|
KMID : 0603920210290010053
|
|
Journal of Korean Academy of Occupational Therapy
2021 Volume.29 No. 1 p.53 ~ p.69
|
|
|
Task-Oriented Approaches to Improve Upper Limb Functions and Activities of Daily Living in Stroke Patients: Systemic Review and Meta-Analysis
|
|
Park Sang-Ki
Lee Jae-Shin
|
|
|
Abstract
|
|
|
Objective: In this study, a task-oriented approach (TOA) applied to improve the upper limb function and daily lifeactivities of stroke patients is systematically reviewed and meta-analyzed. Next, the direction of task-orientedresearch is presented.
Methods: Data from 17 RCT studies from January 2000 to August 2018 were collected using the MEDLINE,CINAHL, and PubMed databases. Then, after a systematic analysis using the Pedro score and PICO, data fromeach study were used to conduct a meta-analysis.
Results: The 17 studies showed improvements in upper limb functions and daily living activities using various TOAs.
We found three types of TOA, namely, a repeat reinforcement type, a combination type, and a patient-tailoredtype. The influence of a TOA on the upper limb functions had a large effect size. In our analysis of theintervention type, the patient-tailored type had a large effect size, whereas the combination and reinforcementtypes showed moderate effect sizes. The influence of the TOA on the activities of daily living showed a moderateeffect size.
Conclusion: When applying a TOA, the effectiveness of treatment can increase as the diversity is enhanced byutilizing various stimuli, goals, environments, and feedback.
|
|
|
KEYWORD
|
|
|
Task-oriented, Stroke, Meta analysis, Upper limb function, Adl
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|