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Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System
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Repetitive task training for improving functional ability after stroke.

Beverley French1, Lois H Thomas, Jacqueline Coupe

  • 1Department of Nursing and Caring Sciences, University of Central Lancashire, Room 434, Brook Building, Preston, Lancashire, UK, PR1 2HE.

The Cochrane Database of Systematic Reviews
|November 15, 2016
PubMed
Summary
This summary is machine-generated.

Repetitive task training (RTT) shows low- to moderate-quality evidence for improving upper and lower limb function in stroke survivors, with benefits sustained up to six months post-treatment. Further research is needed to refine training protocols and definitions.

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Area of Science:

  • Neurorehabilitation
  • Motor Recovery Science

Background:

  • Repetitive task training (RTT) is a key component of stroke rehabilitation, involving active practice of task-specific motor activities.
  • This review examines the efficacy of RTT in improving motor function after stroke.

Purpose of the Study:

  • To determine if RTT enhances upper limb function/reach and lower limb function/balance in adults post-stroke.
  • To assess RTT's impact on activities of daily living, motor function, quality of life, and adverse events.
  • To identify factors influencing outcomes, such as training dose, type, and timing.

Main Methods:

  • A systematic review and meta-analysis of randomized/quasi-randomized controlled trials involving adults after stroke.
  • Searches conducted across multiple databases including Cochrane Stroke Group Trials Register, CENTRAL, MEDLINE, Embase, CINAHL, AMED, and SPORTSDiscus.
  • Data extraction and quality appraisal using Cochrane 'Risk of bias' tool and GRADE criteria by two independent reviewers.

Main Results:

  • 33 trials with 1853 participants were included; evidence quality was rated 'moderate' or 'low' due to reporting issues.
  • Low-quality evidence indicates RTT improves arm, hand, and lower limb function.
  • Moderate-quality evidence shows RTT enhances walking distance and functional ambulation, with sustained effects up to six months post-treatment.

Conclusions:

  • Low- to moderate-quality evidence supports RTT's effectiveness in improving upper and lower limb function post-stroke, sustained for at least six months.
  • Further research should focus on optimizing training parameters (type, amount, repetitions) and refining the definition of RTT.
  • The current evidence suggests RTT is beneficial, but methodological improvements in studies are needed for higher-quality conclusions.