Self-directed therapy programmes for arm rehabilitation after stroke: a systematic review

Clinical Rehabilitation
Ruth H Da-SilvaChristopher I Price

Abstract

To investigate the effectiveness of self-directed arm interventions in adult stroke survivors. A systematic review of Medline, EMBASE, CINAHL, SCOPUS and IEEE Xplore up to February 2018 was carried out. Studies of stroke arm interventions were included where more than 50% of the time spent in therapy was initiated and carried out by the participant. Quality of the evidence was assessed using the Cochrane risk of bias tool. A total of 40 studies ( n = 1172 participants) were included (19 randomized controlled trials (RCTs) and 21 before-after studies). Studies were grouped according to no technology or the main additional technology used (no technology n = 5; interactive gaming n = 6; electrical stimulation n = 11; constraint-induced movement therapy n = 6; robotic and dynamic orthotic devices n = 8; mirror therapy n = 1; telerehabilitation n = 2; wearable devices n = 1). A beneficial effect on arm function was found for self-directed interventions using constraint-induced movement therapy ( n = 105; standardized mean difference (SMD) 0.39, 95% confidence interval (CI) -0.00 to 0.78) and electrical stimulation ( n = 94; SMD 0.50, 95% CI 0.08-0.91). Constraint-induced movement therapy and therapy programmes without technology imp...Continue Reading

References

Nov 18, 2003·Experimental Brain Research·Teresa J KimberleyJames R Carey
Oct 28, 2005·Clinical Rehabilitation·Usama GabrStephen J Page
Jan 18, 2006·Current Opinion in Neurology·John W Krakauer
Jan 17, 2007·Journal of Rehabilitation Medicine·Julie BernhardtJanice M Collier
Jul 3, 2007·Archives of Physical Medicine and Rehabilitation·Stephen J Page, Peter Levine
Oct 2, 2007·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Gad AlonHaim Ring
Mar 22, 2008·Brain : a Journal of Neurology·Cathy M StinearWinston D Byblow
Sep 2, 2008·Archives of Physical Medicine and Rehabilitation·Ruth TurkJoe Schulman
Jul 28, 2009·Journal of Clinical Epidemiology·David MoherUNKNOWN PRISMA Group
Aug 28, 2010·Disability and Rehabilitation·Fiona Jones, Afsane Riazi
Nov 6, 2010·Neurorehabilitation and Neural Repair·Marian E MichielsenJohannes B J Bussmann
May 3, 2011·Journal of Rehabilitation Medicine·Marie R MouawadPenelope A McNulty
Jun 8, 2011·Journal of Advanced Nursing·Corrie KorpershoekThóra B Hafsteinsdóttir
Oct 14, 2011·Neuromodulation : Journal of the International Neuromodulation Society·Jane H BurridgeRoss Davis
Jan 26, 2012·IEEE ... International Conference on Rehabilitation Robotics : [proceedings]·Hang ZhangJiping He
May 9, 2012·Clinical Rehabilitation·Jane E SullivanLois D Hedman
Jan 16, 2013·Journal of Rehabilitation Medicine·Jeanne LanganSusan H Brown
Mar 13, 2013·Neurorehabilitation and Neural Repair·Renata Laurenti Dos Santos-FontesAdriana Bastos Conforto
Jan 17, 2014·Archives of Physical Medicine and Rehabilitation·Sybil Eleanor FarmerAnand David Pandyan
Mar 25, 2014·Archives of Physical Medicine and Rehabilitation·Elena V Donoso BrownChet T Moritz
Oct 3, 2014·Neurorehabilitation and Neural Repair·Daniel K ZondervanSteven C Cramer
Oct 1, 2015·Annals of Physical and Rehabilitation Medicine·Ditouah Didier Niama NattaThierry M Lejeune
Oct 11, 2015·Journal of Neuroengineering and Rehabilitation·Sharon M NijenhuisJohan S Rietman
Aug 16, 2016·Journal of Neuroengineering and Rehabilitation·Frieder WittmannRoman R Gonzenbach
Dec 15, 2016·Pilot and Feasibility Studies·Lianne BrkicHelen Rodgers
Apr 25, 2017·IEEE Transactions on Neural Systems and Rehabilitation Engineering : a Publication of the IEEE Engineering in Medicine and Biology Society·Ji ChenPeter S Lum
Feb 25, 2018·JMIR Rehabilitation and Assistive Technologies·Nestor Cavalcante Teixeira NetoRodrigo Ribeiro de Oliveira

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Citations

Mar 9, 2019·Clinical Rehabilitation·Ruth H Da-SilvaChristopher I Price
Jul 21, 2020·Physiotherapy Theory and Practice·Madeleine KennyCarl Thompson
Feb 26, 2021·Journal of Neuroengineering and Rehabilitation·Bridee A NeiblingRuth N Barker
May 1, 2021·Journal of Clinical Medicine·Alexandra VoinescuDanaë Stanton Fraser
Aug 28, 2021·Neurorehabilitation and Neural Repair·Michelle BroderickPaul Bentley

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