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Interventions involving repetitive practice improve strength after stroke: A systematic review
Davide G. de Sousa Lisa A Harvey Simone Dorsch Joanne V Glinsky
Davide G. de Sousa
Lisa A Harvey
Simone Dorsch
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.
Keywords
stroke, strength, repetitive practice, systematic review, meta-analysis
Date
2018
Type
Journal article
Journal
Journal of Physiotherapy
Book
Volume
64
Issue
4
Page Range
210-221
Article Number
ACU Department
School of Allied Health
Faculty of Health Sciences
Faculty of Health Sciences
Collections
Relation URI
Source URL
Event URL
Open Access Status
Published as ‘gold’ (paid) open access
License
CC BY-NC-ND 4.0
File Access
Open