Interventions to promote upper limb recovery in stroke survivors with severe paresis: a systematic review

Hayward, Kathryn, Barker, Ruth, and Brauer, Sandra (2010) Interventions to promote upper limb recovery in stroke survivors with severe paresis: a systematic review. Disability and Rehabilitation, 32 (24). pp. 1973-1986.

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Abstract

Purpose: To investigate the effect of interventions that promote upper limb (UL) recovery in stroke survivors with severe paresis.

Methods: A systematic search of the scientific literature from January 1970 to March 2009 was conducted using CINAHL, Cochrane, PEDro, Pubmed and Web of Science. keywords used included stroke, severe, hemiplegia, UL, task-oriented, robot, non-robot and electrical stimulation. Methodological quality of the studies was assessed using the PEDro rating scale. Studies were grouped into one of three intervention categories: robotic therapy, electrical stimulation or 'other' therapy.

Results: Seventeen randomised controlled trials met the inclusion criteria. A ‘best evidence synthesis' indicated strong evidence that robotic therapy provides a large beneficial effect and limited evidence that electrical stimulation and 'other' interventions provide a large beneficial effect on function. There is no evidence that these interventions influence use of the arm in everyday tasks.

Conclusion: There are a number of newly developed interventions that enable stroke survivors with severe paresis to actively participate in task-oriented practice to promote UL recovery. While these interventions offer some promise for stroke survivors with severe paresis, ultimately, the effectiveness of these interventions will be dependent on whether they lead to restoration of function to the point at which the stroke survivor can practice everyday tasks.

Item ID: 16202
Item Type: Article (Refereed Research - C1)
Keywords: stroke, upper limb, robotic therapy, electrical stimulation
Additional Information:

An erratum was published in Disability and Rehabilitation, 2011, Volume 33, Issue 8, Pages 708-709. These two pages have been added to the original publication.

ISSN: 1464-5165
Date Deposited: 28 Apr 2011 06:55
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110317 Physiotherapy @ 75%
11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110321 Rehabilitation and Therapy (excl Physiotherapy) @ 25%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920103 Cardiovascular System and Diseases @ 50%
92 HEALTH > 9202 Health and Support Services > 920201 Allied Health Therapies (excl. Mental Health Services) @ 50%
Citation Count from Web of Science Web of Science 10
Downloads: Total: 4
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