Article

OBJECTIVE: To evaluate the evidence for, and clinical relevance of, immediate and
long-term effects of trunk restraint during reach-to-grasp training poststroke on
movement patterns and functional abilities within the framework of the
International Classification of Functioning, Disability and Health. DATA SOURCES:
PubMed, Web of Science, CINAHL, Embase, PEDro, Cochrane Library (publication
dates January 1985 to March 2015). STUDY SELECTION: Randomized controlled trials
comparing training using trunk restraint with any other exercise training. DATA
EXTRACTION: Data were extracted by one researcher and checked by two other
researchers. The Cochrane Collaboration's tool for assessing risk of bias and the
Physiotherapy Evidence Database scale were used by two researchers to assess
study quality and risk of bias. DATA SYNTHESIS: Eight studies met the inclusion
criteria. Five studies found better recovery of movement patterns (trunk
displacement, elbow extension, and/or shoulder flexion - body function/structure)
at post-test in the experimental compared with the control groups. Functional
abilities (activity/participation) improved more in the experimental groups in 3
studies at post-test. Long-term effects were found in one study after 4 weeks.
CONCLUSION: Trunk restraint has immediate and some long-term effects in adults
with chronic stroke. However, these effects are not consistently clinically
relevant when referring to minimal detectable change or minimal clinically
important difference values.

Langue : ANGLAIS