Interventions involving repetitive practice improve strength after stroke: a systematic review.

Autor:	de Sousa DG; Graythwaite Rehabilitation Centre, Ryde Hospital; John Walsh Centre for Rehabilitation Research, Kolling Institute; Sydney Medical School Northern, University of Sydney., Harvey LA; John Walsh Centre for Rehabilitation Research, Kolling Institute; Sydney Medical School Northern, University of Sydney., Dorsch S; Faculty of Health Sciences, Australian Catholic University, Sydney, Australia., Glinsky JV; John Walsh Centre for Rehabilitation Research, Kolling Institute; Sydney Medical School Northern, University of Sydney.
Jazyk:	angličtina
Zdroj:	Journal of physiotherapy [J Physiother] 2018 Oct; Vol. 64 (4), pp. 210-221. Date of Electronic Publication: 2018 Sep 21.
DOI:	10.1016/j.jphys.2018.08.004
Abstrakt:	Questions: Do interventions involving repetitive practice improve strength after stroke? Are any improvements in strength accompanied by improvements in activity? Design: Systematic review of randomised trials with meta-analysis. Participants: Adults who have had a stroke. Intervention: Any intervention involving repetitive practice compared with no intervention or a sham intervention. Outcome Measures: The primary outcome was voluntary strength in muscles trained as part of the intervention. The secondary outcomes were measures of lower limb and upper limb activity. Results: Fifty-two studies were included. The overall SMD of repetitive practice on strength was examined by pooling post-intervention scores from 46 studies involving 1928 participants. The SMD of repetitive practice on strength when the upper and lower limb studies were combined was 0.25 (95% CI 0.16 to 0.34, I 2 =44%) in favour of repetitive practice. Twenty-four studies with a total of 912 participants investigated the effects of repetitive practice on upper limb activity after stroke. The SMD was 0.15 (95% CI 0.02 to 0.29, I 2 =50%) in favour of repetitive practice on upper limb activity. Twenty studies with a total of 952 participants investigated the effects of repetitive practice on lower limb activity after stroke. The SMD was 0.25 (95% CI 0.12 to 0.38, I 2 =36%) in favour of repetitive practice on lower limb activity. Conclusion: Interventions involving repetitive practice improve strength after stroke, and these improvements are accompanied by improvements in activity. Review Registration: PROSPERO CRD42017068658. [de Sousa DG, Harvey LA, Dorsch S, Glinsky JV (2018) Interventions involving repetitive practice improve strength after stroke: a systematic review. Journal of Physiotherapy 64: 210-221]. (Copyright © 2018 Australian Physiotherapy Association. All rights reserved.)
Databáze:	MEDLINE
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