Trunk restraint to promote upper extremity recovery in stroke patients: a systematic review and meta-analysis
Trunk restraint to promote upper extremity recovery in stroke patients: a systematic review and meta-analysis
Background: many stroke patients exhibit excessive compensatory trunk movements during reaching. Compensatory movement behaviors may improve upper extremity function in the short-term but be detrimental to long-term recovery.
Objective: to evaluate the evidence that trunk restraint limits compensatory trunk movement and/or promotes better upper extremity recovery in stroke patients.
Methods: a search was conducted through electronic databases from January 1980 to June 2013. Only randomized controlled trials (RCTs) comparing upper extremity training with and without trunk restraint were selected for review. Three review authors independently assessed the methodological quality and extracted data from the studies. Meta-analysis was conducted when there was sufficient homogenous data.
Results: six RCTs involving 187 chronic stroke patients were identified. Meta-analysis of key outcome measures showed that trunk restraint has a moderate statistically significant effect on improving Fugl-Meyer Upper Extremity (FMA-UE) score, active shoulder flexion, and reduction in trunk displacement during reaching. There was a small, nonsignificant effect of trunk restraint on upper extremity function.
Conclusion: trunk restraint has a moderate effect on reduction of upper extremity impairment in chronic stroke patients, in terms of FMA-UE score, increased shoulder flexion, and reduction in excessive trunk movement during reaching. There is insufficient evidence to demonstrate that trunk restraint improves upper extremity function and reaching trajectory smoothness and straightness in chronic stroke patients. Future research on stroke patients at different phases of recovery and with different levels of upper extremity impairment is recommended
trunk restraint, upper extremity, compensatory movement, stroke, rehabilitation, recovery
660-677
Wee, Seng Kwee
876fdc2f-4b84-4aba-bf50-f3417ae532c2
Hughes, Ann-Marie
11239f51-de47-4445-9a0d-5b82ddc11dea
Warner, Martin
f4dce73d-fb87-4f71-a3f0-078123aa040c
Burridge, Jane H.
0110e9ea-0884-4982-a003-cb6307f38f64
1 September 2014
Wee, Seng Kwee
876fdc2f-4b84-4aba-bf50-f3417ae532c2
Hughes, Ann-Marie
11239f51-de47-4445-9a0d-5b82ddc11dea
Warner, Martin
f4dce73d-fb87-4f71-a3f0-078123aa040c
Burridge, Jane H.
0110e9ea-0884-4982-a003-cb6307f38f64
Wee, Seng Kwee, Hughes, Ann-Marie, Warner, Martin and Burridge, Jane H.
(2014)
Trunk restraint to promote upper extremity recovery in stroke patients: a systematic review and meta-analysis.
Neurorehabilitation and Neural Repair, 28 (7), .
(doi:10.1177/1545968314521011).
(PMID:24515929)
Abstract
Background: many stroke patients exhibit excessive compensatory trunk movements during reaching. Compensatory movement behaviors may improve upper extremity function in the short-term but be detrimental to long-term recovery.
Objective: to evaluate the evidence that trunk restraint limits compensatory trunk movement and/or promotes better upper extremity recovery in stroke patients.
Methods: a search was conducted through electronic databases from January 1980 to June 2013. Only randomized controlled trials (RCTs) comparing upper extremity training with and without trunk restraint were selected for review. Three review authors independently assessed the methodological quality and extracted data from the studies. Meta-analysis was conducted when there was sufficient homogenous data.
Results: six RCTs involving 187 chronic stroke patients were identified. Meta-analysis of key outcome measures showed that trunk restraint has a moderate statistically significant effect on improving Fugl-Meyer Upper Extremity (FMA-UE) score, active shoulder flexion, and reduction in trunk displacement during reaching. There was a small, nonsignificant effect of trunk restraint on upper extremity function.
Conclusion: trunk restraint has a moderate effect on reduction of upper extremity impairment in chronic stroke patients, in terms of FMA-UE score, increased shoulder flexion, and reduction in excessive trunk movement during reaching. There is insufficient evidence to demonstrate that trunk restraint improves upper extremity function and reaching trajectory smoothness and straightness in chronic stroke patients. Future research on stroke patients at different phases of recovery and with different levels of upper extremity impairment is recommended
Text
__soton.ac.uk_ude_personalfiles_users_sw3u10_mydesktop_Publcns for ePrings_SKW_Trunk Restraint to Promote Upper Extremity Recovery in Stroke Patients- A Systematic Review and Meta-Analysis.pdf
- Version of Record
More information
e-pub ahead of print date: 10 February 2014
Published date: 1 September 2014
Keywords:
trunk restraint, upper extremity, compensatory movement, stroke, rehabilitation, recovery
Organisations:
Faculty of Health Sciences
Identifiers
Local EPrints ID: 362291
URI: http://eprints.soton.ac.uk/id/eprint/362291
ISSN: 1545-9683
PURE UUID: d50d4bf2-0237-4fb9-99a1-23f5cb27dd9d
Catalogue record
Date deposited: 20 Feb 2014 11:16
Last modified: 15 Mar 2024 03:25
Export record
Altmetrics
Contributors
Author:
Seng Kwee Wee
Download statistics
Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.
View more statistics
