Self-directed therapy programmes for arm rehabilitation after stroke: a systematic review

Abstract

Self-directed interventions can enhance arm recovery after stroke but the effect varies according to the approach used and timing. There were benefits identified from self-directed delivery of constraint-induced movement therapy, electrical stimulation and therapy programmes that increase practice without using additional technology.

Home-based rehabilitation using a soft robotic hand glove device leads to improvement in hand function in people with chronic spinal cord injury:a pilot study

“…Several studies have investigated self-directed [17], supervised [18] or self-administered [19][20][21][22] upper limb therapy on people with stroke [23][24][25]. The studies investigated several techniques including the use of novel robotic systems [26][27][28] to deliver rehabilitation therapies at home [29][30][31][32][33][34].…”

Evaluation of a staff behaviour change intervention to increase the use of ward-based practice books and active practice during inpatient stroke rehabilitation: a phase-1 pre–post observational study

“…Adherence to self-directed rehabilitation interventions, such as ward-based practice books, may be affected by a number of factors. A recent systematic review of self-directed upper limb programmes by Da-Silva et al 22 reported varied adherence by stroke participants. In that review, adherence to electrical stimulation and constraint-induced movement therapy programmes was high, while adherence to interactive gaming interventions was low.…”

Telerehabilitation System in Nursing Post Stroke - A Systematic Review

“…Every year, 15 million people worldwide suffer from a stroke. Telerehabilitation is one of the most important factors that must be considered as an effort to achieve the goals tailored to the needs of the patients (Da-Silva et al, 2018). The impact that can occur in poststroke patients include damage to their motor function (joint contractures, the subluxation of the shoulder joint, syndrome shoulder and the dropping of the leg), in addition to their sensory and cognitive function [10].…”

“…The impact that can occur in poststroke patients include damage to their motor function (joint contractures, the subluxation of the shoulder joint, syndrome shoulder and the dropping of the leg), in addition to their sensory and cognitive function [10]. Another impact that also occurs in poststroke patients is aphasia (Da-Silva et al, 2018). The merger between the use of technology and remote communication is appropriate to change conventional rehabilitation into more modern rehabilitation.…”

“…Telerehabilitation shows evidence of the satisfaction and acceptance of the patients, their families and health workers (Sarfo et al, 2018). Telerehabilitation is a rehabilitation service for patients using information and communication technology that can be carried out by the patients from afar, This can substantially reduce the travel time for the health workers and therefore increase the number of patients who they can consult in a day (Da-Silva et al, 2018). The use of information technology in rehabilitation care can help the patients with their needs and allow them to provide care for their own patients (Sarfo et al, 2018).…”