Repetitive task training for improving functional ability after stroke

French, B., Thomas, L.H., Leathley, M.J., Sutton, C.J., McAdam, J.A., Forster, A., Langhorne, P. , Price, C.I.M., Walker, A. and Watkins, C.L. (2009) Repetitive task training for improving functional ability after stroke. Stroke, 40(4), e98-e99. (doi:10.1161/STROKEAHA.108.519553)

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Publisher's URL: http://dx.doi.org/10.1161/​STROKEAHA.108.519553

Abstract

<p><b>Objectives:</b> The objective of this review was to determine if repetitive task training after stroke improves global, upper, or lower limb function and if treatment effects are influenced by the amount, type, or timing of practice.</p> <p><b>Search Strategy:</b> We searched the Cochrane Stroke Trials Register (to October 2006); The Cochrane Library, MEDLINE, EMBASE, CINAHL, AMED, SportDiscus, Science Citation Index, Index to Theses, ZETOC, PEDro, and OT Seeker (all to September 2006); and OT search (to March 2006). We also searched for unpublished/non-English language trials; combed conference proceedings and reference lists; requested information on bulletin boards; and contacted trial authors.</p> <p><b>Selection Criteria:</b> Selection criteria included randomized/quasirandomized trials in adults after stroke, of interventions that included an active motor sequence performed repetitively within a single training session, a clear functional goal, and a quantifiable level of practice.</p> <p><b>Data Collection and Analysis:</b> Two authors independently screened abstracts, extracted data, and appraised trial quality. Further information was obtained from study authors. Results from individual trials were combined using meta-analytic techniques appropriate to the data extracted and the level of between-trial heterogeneity.</p> <p><b>Main Results:</b> Fourteen trials with 17 intervention-control pairs and 659 participants were included. Primary outcomes showed that treatment effects were statistically significant for walking distance (see the Figure); walking speed (standardized mean difference, 0.29; 95% CI, 0.04 to 0.53); and sit-to-stand (standardized effect estimate, 0.35; 95% CI, 0.13 to 0.56). Treatment effects were of borderline statistical significance for functional ambulation.</p>

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Walker, Dr Andrew and McAdam, Dr Julie and Langhorne, Professor Peter
Authors: French, B., Thomas, L.H., Leathley, M.J., Sutton, C.J., McAdam, J.A., Forster, A., Langhorne, P., Price, C.I.M., Walker, A., and Watkins, C.L.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Robertson Centre
College of Medical Veterinary and Life Sciences > Institute of Cardiovascular and Medical Sciences
Journal Name:Stroke
ISSN:0039-2499
ISSN (Online):1524-4628
Published Online:26 February 2009
Copyright Holders:Copyright © 2009 American Heart Association
First Published:First published in Stroke 40(4):e98-e99
Publisher Policy:Reproduced in accordance with the copyright policy of the publisher

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