Article

AIM: To determine the dose of activity-related arm training undertaken by stroke
survivors during acute and subacute rehabilitation. METHODS: A systematic review
of PubMed, CINAHL and EMBASE up to December 2014 was completed. Studies were
eligible if they defined the dose (time or repetitions) of activity-related arm
training using observational methods for a cohort of adult stroke survivors
receiving acute or subacute rehabilitation. All studies were quality appraised
using an evidence-based learning critical appraisal checklist. Data was analysed
by method of documented dose per session (minutes, repetitions), environment
(acute or subacute rehabilitation) and therapy discipline (physiotherapy,
occupational therapy). RESULTS: Ten studies were included: two observed stroke
survivors during acute rehabilitation and eight during subacute rehabilitation.
During acute rehabilitation, one study reported 4.1 minutes per session during
physiotherapy and 11.2 minutes during occupational therapy, while another study
reported 5.7 minutes per session during physiotherapy only. During inpatient
rehabilitation, activity-related arm training was on average undertaken for 4
minutes per session (range 0.9 to 7.9, n = 4 studies) during physiotherapy and 17
minutes per session (range 9.3 to 28.9, n = 3 studies) during occupational
therapy. Repetitions per session were reported by two studies only during
subacute rehabilitation.
One study reported 23 repetitions per session during
physiotherapy and occupational therapy, while another reported 32 repetitions per
session across both disciplines. CONCLUSION: The dose of activity-related arm
training during acute and subacute rehabilitation after stroke is limited.
CI - (c) The Author(s) 2015.

Langue : ANGLAIS