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Article
for review:
Wattchow, K.A., McDopnnell, M.N., & Hillier, S.L. (2018).
Rehabilitation interventions for upper limb function in the first four weeks
following stroke: A systematic review and meta-analysis of the evidence. Archives
of Physical Medicine and Rehabilitation, 99(2), 367-82. doi:
10.1016/j.apmr.2017.06.014
This systematic review investigates the
evidence for a range of interventions for upper limb (UL) function in adults
within 4 weeks poststroke. The review
included “any physical therapy (PT) or occupational therapy (OT) technique designed
to address impairment and/or activity of the affected UL after stroke,” but did
not distinguish between interventions in evaluating efficacy for intervention.
Conclusion:
Meta-analyses revealed support for
modified constraint-induced movement therapy (mCIMT) and task-specific training
in improving UL functional outcomes. The
review also suggests biofeedback and electrical stimulation are useful as
supplementary therapies to support UL rehabilitation poststroke. On the other hand, the review discourages
using Bobath therapy. Insufficient
evidence was found to either support or refute other OT/PT interventions (air
splints, bilateral arm training, circuit class therapy, somatosensory
interventions, Kinesio Tape, mechanical arm trainer, medication, mirror box
therapy, music therapy passive movement, reflex inhibiting/immobilization,
robotics, shoulder strapping/orthosis, static positional strength training, and
virtual reality training/video gaming).
Read the abstract
Read the abstract
Post by Alana Marshall, fieldwork student with CAOT-BC
#OT365
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