Physical rehabilitation approaches for the recovery of function and mobility following stroke. A major update.
2014
Objectives
We aimed to determine whether physical rehabilitation
approaches are effective in recovery of function and mobility in
people with stroke, and to assess whether any one physical rehabilitation
approach is more effective than any other approach.
Methods
A stakeholder group, comprising stroke survivors, caregivers, and
physiotherapists, made decisions using consensus-making techniques
relating to the scope and focus of this updated review.1
We performed a comprehensive search (to December 2012),1 including
randomized controlled trials of physical rehabilitation approaches
in adult stroke survivors. Interventions comprised a range
of philosophically different approaches to promote recovery of
function or mobility. Randomized controlled trials of single specific
treatments were excluded. Outcomes analyzed were independence in
activities of daily living, motor function, balance, gait, and length of
stay. Two reviewers independently applied selection criteria, assessed
risk of bias and extracted data. We calculated standardized mean differences
(SMD) using a random effects model.
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