Intensity of task-specific training for functional ability post-stroke: Systematic review and meta-analysis.
Objectives: To evaluate the effectiveness of intensities of task-specific training on upper and lower limbs functions, balance, and quality of life post-stroke. Data sources: Six electronic databases (Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, CINAHL, PsycINFO, and Clinical tri...
| Publicado en: | Clinical Rehabilitation Vol. 39; no. 9; pp. 1133 - 1156 |
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| Autores principales: | , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Sep2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187256455&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187256455 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02692155 31B jtl: Clinical Rehabilitation issn: 02692155 maglogo: Y pubinfo: dt: Sep2025 vid: 39 iid: 9 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 187256455 186183214 187256455 187256455 10.1177/02692155251351906 187256455 ppf: 1133 ppct: 23 formats: tig: atl: Intensity of task-specific training for functional ability post-stroke: Systematic review and meta-analysis. aug: au: Ibrahim, Rabi'u Abdullahi, Auwal Salihu, Abubakar Tijjani Lawal, Isa Usman affil: Department of Hospital Services, Physiotherapy Division, Directorate of Health Services, National Assembly Abuja, Abuja, Nigeria sug: subj: Task Performance and Analysis Therapeutic Exercise Stroke Rehabilitation Functional Status Upper Extremity Lower Extremity Balance, Postural Quality of Life Training Effect (Physiology) Evaluation Human Systematic Review Meta Analysis Cochrane Library Medline Embase CINAHL Database Psycinfo Treatment Duration ab: Objectives: To evaluate the effectiveness of intensities of task-specific training on upper and lower limbs functions, balance, and quality of life post-stroke. Data sources: Six electronic databases (Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, CINAHL, PsycINFO, and Clinical trials.gov registries) were searched up to 19 April 2025. Review methods: We selected randomized controlled trials with at least one group involving an active repetitive motor sequence. Using an online systematic review application (Covidence), two reviewers screened the studies and extracted the data. Risk of bias was appraised using the standard Cochrane tool. Review Manager 5.4 was used for analysis. Results: Twenty-six randomized controlled trials involving 1431 stroke survivors were included, with moderate to high risk of bias. Subgroup analyses across most outcomes (arm/hand function, lower limb function, balance, quality of life) showed no significant effects of task-specific training based on dosage variables (frequency, sessions, duration, and repetitions). Although some trends favored higher-dose task-specific training or control, only hand function improved significantly in studies with >20 sessions (SMD = 0.57, p = 0.02; I2 = 69). A significant effect on arm function was seen with >50 repetitions (p = 0.001), but evidence quality was very low. Conclusions: There is insufficient evidence to determine whether higher-intensity task-specific training leads to improved functional outcomes in stroke rehabilitation. Future well-designed trials are needed to explore optimal training intensities and their impact on recovery. International prospective register of systematic reviews ID CRD42020130991. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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