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Meta-Analysis
. 2012 May 16;2012(5):CD006755.
doi: 10.1002/14651858.CD006755.pub2.

Home-based therapy programmes for upper limb functional recovery following stroke

Fiona Coupar  1 , Alex Pollock, Lynn A Legg, Catherine Sackley, Paulette van Vliet
Affiliations
Meta-Analysis

Home-based therapy programmes for upper limb functional recovery following stroke

Fiona Coupar et al. Cochrane Database Syst Rev. .

Abstract

Background: With an increased focus on home-based stroke services and the undertaking of programmes, targeted at upper limb recovery within clinical practice, a systematic review of home-based therapy programmes for individuals with upper limb impairment following stroke was required.

Objectives: To determine the effects of home-based therapy programmes for upper limb recovery in patients with upper limb impairment following stroke.

Search methods: We searched the Cochrane Stroke Group's Specialised Trials Register (May 2011), the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2011, Issue 2), MEDLINE (1950 to May 2011), EMBASE (1980 to May 2011), AMED (1985 to May 2011) and six additional databases. We also searched reference lists and trials registers.

Selection criteria: Randomised controlled trials (RCTs) in adults after stroke, where the intervention was a home-based therapy programme targeted at the upper limb, compared with placebo, or no intervention or usual care. PRIMARY OUTCOMES were performance in activities of daily living (ADL) and functional movement of the upper limb. SECONDARY OUTCOMES were performance in extended ADL and motor impairment of the arm.

Data collection and analysis: Two review authors independently screened abstracts, extracted data and appraised trials. We undertook assessment of risk of bias in terms of method of randomisation and allocation concealment (selection bias), blinding of outcome assessment (detection bias), whether all the randomised patients were accounted for in the analysis (attrition bias) and the presence of selective outcome reporting.

Main results: We included four studies with 166 participants. No studies compared the effects of home-based upper limb therapy programmes with placebo or no intervention. Three studies compared the effects of home-based upper limb therapy programmes with usual care.

Primary outcomes: we found no statistically significant result for performance of ADL (mean difference (MD) 2.85; 95% confidence interval (CI) -1.43 to 7.14) or functional movement of the upper limb (MD 2.25; 95% CI -0.24 to 4.73)).

Secondary outcomes: no statistically significant results for extended ADL (MD 0.83; 95% CI -0.51 to 2.17)) or upper limb motor impairment (MD 1.46; 95% CI -0.58 to 3.51). One study compared the effects of a home-based upper limb programme with the same upper limb programme based in hospital, measuring upper limb motor impairment only; we found no statistically significant difference between groups (MD 0.60; 95% CI -8.94 to 10.14).

Authors' conclusions: There is insufficient good quality evidence to make recommendations about the relative effect of home-based therapy programmes compared with placebo, no intervention or usual care.

PubMed Disclaimer

Conflict of interest statement

Catherine Sackley is a collaborator on a Stroke Association project piloting a home therapy intervention.

Figures

1
1
Risk of bias summary: review authors' judgements about each risk of bias item for each included study.
1.1
1.1. Analysis
Comparison 1 Home therapy programme versus usual care, Outcome 1 Performance of activities of daily living.
1.2
1.2. Analysis
Comparison 1 Home therapy programme versus usual care, Outcome 2 Functional movement of upper limb.
1.3
1.3. Analysis
Comparison 1 Home therapy programme versus usual care, Outcome 3 Performance of extended activities of daily living.
1.4
1.4. Analysis
Comparison 1 Home therapy programme versus usual care, Outcome 4 Upper limb motor impairment.
2.1
2.1. Analysis
Comparison 2 Home therapy programme versus same therapy programme in hospital, Outcome 1 Upper limb motor impairment.
See this image and copyright information in PMC

Update of

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