Topics in Stroke Rehabilitation最新文献

{"title":"Turkish cultural adaptation, validity, and reliability of the stroke activity scale in individuals with Hemiparesis.","authors":"Ayşe Göktaş, Volkan Türkmen, Fulya Damla Çolak, Gamze Ekici","doi":"10.1080/10749357.2024.2333160","DOIUrl":"10.1080/10749357.2024.2333160","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to make the Turkish cultural adaptation of the the Stroke Activity Scale (SAS).</p><p><strong>Method: </strong>This study was designed as a methodological research. The psychometric properties of the SAS scale were evaluated by validity and reliability analyses.</p><p><strong>Results: </strong>The average age of 84 stroke patients (mean ± SD) was 59.52 ± 14.03 years. Kaiser-Meyer-Olkin (0.816) and Bartlett's Test of Sphericity (χ2 = 288.968, df = 10, <i>p</i> < 0.001) showed that the data set can be factored. A one-factor structure was obtained with Principal Component Analysis (PCA). The factor loads of the items obtained with PCA and Confirmatory Factor Analysis (CFA) were found to be statistically significant. The obtained chi-square statistics (χ2 = 2.227, <i>p</i> = 0.694), normalized chi-square/freedom (χ2/sd) value (0 ≤ 0.557 ≤ 2) and other goodness of fit indices showed good compliance. The positive highly significant correlation (<i>r</i> = 0.846, <i>p</i> < 0.001) between the SAS and Rivermead Mobility Index (RMI) scales confirmed the Concurrent validity. Cronbach's alpha (0.864) value showed high reliability and Intraclass Correlation Coefficient (ICC) value (0.983, <i>p</i> < 0.001) showed excellent agreement.</p><p><strong>Conclusions: </strong>In this study, which was conducted for the Turkish adaptation of the SAS scale, the 5-item and 1-factor structure was evaluated as a valid and reliable scale for evaluating the balance abilities of stroke patients living in Turkey.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"865-878"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cardiorespiratory fitness, physical activity, and fatigue three months after first-ever ischemic stroke.","authors":"Petra Larsson, Elisabeth Edvardsen, Caryl L Gay, Marie Ursin, Ulrich Mack, Anners Lerdal","doi":"10.1080/10749357.2024.2333191","DOIUrl":"10.1080/10749357.2024.2333191","url":null,"abstract":"<p><strong>Background: </strong>Research on cardiorespiratory fitness (CRF) in relation to physical activity (PA) and fatigue after stroke is limited. Increased knowledge of interrelationships between these factors can help optimize rehabilitation strategies and improve health-outcomes.</p><p><strong>Objectives: </strong>We aimed to: 1) evaluate CRF, PA, and fatigue, 2) characterize patients with impaired versus non-impaired CRF, and 3) examine associations of CRF with PA and fatigue, three months after first-ever ischemic stroke.</p><p><strong>Methods: </strong>In this cross-sectional study CRF was measured as peak oxygen uptake (VO_2peak) by cardiopulmonary exercise testing. PA was measured using accelerometers. Fatigue was assessed with the 7-item Fatigue Severity Scale (FSS).</p><p><strong>Results: </strong>The sample (n=74, mean age 64±13 years, 36% women) had a mean VO_2peak of 27.0±8.7 (86% of predicted). Fifty-one percent met the World Health Organization's recommendation of ≥150 min of moderate PA/week. Mean steps-per-day was 9316±4424 (113% of predicted). Thirty-five percent of the sample had moderate-to-high fatigue (FSS≥4), mean FSS score was 3.2±1.8.  Patients with impaired CRF (VO_2peak<80% of predicted) had higher body-fat-percent (p<0.01), less moderate-to-vigorous PA (MVPA) (p<0.01) and a trend toward higher fatigue (p=0.053) compared to the non-impaired. Backward regression analysis showed that higher CRF was associated with more MVPA (unstandardized beta [95% CI]: 0.38 [0.15, 0.63], p=0.002) and less fatigue (unstandardized beta [95% CI]: -3.9 [-6.4, -1.6], p=0.004).</p><p><strong>Conclusions: </strong>Stroke patients had lower CRF compared to reference values. Impaired CRF was mainly related to overweight. Higher CRF was associated with more MVPA and less fatigue. Exercise after stroke may be especially beneficial for patients with impaired CRF.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"817-827"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140294606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Defining tibial anterior muscle morphology in first-ever chronic stroke patients using three-dimensional freehand ultrasound.","authors":"Fabienne Schillebeeckx, Julien Duyck, Anouk Plessers, Adele Agostini, Sandor Vander Poorten, Britta Hanssen, Kaat Desloovere, Geert Verheyden, Koen Peers","doi":"10.1080/10749357.2024.2333184","DOIUrl":"10.1080/10749357.2024.2333184","url":null,"abstract":"<p><strong>Background: </strong>Drop foot is common post-stroke, elevating fall risks and mobility limitations. It is caused by weakness and lack of control of the tibialis anterior muscle (TA), for which various rehabilitation treatments are used. A reliable objective estimate of changes in TA muscle morphology and composition can enhance treatment optimization.</p><p><strong>Objectives: </strong>We aimed to ascertain 3D freehand ultrasound (3DfUS) reliability in measuring TA muscle volume, length, and echo intensity in stroke patients and healthy controls and its validity by comparing these features across legs, between patients and controls, and between clinical subgroups (i.e. patients with and without ankle contracture, spastic muscle overactivity, and foot dorsiflexor paresis).</p><p><strong>Methods: </strong>We included 9 stroke patients and 9 healthy controls to define reliability and 26 stroke patients and 28 healthy controls to define validity. For reliability, data were collected and processed by 2 different operators and processors. For inter- and intra-rater reliability, intra-class correlation coefficient (ICC) and standard error of measurement (SEM) were used. For validity, Wilcoxon-Signed-Ranked and Mann-Whitney U tests were used for comparisons between groups and subgroups.</p><p><strong>Results: </strong>All measurements showed good to excellent inter- and intra-rater reliability (ICC: 0.816 to 0.997, SEM: 0.5% to 7.8%). Comparison analyses revealed no differences in muscle features among legs, groups, or subgroups.</p><p><strong>Conclusion: </strong>While the 3DfUS is a reliable method to define TA morphology and composition, its clinical validity needs further investigation into factors influencing muscle property changes across various age groups and post-stroke time points.</p><p><strong>Mesh terms: </strong>Stroke; Skeletal muscle morphology; muscle composition; 3D freehand ultrasonography, Anterior Tibial Muscle.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"838-851"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140336876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining the association between balance self-efficacy and virtual balance performance in individuals with stroke: a cross-sectional study.","authors":"Eric Huynh, Elise Wiley, Sarah Park, Brodie M Sakakibara, Ada Tang","doi":"10.1080/10749357.2024.2356407","DOIUrl":"10.1080/10749357.2024.2356407","url":null,"abstract":"<p><strong>Background: </strong>Balance self-efficacy is a strong predictor of fall risk after stroke and is related to performance on balance and walking tests. The use of telerehabilitation for delivering stroke rehabilitation has increased in recent years and there is a need to adapt common clinical assessments to be administered in virtual formats, but the association between balance self-efficacy and virtually administered clinical tests of balance performance has yet to be established. This study examined the association between the Activities-specific Balance Confidence (ABC) Scale and virtually administered Timed Up and Go (TUG), Tandem Stand, and Functional Reach tests (FRT) in individuals with stroke.</p><p><strong>Methods: </strong>This was a secondary analysis of baseline data from two telerehabilitation trials with individuals with stroke. All assessments were administered by trained physical therapists through videoconferencing software. Multivariate regression analyses were used to examine the associations between the ABC scale and TUG test, Tandem Stand test, and FRT, adjusted for age and number of comorbidities.</p><p><strong>Results: </strong>Data from 51 participants (<i>n</i> = 11 female, median age = 64 [IQR: 18] years, 9.3 ± 4.6 months poststroke) were analyzed. The ABC scores were associated with TUG (R² = 0.56, F(3,47) = 20.26, <i>p</i> < 0.01), but not Tandem Stand (R² = 0.18, F(5,45) = 1.93, <i>p</i> = 0.11) or FRT (R² = 0.14, F(3,47) = 2.55, <i>p</i> = 0.07) tests.</p><p><strong>Conclusion: </strong>We observed associations between the ABC scores and virtual TUG, but not with Tandem Stand or FRT, which may be attributed to the context-specificity of balance self-efficacy. As virtual administration of outcomes assessments becomes part of common practice in stroke rehabilitation, our study supports the use of virtually administered TUG in stroke.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"763-771"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141088016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effects of kinesiophobia, fatigue, and quality of life on physical activity in patients with stroke.","authors":"Gülşah Sütçü Uçmak, Muhammed Kılınç","doi":"10.1080/10749357.2024.2333159","DOIUrl":"10.1080/10749357.2024.2333159","url":null,"abstract":"<p><strong>Background: </strong>Physical activity decreases after stroke due to various factors and the causes and effects of these factors remain unclear.</p><p><strong>Objectives: </strong>This study aimed todetermine the effects of kinesiophobia, fatigue, and quality of life on physical activity in patients with stroke.</p><p><strong>Methods: </strong>The study included 32 patients (13 females/19 males), all evaluated using the Stroke Rehabilitation Assessment of Movement, Barthel Index, Tampa Kinesiophobia Scale-fatigue, Fatigue Impact Scale and Stroke-Specific Quality of Life Scale. The SenseWear multisensory activity monitor was worn on the arm of the patients for 1 week to evaluate active energy expenditure, step count, and rest periods in relation to physical activity. Multiple linear regression analysis was used to examine the effects of the independent variables kinesiophobia, fatigue, and quality of life on the dependent variables of active energy expenditure, step count, and rest periods.</p><p><strong>Results: </strong>The mean age of the patients was 52.31 ± 14.76 years. According to the multiple regression analysis results, kinesiophobia (<i>p</i> = 0.011) and quality of life (<i>p</i> = 0.009) are significant determinants of active energy expenditure and quality of life (<i>p</i> = 0.001) is a significant determinant of the step count in patients with stroke. Kinesiophobia, fatigue, and quality of life were not determinants of rest periods (<i>p</i> > 0.05).</p><p><strong>Conclusions: </strong>The study results showed that kinesiophobia and quality of life are important determinants of physical activity in patients with stroke. Combined evaluation in the clinic of motor findings and non-motor factors, which are often ignored, and the application of target-oriented approaches to these problems will make a significant contribution to the success of stroke rehabilitation.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"788-794"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140289083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigation of the relationship between lower limb orthosis user satisfaction and quality of life and functionality in stroke patients: a cross-sectional study.","authors":"Ahmet Veli İçoglu, Sulenur Yildiz","doi":"10.1080/10749357.2024.2435199","DOIUrl":"https://doi.org/10.1080/10749357.2024.2435199","url":null,"abstract":"<p><strong>Background: </strong>Orthosis satisfaction may be an important parameter that increases orthosis usage and reveals orthosis' positive effect on rehabilitation.</p><p><strong>Objectives: </strong>To investigate the relationship between lower limb orthosis user satisfaction and quality of life (QOL) and functionality in stroke patients.</p><p><strong>Methods: </strong>Forty-four stroke patients with a mean age of 56.91 ± 14.08 years were included. Orthosis user satisfaction was evaluated using the Orthotics and Prosthetics Users' Survey (OPUS). QOL was assessed using the Stroke-Specific Quality of Life Scale (SS-QOL). Lastly, functional status was evaluated using the Fugl - Meyer Assessment of Lower Extremity (FMA-LE) and Timed Up and Go Test (TUGT).</p><p><strong>Results: </strong>The relationships were found between the OPUS total satisfaction and SS-QOL-selfcare (<i>r</i> = -0.412, <i>p</i> = 0.005), and upper extremity (<i>r</i> = -0.401, <i>p</i> = 0.007); OPUS device satisfaction and SS-QOL-selfcare (<i>r</i> = -0.484, <i>p</i> < 0.001) and upper extremity function (<i>r</i> = -0.379, <i>p</i> = 0.011); and OPUS service satisfaction and FMA-LE (<i>r</i> = 0.880, <i>p</i> = 0.001). There was no relationship between the OPUS total satisfaction, service satisfaction, and daily orthosis use time (<i>p</i> > 0.05). While participants' QOL and lower extremity functionality were generally at low, those with better functional status had lower orthosis satisfaction because it made ambulation at home difficult.</p><p><strong>Conclusion: </strong>Taking patient opinions into account in the orthotic design process will help to eliminate the problems related to comfort and orthotic wear that might affect orthotic satisfaction. The production of more comfortable orthoses might positively affect individuals' use of orthoses and satisfaction. This outcome may be a good starting point for prospective studies.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-7"},"PeriodicalIF":2.2,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of visual stimulation using color looming disc in Anton syndrome: a case report.","authors":"Yuji Han, Soo Jeong Han, Hunbo Shim, Jee Hyun Suh","doi":"10.1080/10749357.2024.2413269","DOIUrl":"https://doi.org/10.1080/10749357.2024.2413269","url":null,"abstract":"<p><p><b>Objectives</b>: Anton syndrome is arare stroke syndrome that develops after damage to both occipital lobes, leading to cortical blindness and visual anosognosia. This report describes the rehabilitation course and functional progress of a 42-year-old man diagnosed with Anton syndrome.<b>Methods</b>: The patient started visual stimulation therapy using a color looming disc 5 months after Anton syndrome onset, for 30 minutes a day, 5 times a week for 4 weeks, totaling 20 sessions.<b>Results</b>: After 4 weeks of visual stimulation therapy using color-looming discs, reading tests for consonants, numbers, words, and colors and the latency of the P100 of Visual Evoked Potential showed improvement. Additionally, improvements were noted in the Modified Barthel Index and Mini-Mental State Examination scores related to visual function.<b>Conclusions</b>: This case illustrates the effectiveness of visual stimulation therapy using color-looming discs and its potential to achieve positive outcomes.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-7"},"PeriodicalIF":2.2,"publicationDate":"2024-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The psychometric properties of the PROMIS® profile CAT in people with stroke.","authors":"Daniëlla M Oosterveer, Winke van Meijeren-Pont, Henk Arwert, Caroline B Terwee, Thea Pm Vliet Vlieland","doi":"10.1080/10749357.2024.2312642","DOIUrl":"10.1080/10749357.2024.2312642","url":null,"abstract":"<p><strong>Background: </strong>The Patient-Reported Outcomes Measurement Information System® (PROMIS) Profile Computer Adaptive Testing (CAT) consists of seven CATs and one single item measuring most relevant aspects of health-related quality of life (HRQoL). The aim of our study was to determine construct validity and floor and ceiling effects of the PROMIS Profile CAT in Dutch people with stroke.</p><p><strong>Methods: </strong>People with stroke receiving rehabilitation completed the PROMIS Profile CAT and the EuroQol-5 dimensions (EQ5D). Construct validity was evaluated with hypotheses testing based on expected correlations between the profile domains and the domains of the EQ5D. The proportion of participants with the lowest and highest scores were calculated for each profile domain to assess floor and ceiling effects.</p><p><strong>Results: </strong>160 participants were included (median age 61 years, 41.9% female). For the PROMIS Profile domains Physical Function, Anxiety, Depression, Sleep Disturbance, Pain Interference, and Pain Intensity > 75% of the results met our hypotheses. For Fatigue and Ability to Participate in Social Roles and Activities only 60% of hypotheses were met. No floor or ceiling effects were found, with the exception of a floor effect for Pain Intensity which probably indicates that many participants had no pain.</p><p><strong>Conclusion: </strong>Most domains of the PROMIS Profile CAT showed sufficient construct validity and no problematic floor or ceiling effects in people with stroke. These CATs and the single item Pain Intensity can be used to efficiently measure HRQoL in people with stroke.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"738-744"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139707969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Racial disparities among mild stroke survivors: predictors of home discharge from a retrospective analysis.","authors":"Lindsay Bright, Carolyn M Baum, Pamela Roberts","doi":"10.1080/10749357.2024.2329491","DOIUrl":"10.1080/10749357.2024.2329491","url":null,"abstract":"<p><strong>Background: </strong>Half of all strokes are classified as mild, and most mild stroke survivors are discharged home after their initial hospitalization without any post-acute rehabilitation despite experiencing cognitive, psychosocial, motor, and mobility impairments.</p><p><strong>Objectives: </strong>To investigate the demographic and clinical characteristics of mild stroke survivors and their association with discharge location.</p><p><strong>Methods: </strong>This is a retrospective analysis of mild stroke survivors from 2015-2023 in an academic medical center. Demographic characteristics, clinical measures, and discharge locations were obtained from the electronic health record. The Social Vulnerability Index was used to measure the community vulnerability. Associations between variables and discharge location were examined using bivariate logistic regression analysis.</p><p><strong>Results: </strong>There were 2,953 mild stroke survivors included in this study. The majority of participants were White (65.46%), followed by Black (19.40%). Black stroke survivors and individuals with higher social vulnerability had a higher proportion of discharges to skilled nursing facilities (<i>p</i> = 0.001). Black patients and patients with high vulnerability in housing type and transportation were less likely to be discharged home.</p><p><strong>Conclusions: </strong>Mild stroke survivors have a high rate of home discharge, potentially because less severe stroke symptoms have a reduced need for intensive care. Racial disparities in discharge location were evident, with Black stroke survivors experiencing higher rates of institutionalized care and lower likelihood of being discharged home compared to White counterparts, emphasizing the importance of addressing these disparities for equitable healthcare delivery and optimal outcomes.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"755-761"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140185653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of eccentric strength training on motor function in individuals with stroke: a scoping review.","authors":"Natalia Perez, Cristian Morales, Alvaro Reyes, Travis Cruickshank, Luis Penailillo","doi":"10.1080/10749357.2024.2330040","DOIUrl":"10.1080/10749357.2024.2330040","url":null,"abstract":"<p><strong>Background: </strong>Preliminary evidence suggests that eccentric strength training (ECC) improves muscle strength and postural control in individuals with stroke; however, the evidence about the effects of ECC in people living with stroke has not been systematically analyzed.</p><p><strong>Objective: </strong>To determine the effects of ECC, compared to other exercise modalities (i.e., concentric training), on motor function in individuals with stroke.</p><p><strong>Methods: </strong>This scoping review was performed according to PRISMA extension for scoping reviews. Until March 2023, a comprehensive search of studies using ECC intervention to improve motor functions in individuals with stroke was performed. Study designs included were randomized and non-randomized controlled trials and quasi-experimental studies using MEDLINE, Web of Science, Rehabilitation & Sports Medicine, PEDro, and OTSeeker databases. Two independent reviewers selected articles based on title and abstract and extracted relevant information from the eligible studies. The results were qualitatively synthesized, and the critical appraisal was performed using the Rob 2.0 and Robins-I tools.</p><p><strong>Results: </strong>Ten studies, with 257 individuals, were analyzed. ECC revealed positive effects on muscle strength, muscular activity, balance, gait speed, and functionality, mainly compared with concentric training, physical therapy, and daily routine. No significant adverse events were reported during ECC. The critical appraisal of individual articles ranged from some to high concern.</p><p><strong>Conclusion: </strong>ECC had a greater and positive effect on motor function in individuals with stroke than other exercise modalities. However, the limited number of studies, variability of outcomes, and the risk of bias produced a low certainty of evidence.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"667-680"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140176657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}