Physical Rehabilitation Approaches for the Recovery of Function and Mobility After Stroke: Major Update
Abstract
Objectives We aimed to determine whether physical rehabilitation approaches are effective in recovery of function and mobility in people with stroke, and to assess whether any one physical rehabilitation approach is more effective than any other approach. Methods A stakeholder group, comprising stroke survivors, caregivers, and physiotherapists, made decisions using consensus-making techniques relating to the scope and focus of this updated review.1 We performed a comprehensive search (to December 2012),1 including randomized controlled trials of physical rehabilitation approaches in adult stroke survivors. Interventions comprised a range of philosophically different approaches to promote recovery of function or mobility. Randomized controlled trials of single specific treatments were excluded. Outcomes analyzed were independence in activities of daily living, motor function, balance, gait, and length of stay. Two reviewers independently applied selection criteria, assessed risk of bias and extracted data. We calculated standardized mean differences (SMD) using a random effects model.
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In motor rehabilitation after stroke, in the context of randomised comparisons with usual care or attention control interventions, improvements have been shown in motor function, balance, and gait velocity but not in functionally relevant activities of daily living.
“mirroring the findings in motor rehabilitation after stroke, where in the context of randomised comparisons with usual care or attention control interventions, improvements have been shown in motor function, balance, and gait velocity but not in functionally relevant activities of daily living.27”
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Aminov, A., Rogers, J. M., Middleton, S., Caeyenberghs, K., & Wilson, P. H. (2018) · Journal of NeuroEngineering and Rehabilitation · doi:10.1186/s12984-018-0370-2 · Cited by 236 · see citing works
Palmer, R., Dimairo, M., Cooper, C., Enderby, P., Brady, M., Bowen, A., Latimer, N., Julious, S., Cross, E., Alshreef, A., et al. (2019) · The Lancet Neurology · doi:10.1016/s1474-4422(19)30192-9 · Cited by 200 · see citing works
Stroke Survivors’ Interaction With Hand Rehabilitation Devices: Observational Study (Preprint)
Wodu, C. O., Sweeney, G., Slachetka, M., & Kerr, A. (2023) · doi:10.2196/preprints.54159 · Cited by 1 · see citing works
- Authors
- Pollock, A., Baer, G., Campbell, P., Choo, P. L., Forster, A., Morris, J., Pomeroy, V. M., & Langhorne, P.
- Affiliations
- University of East Anglia (GB)
- From the Nursing, Midwifery and Allied Health Professions Research Unit (NMAHP RU) (A.P., P.C.), School of Health and Life Sciences (P.L.C.), Glasgow Caledonian University, Glasgow, United Kingdom; Department of Physiotherapy, Queen Margaret University, Edinburgh, United Kingdom (G.B.); Academic Unit of Elderly Care and Rehabilitation, Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust/University of Leeds, Bradford, United Kingdom (A.F.); School of Nursing and...
- Venue
- Stroke
- Published
- 2014-10
- Volume
- 45
- Issue
- 10
- ISSN
- 0039-2499 (ISSN-L)
- 1524-4628
- OpenAlex
- W2049440632
- Cited by
- 61
- References
- 0
- Citations by year
- 2026: 2 · 2025: 12 · 2024: 11 · 2023: 5 · 2022: 3 · 2021: 9 · 2019: 4 · 2018: 3 · 2017: 11 · 2016: 1
- FWCI
- 3.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Stroke (publishedVersion)
- Discovery Research Portal (University of Dundee) (publishedVersion)
- Queen Margaret University Publications Repository (Queen Margaret University) (acceptedVersion)
- ResearchOnline (Glasgow Caledonian University) (acceptedVersion)
- UEA Digital Repository (University of East Anglia) (acceptedVersion)
- ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (submittedVersion)
- Queen Margaret University Publications Repository (Queen Margaret University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Health Sciences › Medicine › Epidemiology › Acute Ischemic Stroke Management
- Keywords
- stroke rehabilitation, physical rehabilitation, functional recovery, mobility (physical function), activities of daily living, motor function, balance, gait, length of hospital stay, stroke survivors, physiotherapy
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