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Task-oriented training for upper limb functions in patients with multiple sclerosis: Systematic review and
Mohamed Ahmed Hassanin1, Maya G Aly2, Hady Atef3
1Physical Therapy for Neurology, Faculty of Physical Therapy, Cairo University, Egypt.
Multiple Sclerosis and Related Disorders
|March 31, 2023
Summary
Task-oriented training (TOT) may improve upper limb (UL) function in multiple sclerosis (MS) patients. However, studies show no significant difference compared to conventional physical therapy.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Physical Therapy
Background:
- Multiple sclerosis (MS) leads to diverse functional impairments.
- Task-oriented training (TOT) is a rehabilitation strategy to enhance motor skills.
- Evaluating TOT's efficacy for upper limb (UL) function in MS is crucial.
Approach:
- Systematic review and meta-analysis of randomized controlled trials (RCTs) up to 2022.
- Searched PubMed, Cochrane Library, and PEDro databases.
- Included RCTs using TOT alone for adult MS patients' UL function, assessed using the PEDro scale.
Key Points:
- Five RCTs involving 147 MS patients (66% female, mean age 47) were eligible.
- TOT interventions varied in duration (40-210 min/session; 10 days-8 weeks).
- Meta-analysis revealed non-significant differences in UL function improvements compared to controls across multiple outcome measures.
Conclusions:
- Task-oriented training (TOT) shows potential for improving upper limb (UL) function in multiple sclerosis (MS) patients.
- Current meta-analyses indicate no significant advantage of TOT alone over conventional physical therapy for UL function.
- Further research may be needed to clarify TOT's specific role in MS rehabilitation.

