Activities of daily living interventions on activity performance of inpatients post-stroke: A systematic review and meta-analysis.

IF 1.3 4区医学 Q3 REHABILITATION

British Journal of Occupational Therapy Pub Date : 2024-10-01 Epub Date: 2024-06-17 DOI:10.1177/03080226241255021

Elyse Triantis, Karen Py Liu

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引用次数: 0

Abstract

Introduction: Inpatient rehabilitation is the best time window to improve patient performance post-stroke. Little is known about the type and effectiveness of activity interventions. This study aims to review activities of daily living interventions and evaluate their effectiveness on activity performance for stroke inpatients.

Method: MEDLINE, Embase, CINAHL and Web of Science were searched. Randomised controlled trials investigating the effects of activities of daily living interventions for stroke inpatients were included. Two reviewers independently selected the studies and extracted data. Meta-analysis was conducted on relevant data with a random effect model with 95% CI.

Results: Fourteen randomised controlled trials involving 602 stroke inpatients, were included. Both experimental and control groups offered activities of daily living interventions. Thirteen experimental groups offered added components, such as imagery and repetitive practice. Five studies reported significant improvement in activity performance within experimental and control groups. A meta-analysis of 12 randomised controlled trials with 512 participants revealed non-significant results for activity performance between the two groups.

Conclusion: Both experimental and control groups in the included studies provided activities of daily living interventions. Added components were included in 13 out of 14 experimental groups. Meta-analysis revealed no significant difference between the two groups as they both offered activities of daily living interventions.

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日常生活干预对住院患者脑卒中后活动表现的影响：系统回顾和荟萃分析。

住院康复是提高脑卒中后患者表现的最佳时间窗口。人们对活动干预的类型和有效性知之甚少。本研究旨在回顾日常生活干预对脑卒中住院患者活动表现的影响，并评估其效果。方法：检索MEDLINE、Embase、CINAHL、Web of Science。纳入了调查日常生活干预活动对中风住院患者影响的随机对照试验。两名审稿人独立选择研究并提取数据。对相关资料采用随机效应模型进行meta分析，CI为95%。结果：纳入14项随机对照试验，涉及602例脑卒中住院患者。实验组和对照组均提供日常生活干预活动。13个实验组提供了额外的组件，如图像和重复练习。五项研究报告了实验组和对照组在活动表现上的显著改善。一项包含512名参与者的12项随机对照试验的荟萃分析显示，两组之间的运动表现没有显著结果。结论：在纳入的研究中，实验组和对照组均提供了日常生活干预活动。14个实验组中有13个添加了添加成分。荟萃分析显示两组之间没有显著差异，因为他们都提供了日常生活干预活动。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

British Journal of Occupational Therapy REHABILITATION-

CiteScore

2.20

自引率

15.40%

发文量

审稿时长

6-12 weeks

期刊介绍： British Journal of Occupational Therapy (BJOT) is the official journal of the Royal College of Occupational Therapists. Its purpose is to publish articles with international relevance that advance knowledge in research, practice, education, and management in occupational therapy. It is a monthly peer reviewed publication that disseminates evidence on the effectiveness, benefit, and value of occupational therapy so that occupational therapists, service users, and key stakeholders can make informed decisions. BJOT publishes research articles, reviews, practice analyses, opinion pieces, editorials, letters to the editor and book reviews. It also regularly publishes special issues on topics relevant to occupational therapy.