Effectiveness of a self-rehabilitation program to improve upper-extremity function after stroke in developing countries: A randomized controlled trial

Natta, D.D. Niama; Lejeune, Thierry; Detrembleur, Christine; Yarou, B.; Sogbossi, Emmanuel Segnon; Alagnidé, E.; Kpadonou, Toussaint; Selves, Clara; Stoquart, Gaëtan

doi:10.1016/j.rehab.2020.03.017

Cited by 17 publications

(9 citation statements)

References 35 publications

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“…This effect of SR on muscular function is probably linked to repeated central neurological stimulation, as shown in the neurological field after stroke. 23 , 24 , 25 , 26 , 27 , 28 …”

Section: Discussionmentioning

confidence: 99%

Self-Rehabilitation Guided by a Mobile Application After Anterior Cruciate Ligament Reconstruction Leads to Improved Early Motion and Less Pain

Foissey¹,

Thaunat²,

Bondoux³

et al. 2021

Arthroscopy, Sports Medicine, and Rehabilitation

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Purpose: To evaluate the adherence rate and the contribution of self-rehabilitation (SR) guided by a mobile application after anterior cruciate ligament reconstruction (ACLR) in combination with physical therapy sessions on early knee function. Methods: This study was a retrospective analysis of prospectively collected data from a single health care facility. All patients who underwent ACLR by a single surgeon from December 2019 to September 2020 were included. Two groups were formed and compared based on use of the mobile app: users (>10 days of use) and nonusers ( 10 days of use). Outcomes included physical examination at 3 and 6 weeks postoperatively. Results: A total of 65 patients were analyzed: 19 in the nonuser group and 46 in the user group. Adherence rate was 91% at 10 days, 71% at 15 days, 62% at 21 days, and 44% at 45 days. At 3 weeks, the user group was 3.86 times [range 1.12 to 13.3] as likely to lock the quadriceps during gait with crutches and was 4.2 times [range 1.2 to 14.3] as likely to be pain free. There was a tendency to have less flexion contracture in the user group (17% versus 32%, P ¼ .32). At 6 weeks, the differences leveled out, but the user group still had slightly better quadriceps locking during gait without crutches (87% versus 79%, P ¼ .46). Conclusions: SR guided by a mobile app combined with a standard rehabilitation protocol is correlated with better knee function at initial follow-up. Level of evidence: IV, therapeutic case series.

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“…This effect of SR on muscular function is probably linked to repeated central neurological stimulation, as shown in the neurological field after stroke. 23 , 24 , 25 , 26 , 27 , 28 …”

Section: Discussionmentioning

confidence: 99%

Self-Rehabilitation Guided by a Mobile Application After Anterior Cruciate Ligament Reconstruction Leads to Improved Early Motion and Less Pain

Foissey¹,

Thaunat²,

Bondoux³

et al. 2021

Arthroscopy, Sports Medicine, and Rehabilitation

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“…However, several studies only reported improvement in general QoL, without distinguishing physical or mental health (Majumdar & Morris, 2019; Visser et al., 2016). Two social intervention studies showed benefits on QoL, including Take Charge Session (Harwood et al., 2012) and a self‐rehabilitation program (Niama Natta et al., 2021). The remaining studies had no effect on improving QoL (Barros Galvão et al., 2014; Boasquevisque et al., 2021; Gjellesvik et al., 2021; Hjelle et al., 2019; Kerr et al., 2018; Langhammer et al., 2008; Morén et al., 2016; Morris et al., 2019; Reynolds et al., 2021; Vahlberg et al., 2017).…”

Section: Resultsmentioning

confidence: 99%

Non‐pharmacological interventions on quality of life in stroke survivors: A systematic review and meta‐analysis

Gao,

Li,

et al. 2024

Worldviews Ev Based Nurs

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BackgroundNon‐pharmacological interventions have been used in the rehabilitation of stroke survivors, but their effects on stroke survivors' quality of life (QoL) are unknown.AimThis review aimed to summarize the existing evidence regarding non‐pharmacological interventions for QoL in stroke survivors and to evaluate the effectiveness of different types of interventions.MethodsWe systematically searched databases including PubMed, Embase, Web of Science, Cochrane Library, China National Knowledge Infrastructure, Chinese BioMedical Literature Database, China Science and Technology Journal Database, and Wanfang data from the earliest available records to March 2023. Randomized controlled trials which explored the effects of non‐pharmacological interventions on QoL in stroke patients were included. The meta‐analysis was conducted to evaluate the effectiveness of different interventions on QoL. The Review Manager 5.3 was used to conduct the meta‐analysis and the revised Cochrane risk‐of‐bias tool was used to assess the methodological quality of trials.ResultsA total of 93,245 records were identified, and 34 articles were reviewed and summarized, of which 20 articles were included in the meta‐analysis. The summary of the findings of the included studies revealed fitness training, constraint‐induced movement therapy (CIMT), physical exercise, music therapy (MT), and art‐based interventions may have positive effects on QoL. The fitness training improved total QoL, especially in physical domains including physical functioning (mean difference [MD] = 10.90; 95% CI [7.20, 14.59]), role physical (MD = 10.63; 95% CI [6.71, 14.55]), and global health (MD = 8.76; 95% CI [5.14, 12.38]). The CIMT had a slight effect on general QoL (standardized mean difference [SMD] = 0.48, 95% CI [0.16, 0.80]), whereas significantly improved strength (MD = 8.84; 95% CI [1.31, 16.38]), activities of daily living/instrumental activities of daily living (ADL/IADL; MD = 10.42; 95% CI [2.98, 17.87]), and mobility (MD = 8.02; 95% CI [1.21, 14.83]). MT had a positive effect on the mental health domain (SMD = 0.54; 95% CI [0.14, 0.94]).Linking Evidence to ActionOur findings suggest that fitness training and CIMT have a significant effect on improving physical QoL, while MT has a positive effect on improving psychological QoL. Future studies may use comprehensive and multicomponent interventions to simultaneously improve the patients' physical, psychological, and social QoL.

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“…To date, in SSFA around 150 scientific publications on physiotherapy have been published and are available in electronic databases, most of which are observational studies. I found two randomised controlled trials in Burundi and in Benin (Niama Natta et al, 2021 ; Nindorera et al, 2023 ). I also found one study on a participation outcome measure developed and validated in Benin and Burundi (Kossi et al, 2018 ).…”

Section: Research In Physiotherapy In Sub-saharan French-speaking Africamentioning

confidence: 99%

Training, care delivery, and research in physiotherapy in sub-Saharan French-speaking Africa

Kossi

2023

South African Journal of Physiotherapy

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Effectiveness of a self-rehabilitation program to improve upper-extremity function after stroke in developing countries: A randomized controlled trial

Cited by 17 publications

References 35 publications

Self-Rehabilitation Guided by a Mobile Application After Anterior Cruciate Ligament Reconstruction Leads to Improved Early Motion and Less Pain

Self-Rehabilitation Guided by a Mobile Application After Anterior Cruciate Ligament Reconstruction Leads to Improved Early Motion and Less Pain

Non‐pharmacological interventions on quality of life in stroke survivors: A systematic review and meta‐analysis

Training, care delivery, and research in physiotherapy in sub-Saharan French-speaking Africa

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