Does Task-Oriented Practice Improve Upper Extremity Motor Recovery after Stroke? A Systematic Review

DOI PDF XML 被引用文献1件
  • Jackie Bosch
    School of Rehabilitation Science, Population Health Research Institute, McMaster University, Room 436, Institute for Applied Health Sciences 1400 Main Street West, Hamilton, ON, Canada L8S 1C7
  • Martin J. O’Donnell
    Population Health Research Institute, DBCVS Research Institute, McMaster University, 3rd Floor, 237 Barton St. East, Hamilton, ON, Canada L8L 2X2
  • Susan Barreca
    109 Robinhood Drive, Dundas, ON, Canada L9H 4G2
  • Lehana Thabane
    Department of Clinical Epidemiology and Biostatistics, Centre for Evaluation of Medicines, McMaster University, 105 Main St. East, Level PI, Hamilton, ON, Canada L8N 1G6
  • Laurie Wishart
    School of Rehabilitation, Faculty of Health Sciences, McMaster University, 1400 Main Street West, Hamilton, ON, Canada L8S 1C7

書誌事項

公開日
2014-02-18
権利情報
  • http://creativecommons.org/licenses/by/3.0/
DOI
  • 10.1155/2014/504910
公開者
Wiley

説明

<jats:p><jats:italic>Background</jats:italic>. Stroke commonly affects upper extremity motor abilities, yet there has been very limited success in developing effective rehabilitation interventions to remediate motor impairments, particularly for the upper extremity. <jats:italic>Objective</jats:italic>. To determine if task-oriented practice administered soon after stroke is more effective than usual care in improving poststroke upper extremity motor recovery and to explore the optimal amount of practice. <jats:italic>Methods</jats:italic>. A systematic review of the literature was performed from 1950 to November 2012, to identify randomized controlled trials of task-oriented practice compared to usual care, or to different amounts of task-oriented practice to improve motor impairment and activity. Studies were excluded if specific types of interventions were used as comparators or if they were of poor methodological quality. <jats:italic>Results</jats:italic>. Six studies met the review criteria. Three of the six studies demonstrated a statistically significant effect of task-oriented practice. Study results could not be pooled because of a lack of homogeneity in populations and intervention. <jats:italic>Conclusions</jats:italic>. The results demonstrate that an increase in the amount of task-oriented practice after stroke may result in less upper extremity impairment; further research on both effect and required dosage is needed as results are inconsistent.</jats:p>

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