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Cognitive Function and Upper Limb Rehabilitation Training Post-Stroke Using a Digital Occupational Training System
Published on: December 29, 2023
Does repetitive task training improve functional activity after stroke? A Cochrane systematic review and
Beverley French1, Lois Thomas, Michael Leathley
1School of Nursing and Caring Sciences, University of Central Lancashire, Preston, PR1 2HE, UK. bfrench1@uclan.ac.uk
Journal of Rehabilitation Medicine
|January 30, 2010
Summary
Repetitive task training shows modest improvements in lower limb function and daily activities after stroke. However, it did not significantly enhance upper limb function in stroke survivors.
Area of Science:
- Neurorehabilitation
- Physical Therapy
- Stroke Recovery
Background:
- Stroke frequently impairs functional mobility and activities of daily living.
- Effective rehabilitation strategies are crucial for optimizing recovery post-stroke.
- Repetitive task training (RTT) is a potential intervention to address these deficits.
Purpose of the Study:
- To systematically review and meta-analyze the evidence on the effectiveness of repetitive task training (RTT) for improving functional activity in stroke survivors.
- To determine if RTT leads to statistically significant improvements in various functional outcome measures.
Main Methods:
- A systematic review and meta-analysis were conducted.
- Included were randomized and quasi-randomized trials comparing RTT with attention control or usual care.
- Data were sourced from multiple databases, including the Cochrane Stroke Trials Register, and included unpublished and non-English papers.
Main Results:
- Fourteen trials with 659 participants were analyzed.
- Significant improvements were observed in walking distance, walking speed, sit-to-stand ability, and activities of daily living.
- No significant differences were found for hand/arm function, lower limb scales, or balance measures.
Conclusions:
- Repetitive task training (RTT) offers modest benefits for lower limb function and activities of daily living in stroke patients.
- RTT did not demonstrate significant improvements in upper limb functional outcomes.
- The heterogeneity of RTT interventions necessitates careful classification and interpretation of results.
