Article

Despite the fact that social participation is considered a pivotal
outcome of a successful recovery after stroke, there has been little attention on
the impact of activities and services on this important domain. OBJECTIVE: To
present a systematic review and meta-analysis from randomized controlled trials
(RCTs) on the effects of rehabilitation interventions on social participation
after stroke. METHODS: A total of 8 electronic databases were searched for
relevant RCTs that evaluated the effects of an intervention on the outcome of
social participation after stroke. Reference lists of selected articles were hand
searched to identify further relevant studies. The methodological quality of the
studies was assessed using the Physiotherapy Evidence Database Scale.
Standardized mean differences (SMDs) and confidence intervals (CIs) were
estimated using fixed- and random-effect models. RESULTS: In all, 24 RCTs
involving 2042 stroke survivors were identified and reviewed, and 21 were
included in the meta-analysis. There was a small beneficial effect of
interventions that utilized exercise on social participation (10 studies; SMD =
0.43; 95% CI = 0.09, 0.78;P= .01) immediately after the program ended. Exercise
in combination with other interventions (13 studies; SMD = 0.34; 95% CI = 0.10,
0.58;P= .006) also resulted in beneficial effects. No significant effect was
observed for interventions that involved support services over 9 studies (SMD =
0.09 [95% CI = -0.04, 0.21];I(2)= 0%;P= .16). CONCLUSIONS: The included studies
provide evidence that rehabilitation interventions may be effective in improving
social participation after stroke, especially if exercise is one of the
components.
CI - (c) The Author(s) 2015.

Langue : ANGLAIS