The effect of altering a single component of a rehabilitation programme on the functional recovery of stroke patients: a systematic review and meta-analysis

Hayward, Kathryn S., Barker, Ruth N., Carson, Richard G. and Brauer, Sandra G. (2014) The effect of altering a single component of a rehabilitation programme on the functional recovery of stroke patients: a systematic review and meta-analysis. Clinical Rehabilitation, 28 2: 107-117. doi:10.1177/0269215513497601


Author Hayward, Kathryn S.
Barker, Ruth N.
Carson, Richard G.
Brauer, Sandra G.
Title The effect of altering a single component of a rehabilitation programme on the functional recovery of stroke patients: a systematic review and meta-analysis
Journal name Clinical Rehabilitation   Check publisher's open access policy
ISSN 0269-2155
1477-0873
Publication date 2014-02
Year available 2013
Sub-type Article (original research)
DOI 10.1177/0269215513497601
Open Access Status
Volume 28
Issue 2
Start page 107
End page 117
Total pages 11
Place of publication London, United Kingdom
Publisher Sage Publications
Collection year 2014
Language eng
Formatted abstract
Objective: To evaluate the effect of altering a single component of a rehabilitation programme (e.g. adding bilateral practice alone) on functional recovery after stroke, defined using a measure of activity.
Data sources: A search was conducted of Medline/Pubmed, CINAHL and Web of Science.
Review methods: Two reviewers independently assessed eligibility. Randomized controlled trials were included if all participants received the same base intervention, and the experimental group experienced alteration of a single component of the training programme. This could be manipulation of an intrinsic component of training (e.g. intensity) or the addition of a discretionary component (e.g. augmented feedback). One reviewer extracted the data and another independently checked a subsample (20%). Quality was appraised according to the PEDro scale.
Results: Thirty-six studies (n = 1724 participants) were included. These evaluated nine training components: mechanical degrees of freedom, intensity of practice, load, practice schedule, augmented feedback, bilateral movements, constraint of the unimpaired limb, mental practice and mirrored-visual feedback. Manipulation of the mechanical degrees of freedom of the trunk during reaching and the addition of mental practice during upper limb training were the only single components found to independently enhance recovery of function after stroke.
Conclusion: This review provides limited evidence to support the supposition that altering a single component of a rehabilitation programme realises greater functional recovery for stroke survivors. Further investigations are required to determine the most effective single components of rehabilitation programmes, and the combinations that may enhance functional recovery.
Keyword Stroke
Rehabilitation programme
Recovery of function
Systematic review
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online 6 August 2013

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Health and Rehabilitation Sciences Publications
 
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