| Autor: |
Prenton, S, Hollands, K, Kenney, LPJ, Onmanee, P |
| Jazyk: |
angličtina |
| Rok vydání: |
2017 |
| Předmět: |
|
| Zdroj: |
Journal of Rehabilitation Medicine, Vol 50, Iss 2, Pp 129-139 (2017) |
| ISSN: |
1650-1977 |
| Popis: |
Objective:\ud To compare the randomized controlled\ud trial evidence for therapeutic effects on walking of\ud functional electrical stimulation and ankle foot orthoses\ud for foot drop caused by central nervous system\ud conditions.\ud Data sources:\ud MEDLINE, CINAHL, Cochrane Central Register of Controlled Trials, REHABDATA, PEDro,\ud NIHR Centre for Reviews and Dissemination, Scopus\ud and clinicaltrials.gov.\ud Study selection:\ud One reviewer screened titles/abstracts. Two independent reviewers then screened the full articles.\ud Data extraction:\ud One reviewer extracted data, another screened for accuracy. Risk of bias was assessed by 2 independent reviewers using the Cochrane Risk of Bias Tool.\ud Data synthesis: Eight papers were eligible; 7 involving participants with stroke and 1 involving participants with cerebral palsy. Two papers reporting different measures from the same trial were grouped,\ud resulting in 7 synthesized randomized controlled\ud trials (n= 464). Meta-analysis of walking speed at\ud final assessment (p = 0.46), for stroke participants\ud (p = 0.54) and after 4–6 weeks’ use (p = 0.49) showed\ud equal improvement for both devices.\ud Conclusion: Functional electrical stimulation and ankle foot orthoses have an equally positive therapeutic effect on walking speed in non-progressive central nervous system diagnoses. The current randomized controlled trial evidence base does not\ud show whether this improvement translates into the\ud user’s own environment or reveal the mechanisms\ud that achieve that change. Future studies should focus\ud on measuring activity, muscle activity and gait\ud kinematics. They should also report specific device\ud details, capture sustained therapeutic effects and involve\ud a variety of central nervous system diagnoses. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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