Abstract
Background:
Upper extremity deficits are the most popular symptoms following
stroke. Task-oriented training has the ability to increase
motor area
excitability in the brain, which can stimulate the recovery of motor
control.
Objective: This study was aimed to examine the efficiency
of the task-oriented approach on paretic upper extremity following a
stroke, and to identify efficient treatment dosage in those populations.
Method:
We searched through PubMed, Scopus, Physiotherapy Evidence Database
(PEDro), National Rehabilitation Information (REHABDATA), and Web of
Science databases. Randomized clinical trials (RCTs) and pseudo-RCTs
those investigating upper extremity in patients with stroke published in
English language were selected. Different scales and measurement
methods to assess range of motion, strength, spasticity, and upper
extremity function were considered. The quality assessment of included
articles was evaluated utilizing the PEDro scale. Effect sizes were
calculated.
Results: Six RCTs were included in the present study.
The quality assessment for included studies ranged from 6 to 8 with 6.5
as a median. A total of 456 post-stroke patients, 41.66% of which were
women, were included in all studies. The included studies demonstrated a
meaningful influence of task-oriented training intervention on the
hemiplegic upper limb motor functions
but not spasticity post-stroke.
Conclusion:
Task-oriented training does not produce a superior effect than other
conventional physical therapy interventions in treating upper extremity
in patients with stroke. There is no evidence supporting the beneficial
effect of task-oriented on spasticity. Task-oriented training with the
following dosage 30 to 90 minutes/session, 2 to 3 sessions weekly for 6
to 10 weeks
may improve(Useless) motor function and strength of paretic upper
extremity post-stroke.
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