Pragmatic Solutions for Stroke Recovery and Improved Quality of Life in Low- and Middle-Income Countries-A Systematic Review

Frontiers in Neurology
Echezona Nelson Dominic EkechukwuMayowa Ojo Owolabi

Abstract

Background: Given the limited healthcare resources in low and middle income countries (LMICs), effective rehabilitation strategies that can be realistically adopted in such settings are required. Objective: A systematic review of literature was conducted to identify pragmatic solutions and outcomes capable of enhancing stroke recovery and quality of life of stroke survivors for low- and middle- income countries. Methods: PubMed, HINARI, and Directory of Open Access Journals databases were searched for published Randomized Controlled Trials (RCTs) till November 2018. Only completed trials published in English with non-pharmacological interventions on adult stroke survivors were included in the review while published protocols, pilot studies and feasibility analysis of trials were excluded. Obtained data were synthesized thematically and descriptively analyzed. Results: One thousand nine hundred and ninety six studies were identified while 347 (65.22% high quality) RCTs were found to be eligible for the review. The most commonly assessed variables (and outcome measure utility) were activities of daily living [75.79% of the studies, with Barthel Index (37.02%)], motor function [66.57%; with Fugl Meyer scale (71.88%)], and gait [31...Continue Reading

References

Jul 1, 1992·Journal of Neurology, Neurosurgery, and Psychiatry·A SunderlandD T Wade
Sep 1, 1995·Stroke; a Journal of Cerebral Circulation·E HuiR L Kay
Sep 1, 1994·Neurology·K L DePippoM L Lesser
Sep 1, 1996·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·D L NelsonB C Licht
Mar 20, 1998·Stroke; a Journal of Cerebral Circulation·L Widén HolmqvistJ de Pedro-Cuesta
Apr 29, 1998·Stroke; a Journal of Cerebral Circulation·O M Rønning, B Guldvog
May 22, 1998·Stroke; a Journal of Cerebral Circulation·B IndredavikL L Håheim
Nov 5, 1999·Stroke; a Journal of Cerebral Circulation·J H van der LeeL M Bouter
Aug 6, 2000·Stroke; a Journal of Cerebral Circulation·D SulchL Kalra
Dec 29, 2000·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·C PartridgeJ Potter
Oct 24, 2002·Clinical Rehabilitation·Hanne Elkjaer AndersenBirgitte Hysse Forchhammer
Apr 12, 2003·Archives of Physical Medicine and Rehabilitation·Susan E FasoliNeville Hogan
Aug 16, 2003·Stroke; a Journal of Cerebral Circulation·Pamela DuncanDallas Johnson
Dec 13, 2003·Stroke; a Journal of Cerebral Circulation·Michael DonnellyKen Fullerton
Feb 7, 2004·Clinical Rehabilitation·N B LincolnP Knights
Feb 19, 2004·Archives of Physical Medicine and Rehabilitation·Stephen J PageRobert E McGrath
Jul 2, 2004·Neurorehabilitation and Neural Repair·Susan E FasoliBruce T Volpe
Aug 6, 2004·Clinical Rehabilitation·UNKNOWN Glasgow Augmented Physiotherapy Study (GAPS) group
Sep 18, 2004·Archives of Physical Medicine and Rehabilitation·Karen P LiuChristina W Hui-Chan
Oct 7, 2004·Archives of Physical Medicine and Rehabilitation·Gergory T ThielmanA M Gentile
Oct 30, 2004·Stroke; a Journal of Cerebral Circulation·Han Boter, UNKNOWN HESTIA Study Group
Dec 3, 2004·The Australian Journal of Physiotherapy·Jannette Blennerhassett, Wayne Dite
Mar 11, 2005·Archives of Physical Medicine and Rehabilitation·Stephen J PageAnthony C Leonard
Jun 11, 2005·Stroke; a Journal of Cerebral Circulation·Deborah S Nichols-LarsenSarah Blanton
Jun 16, 2005·Age and Ageing·Paola DeyMohan Datta Chaudhuri
Jun 25, 2005·Cerebrovascular Diseases·Kate TillingCharles Wolfe
Jul 26, 2005·Stroke; a Journal of Cerebral Circulation·Stephanie StudenskiLorie Richards
Sep 27, 2005·Journal of the American Geriatrics Society·Marco Y C PangJocelyn E Harris

❮ Previous
Next ❯

Software Mentioned

JADAD

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.