https://www.journalofphysiotherapy.com/article/S1836-9553(18)30115-2/fulltext
Open Access
Open access funded by Australian Physiotherapy Association
Abstract
Questions
Do
interventions involving repetitive practice improve strength after
stroke? Are any improvements in strength accompanied by improvements in
activity?
Design
Systematic review of randomised trials with meta-analysis.
Participants
Adults who have had a stroke.
Intervention
Any intervention involving repetitive practice compared with no intervention or a sham intervention.
Outcome measures
The
primary outcome was voluntary strength in muscles trained as part of
the intervention. The secondary outcomes were measures of lower limb and
upper limb activity.
Results
Fifty-two
studies were included. The overall SMD of repetitive practice on
strength was examined by pooling post-intervention scores from 46
studies involving 1928 participants. The SMD of repetitive practice on
strength when the upper and lower limb studies were combined was 0.25
(95% CI 0.16 to 0.34, I2 = 44%) in favour of repetitive
practice. Twenty-four studies with a total of 912 participants
investigated the effects of repetitive practice on upper limb activity
after stroke. The SMD was 0.15 (95% CI 0.02 to 0.29, I2 = 50%)
in favour of repetitive practice on upper limb activity. Twenty studies
with a total of 952 participants investigated the effects of repetitive
practice on lower limb activity after stroke. The SMD was 0.25 (95% CI
0.12 to 0.38, I2 = 36%) in favour of repetitive practice on lower limb activity.
Conclusion
Interventions
involving repetitive practice improve strength after stroke, and these
improvements are accompanied by improvements in activity.
Review registration
PROSPERO CRD42017068658. [de
Sousa DG, Harvey LA, Dorsch S, Glinsky JV (2018) Interventions
involving repetitive practice improve strength after stroke: a
systematic review. Journal of Physiotherapy 64: 210–221]
More at link.
More at link.
No comments:
Post a Comment