that social participation is considered a pivotal outcome of a successful recovery after stroke, there
has been little attention on the impact of activities and services on this important domain.
Objective. To present a systematic review and meta-analysis from randomized controlled trials (RCTs) on the effects of rehabilitation
interventions on social participation after stroke.
Methods.
A total of 8 electronic databases were searched for relevant RCTs that
evaluated the effects of an intervention on the outcome
of social participation after stroke. Reference
lists of selected articles were hand searched to identify further
relevant
studies. The methodological quality of the studies
was assessed using the Physiotherapy Evidence Database Scale.
Standardized
mean differences (SMDs) and confidence intervals
(CIs) were estimated using fixed- and random-effect models.
Results.
In all, 24 RCTs involving 2042 stroke survivors were identified and
reviewed, and 21 were included in the meta-analysis.
There was a small beneficial effect of
interventions that utilized exercise on social participation (10
studies; SMD = 0.43;
95% CI = 0.09, 0.78; P = .01) immediately after the program ended. Exercise in combination with other interventions (13 studies; SMD = 0.34; 95%
CI = 0.10, 0.58; P = .006) also resulted
in beneficial effects. No significant effect was observed for
interventions that involved support services
over 9 studies (SMD = 0.09 [95% CI = −0.04, 0.21]; I2 = 0%; P = .16).
Conclusions. The included studies provide evidence that rehabilitation interventions may be effective in improving social participation
after stroke, especially if exercise is one of the components.
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