|
Sign In to gain access to subscriptions and/or personal tools.
|
Clinical Rehabilitation, Vol. 15, No. 1,
20-31 (2001)
DOI: 10.1191/026921501677557755
© 2001 SAGE Publications
Exercise therapy for arm function in stroke patients: a systematic review of randomized controlled trials
Johanna H van der Lee
Ingrid AK Snels
Heleen Beckerman
Gustaaf J Lankhorst
Department of Rehabilitation Medicine, University Hospital Vrije Universiteit and Institute for Research in Extramural Medicine, Vrije Universiteit, Amsterdam, The Netherlands
Robert C Wagenaar
Sargent College of Health and Rehabilitation Sciences, Department of Physical Therapy, Boston, MA, USA
Lex M Bouter
Institute for Research in Extramural Medicine, Vrije Universiteit, Amsterdam, The Netherlands
Objective: Assessment of the available evidence for the effectiveness of exercise therapy to improve arm function in patients who have suffered from a stroke.
Methods: A systematic search of bibliographical databases and reference checking were performed to identify publications on randomized controlled trials (RCTs) which evaluated the effect of exercise therapy on arm function in stroke patients. The methodological quality was assessed systematically by two raters, based on a standardized list of methodological criteria. Study characteristics, such as the chronicity and severity of impairment of the patient population, the amount and duration of interventions, and specific methodological criteria, were related to reported effects.
Results: Thirteen RCTs were identified, six of which reported positive results on an arm function test. In five of these six studies there was a contrast in amount or duration of exercise therapy between groups. Methodological scores ranged from 5 to 15 (maximum possible score: 19 points).
Conclusion: Insufficient evidence made it impossible to draw definitive conclusions about the effectiveness of exercise therapy on arm function in stroke patients. The difference in results between studies with and without contrast in the amount or duration of exercise therapy between groups suggests that more exercise therapy may be beneficial.
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati What's this?
This article has been cited by other articles:
|
|
|
|
 
P. Krause, J. Szecsi, and A. Straube
Changes in spastic muscle tone increase in patients with spinal cord injury using functional electrical stimulation and passive leg movements
Clinical Rehabilitation,
July 1, 2008;
22(7):
627 - 634.
[Abstract]
[PDF]
|
|
|
|
|
|
|
B. T. Volpe, D. Lynch, A. Rykman-Berland, M. Ferraro, M. Galgano, N. Hogan, and H. I. Krebs
Intensive Sensorimotor Arm Training Mediated by Therapist or Robot Improves Hemiparesis in Patients With Chronic Stroke
Neurorehabil Neural Repair,
June 1, 2008;
22(3):
305 - 310.
[Abstract]
[PDF]
|
|
|
|
|
|
|
S. Coote, B. Murphy, W. Harwin, and E. Stokes
The effect of the GENTLE/s robot-mediated therapy system on arm function after stroke
Clinical Rehabilitation,
May 1, 2008;
22(5):
395 - 405.
[Abstract]
[PDF]
|
|
|
|
|
|
|
T. Brandt
Motor and Functional Recovery After Stroke: A Comparison Between 4 European Rehabilitation Centers
Stroke,
July 1, 2007;
38(7):
2030 - 2031.
[Full Text]
[PDF]
|
|
|
|
|
|
|
G. Verheyden, A. Nieuwboer, A. Van de Winckel, and W. De Weerdt
Clinical tools to measure trunk performance after stroke: a systematic review of the literature
Clinical Rehabilitation,
May 1, 2007;
21(5):
387 - 394.
[Abstract]
[PDF]
|
|
|
|
|
|
|
J. E. Harris and J. J. Eng
Individuals with the Dominant Hand Affected following Stroke Demonstrate Less Impairment Than Those with the Nondominant Hand Affected.
Neurorehabil Neural Repair,
September 1, 2006;
20(3):
380 - 389.
[Abstract]
[PDF]
|
|
|
|
|
|
|
J. Higgins, N. M Salbach, S. Wood-Dauphinee, C. L Richards, R. Cote, and N. E Mayo
The effect of a task-oriented intervention on arm function in people with stroke: a randomized controlled trial
Clinical Rehabilitation,
April 1, 2006;
20(4):
296 - 310.
[Abstract]
[PDF]
|
|
|
|
|
|
|
C. Brogardh and B. H Sjolund
Constraint-induced movement therapy in patients with stroke: a pilot study on effects of small group training and of extended mitt use
Clinical Rehabilitation,
March 1, 2006;
20(3):
218 - 227.
[Abstract]
[PDF]
|
|
|
|
|
|
|
M. Rijntjes, V. Hobbeling, F. Hamzei, S. Dohse, G. Ketels, J. Liepert, and C. Weiller
Individual Factors in Constraint-Induced Movement Therapy after Stroke
Neurorehabil Neural Repair,
September 1, 2005;
19(3):
238 - 249.
[Abstract]
[PDF]
|
|
|
|
|
|
|
P. W. Duncan, R. Zorowitz, B. Bates, J. Y. Choi, J. J. Glasberg, G. D. Graham, R. C. Katz, K. Lamberty, and D. Reker
Management of Adult Stroke Rehabilitation Care: A Clinical Practice Guideline
Stroke,
September 1, 2005;
36(9):
e100 - e143.
[Full Text]
[PDF]
|
|
|
|
|
|
|
T Platz, C Eickhof, S van Kaick, U Engel, C Pinkowski, S Kalok, and M Pause
Impairment-oriented training or Bobath therapy for severe arm paresis after stroke: a single-blind, multicentre randomized controlled trial
Clinical Rehabilitation,
July 1, 2005;
19(7):
714 - 724.
[Abstract]
[PDF]
|
|
|
|
|
|
|
K. Kawahira, M. Shimodozono, S. Etoh, and N. Tanaka
New facilitation exercise using the vestibulo-ocular reflex for ophthalmoplegia: preliminary report
Clinical Rehabilitation,
June 1, 2005;
19(6):
627 - 634.
[Abstract]
[PDF]
|
|
|
|
|
|
|
J. E Sullivan and L. D Hedman
A Home Program of Sensory and Neuromuscular Electrical Stimulation With Upper-Limb Task Practice in a Patient 5 Years After a Stroke
Physical Therapy,
November 1, 2004;
84(11):
1045 - 1054.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R P. Van Peppen, G Kwakkel, S Wood-Dauphinee, H J. Hendriks, P. J Van der Wees, and J Dekker
The impact of physical therapy on functional outcomes after stroke: what's the evidence?
Clinical Rehabilitation,
August 1, 2004;
18(8):
833 - 862.
[Abstract]
[PDF]
|
|
|
|
|
|
|
C. Luke, K. J Dodd, and K. Brock
Outcomes of the Bobath concept on upper limb recovery following stroke
Clinical Rehabilitation,
August 1, 2004;
18(8):
888 - 898.
[Abstract]
[PDF]
|
|
|
|
|
|
|
D. Meldrum, S. J Pittock, O. Hardiman, C. N. Dhuill, M. O'Regan, and J. T Moroney
Recovery of the upper limb post ischaemic stroke and the predictive value of the Orpington Prognostic Score
Clinical Rehabilitation,
June 1, 2004;
18(6):
694 - 702.
[Abstract]
[PDF]
|
|
|
|
|
|
|
H. Feys, W. De Weerdt, G. Verbeke, G. C. Steck, C. Capiau, C. Kiekens, E. Dejaeger, G. Van Hoydonck, G. Vermeersch, and P. Cras
Early and Repetitive Stimulation of the Arm Can Substantially Improve the Long-Term Outcome After Stroke: A 5-Year Follow-up Study of a Randomized Trial
Stroke,
April 1, 2004;
35(4):
924 - 929.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
G Verheyden, A Nieuwboer, J Mertin, R Preger, C Kiekens, and W De Weerdt
The Trunk Impairment Scale: a new tool to measure motor impairment of the trunk after stroke
Clinical Rehabilitation,
March 1, 2004;
18(3):
326 - 334.
[Abstract]
[PDF]
|
|
|
|
|
|
|
T J. Bovend'Eerdt, H Dawes, H Johansen-Berg, and D T Wade
Evaluation of the Modifid Jebsen Test of Hand Function and the University of Maryland Arm Questionnaire for Stroke
Clinical Rehabilitation,
February 1, 2004;
18(2):
195 - 202.
[Abstract]
[PDF]
|
|
|
|
|
|
|
S. Barreca, S. L. Wolf, S. Fasoli, and R. Bohannon
Treatment Interventions for the Paretic Upper Limb of Stroke Survivors: A Critical Review
Neurorehabil Neural Repair,
December 1, 2003;
17(4):
220 - 226.
[Abstract]
[PDF]
|
|
|
|
|
|
|
C. J. Winstein, J. P. Miller, S. Blanton, E. Taub, G. Uswatte, D. Morris, D. Nichols, and S. Wolf
Methods for a Multisite Randomized Trial to Investigate the Effect of Constraint-Induced Movement Therapy in Improving Upper Extremity Function among Adults Recovering from a Cerebrovascular Stroke
Neurorehabil Neural Repair,
September 1, 2003;
17(3):
137 - 152.
[Abstract]
[PDF]
|
|
|
|
|
|
|
H. Rodgers, J. Mackintosh, C. Price, R. Wood, P. McNamee, T. Fearon, A. Marritt, and R. Curless
Does an early increased-intensity interdisciplinary upper limb therapy programme following acute stroke improve outcome?
Clinical Rehabilitation,
June 1, 2003;
17(6):
579 - 589.
[Abstract]
[PDF]
|
|
|
|
|
|
|
J R de Kroon, J H van der Lee, M J IJzerman, and G J Lankhorst
Therapeutic electrical stimulation to improve motor control and functional abilities of the upper extremity after stroke: a systematic review
Clinical Rehabilitation,
April 1, 2002;
16(4):
350 - 360.
[Abstract]
[PDF]
|
|
|
|
