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Intensity of task-specific training for functional ability post-stroke: Systematic review and meta-analysis
Rabi'u Ibrahim1, Auwal Abdullahi2, Abubakar Tijjani Salihu3,4
1Department of Hospital Services, Physiotherapy Division, Directorate of Health Services, National Assembly Abuja, Abuja, Nigeria.
Clinical Rehabilitation
|June 27, 2025
Summary
Current evidence is insufficient to confirm if higher-intensity task-specific training improves functional outcomes after stroke. More well-designed trials are needed to determine optimal training intensities for stroke rehabilitation.
Area of Science:
- Neurorehabilitation
- Clinical Trials
- Evidence-Based Practice
Background:
- Task-specific training is a common approach in stroke rehabilitation.
- The optimal intensity (dosage) of task-specific training for maximizing functional recovery remains unclear.
Purpose of the Study:
- To systematically evaluate the effectiveness of different intensities of task-specific training on upper and lower limb function, balance, and quality of life in stroke survivors.
Main Methods:
- A systematic review and meta-analysis of 26 randomized controlled trials involving 1431 stroke survivors.
- Data were extracted and analyzed using Review Manager 5.4, with risk of bias assessed using the Cochrane tool.
Main Results:
- Most subgroup analyses showed no significant effects of task-specific training intensity on functional outcomes.
- A significant improvement in hand function was observed with >20 sessions, and arm function with >50 repetitions, though evidence quality was low to very low.
Conclusions:
- There is insufficient evidence to support higher-intensity task-specific training for improved functional outcomes post-stroke.
- Further high-quality research is required to establish optimal training parameters for stroke rehabilitation.
Keywords:
Task-specific trainingfrequency of trainingintensity of trainingstroke rehabilitationsystematic reviewMore Related Videos
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