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dc.contributor.authorPollock, A.
dc.contributor.authorBaer, Gill
dc.contributor.authorPomeroy, V. M.
dc.contributor.authorLanghorne, P.
dc.date.accessioned2018-06-29T21:44:40Z
dc.date.available2018-06-29T21:44:40Z
dc.date.issued2007
dc.identifierER680
dc.identifier.citationPollock, A., Baer, G., Pomeroy, V. & Langhorne, P. (2007) Physiotherapy treatment approaches for the recovery of postural control and lower limb function following stroke (Review), Cochrane Database of Systematic Reviews, vol. 1, , ,
dc.identifier.issn1464-780X
dc.identifier.urihttp://dx.doi.org/10.1002/14651858.cd001920.pub2
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/680
dc.description.abstractBackground There are a number of different approaches to physiotherapy treatment following stroke that, broadly speaking, are based on neurophysiological, motor learning and orthopaedic principles. Some physiotherapists base their treatment on a single approach, while others use a mixture of components from a number of different approaches. Objectives To determine if there is a difference in the recovery of postural control and lower limb function in patients with stroke if physiotherapy treatment is based on orthopaedic or neurophysiological or motor learning principles, or on a mixture of these treatment principles. Search strategy We searched the Cochrane Stroke Group Trials Register (last searchedMay 2005), the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library Issue 2, 2005), MEDLINE (1966 to May 2005), EMBASE (1980 to May 2005) and CINAHL (1982 to May 2005). We contacted experts and researchers with an interest in stroke rehabilitation. Selection criteria Randomised or quasi-randomised controlled trials of physiotherapy treatment approaches aimed at promoting the recovery of postural control and lower limb function in adult participants with a clinical diagnosis of stroke. Outcomes included measures of disability, motor impairment or participation. Data collection and analysis Two review authors independently categorised the identified trials according to the inclusion and exclusion criteria, documented their methodological quality, and extracted the data. Main results Twenty-one trialswere included in the review, five ofwhichwere included in two comparisons. Eight trials compared a neurophysiological approach with another approach; eight compared a motor learning approach with another approach; and eight compared a mixed approach with another approach. Amixed approach was significantly more effective than no treatment or placebo control for improving functional independence (standardised mean difference (SMD) 0.94, 95% confidence intervals (CI) 0.08 to 1.80). There was no significant evidence that any single approach had a better outcome than any other single approach or no treatment control. Authors' conclusions There is evidence that physiotherapy intervention, using a mix of components from different approaches, is significantly more effective than no treatment or placebo control in the recovery of functional independence following stroke. There is insufficient evidence to conclude that any one physiotherapy approach is more effective in promoting recovery of lower limb function or postural control following stroke than any other approach. We recommend that future research should concentrate on investigating the effectiveness of clearly described individual techniques and task-specific treatments, regardless of their historical or philosophical origin. Plain language summary Physiotherapy treatment approaches for the recovery of postural control and lower limb function following stroke Physiotherapy, using a mix of components from different treatment approaches, appears best for promoting functional independence following stroke; no single physiotherapy approach is clearly best for promoting recovery after stroke. A stroke interrupts the blood flow to the brain, often leading to damage to some brain functions. This can cause paralysis of some parts of the body or other difficulties with various physical functions. Physiotherapy is an important part of rehabilitation for people who have had a stroke. A number of physiotherapy approaches have been developed based on different ideas about how people recover after a stroke. This review of 21 trials found there is no evidence that any one approach was clearly better than another for improving leg strength, balance, walking speed or the ability to perform everyday tasks. However, physiotherapy using a mixture of components from the different approaches was better than no treatment or placebo treatment for improving aspects of function following a stroke.
dc.publisherThe Cochrane Collaboration
dc.relation.ispartofCochrane Database of Systematic Reviews
dc.titlePhysiotherapy treatment approaches for the recovery of postural control and lower limb function following stroke (Review)
dc.typearticle
dcterms.accessRightsrestricted
dc.description.facultysch_phy
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Effect of early rehabilitation nursing on activities of daily living in patients with stroke. Zhongguo Linchuang Kangfu 2003;7(1):143. Xu 2003a {published data only} Xu Y, Liu S. Effects of early rehabilitation on patients with paralysis after cerebral infarction. Zhongguo Linchuang Kangfu 2003;7(1): 127. Xu 2003b {published data only} Xu H, Sun S, Wang M. The effect of early rehabilitation on hemiplegic limbs of patients with stroke. Zhongguo Linchuang Kangfu 2003;7(3):503. Xu 2004 {published data only} XuBH, YuRQ, YuW,XieB,Huang YX. Effects of early rehabilitation on activities of daily living and complications in acute stroke patients. Beijing Da Xue Xue Bao 2004;36(1):75-8. Yin 2003 {published data only} Yin H, Tian Y. Early rehabilitation of hemiplegic extremities after stroke and effect observation of therapy with intermediate frequency. Zhongguo Linchuang Kangfu 2003;7(7):1198. Zhang 1998 {published data only} Zhang X. 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dc.description.volume1
dc.identifier.doihttp://10.1002/14651858.CD001920.pub2
dc.description.ispublishedpub
dc.description.eprintid680
rioxxterms.typearticle
qmu.authorBaer, Gill
dc.description.statuspub
dc.description.numberCD0019


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