A scoping review of cane use in people who have had a stroke.

BACKGROUND: Various types of canes are frequently utilised in stroke rehabilitation to support walking ability by compensating for hemiplegic gait. However, Randomised Controlled Trial (RCT) design varies considerably in the area of cane use following stroke and there is no scoping review published...

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Publicado en:Physiotherapy Practice & Research Vol. 45; no. 2; pp. 153 - 168
Autores principales: Aerken, Rufeina, Clark, Helen, Broderick, Patrick
Formato: research systematic review tables/charts Journal Article
Publicado: Sage Publications Inc. 2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2024
      vid: 45
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.3233/PPR-230832
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        atl: A scoping review of cane use in people who have had a stroke.
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        au:
          Aerken, Rufeina
          Clark, Helen
          Broderick, Patrick
        affil: Neuroplasticity Research Group, School of Business and Social Sciences, Atlantic Technological University, Sligo, Ireland
      sug:
        subj:
          Stroke Patients
          Canes Utilization
          Canes Classification
          Stroke Rehabilitation
          Physical Mobility
          Functional Status
          Human
          Scoping Review
          PubMed
          Medline
          CINAHL Database
          Middle Age
          Middle Aged: 45-64 years
      ab: BACKGROUND: Various types of canes are frequently utilised in stroke rehabilitation to support walking ability by compensating for hemiplegic gait. However, Randomised Controlled Trial (RCT) design varies considerably in the area of cane use following stroke and there is no scoping review published to date on this topic. Thus, it is crucial for better evidence informed clinical care and future research that RCT evidence regarding specific assistive walking devices is examined. OBJECTIVES: Identify and map the types of canes that currently exist and review their impact on the rehabilitation of functional mobility post-stroke. METHOD: The following databases were searched: PubMed/MEDLINE, Web of Science, and CINAHL in Ebsco. Two authors independently screened 425 titles, identifying 16 RCT studies for inclusion in the review. RESULTS: 16 studies were selected for review. Five different cane designs were identified, including one-point cane, three-point cane, quad cane, weight-supported feedback cane, and rolling cane. Twelve studies were crossover RCT and four were parallel RCT. Stroke phase varied widely among subjects included in the studies and outcome measures utilised and resultant findings are heterogeneous. CONCLUSION: More evidence is required to clearly indicate the effect of canes on people who have had a stroke and parallel long-term RCTs with follow-up assessment are lacking. Furthermore, there is a lack of research examining variations in new cane designs that specifically target motor function in people who have had a stroke at specific stages. Future research should aim to address the identified inconsistencies and knowledge gaps to facilitate novel and evidence-informed clinical care regarding assistive walking devices for post stroke rehabilitation.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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