Interventions involving repetitive practice improve strength after stroke: A systematic review

Journal article

Davide G. de Sousa, Lisa A Harvey, Simone Dorsch and Joanne V Glinsky. (2018). Interventions involving repetitive practice improve strength after stroke: A systematic review. Journal of Physiotherapy. 64(4), pp. 210-221. https://doi.org/10.1016/j.jphys.2018.08.004
AuthorsDavide G. de Sousa, Lisa A Harvey, Simone Dorsch and Joanne V Glinsky
Abstract

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.

Keywordsstroke; strength; repetitive practice; systematic review; meta-analysis
Year2018
JournalJournal of Physiotherapy
Journal citation64 (4), pp. 210-221
PublisherAustralian Physiotherapy Association
ISSN1836-9553
Digital Object Identifier (DOI)https://doi.org/10.1016/j.jphys.2018.08.004
Scopus EID2-s2.0-85053682848
Open accessPublished as ‘gold’ (paid) open access
Publisher's version
License
File Access Level
Open
Publication process dates
Deposited11 May 2021
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