scholarly journals Predictors of upper limb spasticity after stroke? A systematic review and meta-analysis

Physiotherapy ◽  
2019 ◽  
Vol 105 (2) ◽  
pp. 163-173 ◽  
Author(s):  
Lisa Tedesco Triccas ◽  
Niamh Kennedy ◽  
Toby Smith ◽  
Valerie Pomeroy
Keyword(s):  
Systematic Review ◽  
Upper Limb ◽  
Meta Analysis ◽  
Limb Spasticity

Effectiveness of Botulinum Toxin Treatment for Upper Limb Spasticity Poststroke Over Different ICF Domains: A Systematic Review and Meta-Analysis

2019 ◽  
Vol 100 (9) ◽  
pp. 1703-1725 ◽  
Author(s):  
Aukje Andringa ◽  
Ingrid van de Port ◽  
Erwin van Wegen ◽  
Johannes Ket ◽  
Carel Meskers ◽  
...  
Keyword(s):  
Systematic Review ◽  
Botulinum Toxin ◽  
Upper Limb ◽  
Meta Analysis ◽  
Limb Spasticity ◽  
Botulinum Toxin Treatment

scholarly journals The Effectiveness of Massage Therapy for Improving Sequelae in Post-Stroke Survivors. A Systematic Review and Meta-Analysis

2021 ◽  
Vol 18 (9) ◽  
pp. 4424
Author(s):  
Rosa Cabanas-Valdés ◽  
Jordi Calvo-Sanz ◽  
Pol Serra-Llobet ◽  
Joana Alcoba-Kait ◽  
Vanessa González-Rueda ◽  
...  
Keyword(s):  
Systematic Review ◽  
Motor Function ◽  
Upper Limb ◽  
Lower Limb ◽  
Meta Analysis ◽  
Stroke Survivors ◽  
Randomized Controlled Clinical Trials ◽  
Therapeutic Massage ◽  
Limb Spasticity ◽  
Conventional Physiotherapy

Objective: To assess the effect of therapeutic massage for improving sequelae in stroke survivors. Methods: A systematic review of the nine medical databases from January 1961 to December 2020 was carried out. The bibliography was screened to identify randomized controlled clinical trials (RCTs). Two reviewers independently screened references, selected relevant studies, extracted data and assessed the risk of bias using the PEDro scale. The primary outcome was upper and lower limb motor function and spasticity. Results: A total of 3196 studies were identified and 18 RCT were finally included (1989 individuals). A meta-analysis of RCTs in the comparison of Chinese massage (Tuina) plus conventional physiotherapy versus conventional physiotherapy was performed. The mean difference (MD) in the subacute stage on upper limb motor-function using the Fugl Meyer Assessment was 2.75; (95% confidence interval (CI) from 0.97 to 4.53, p = 0.002, I2 = 36%). The MD on upper limb spasticity using modified Ashworth scale was −0.15; (95% CI from −0.24 to −0.06, p < 0.02, I2 = 0%).The MD on lower limb spasticity was −0.59; (95% CI from −0.78 to −0.40, p < 0.001, I2 = 0%) in the endpoint. Conclusions: Therapeutic massage, especially Tuina, in addition to conventional therapy is effective for improving motor function and for reducing spasticity in stroke survivors.

scholarly journals Effectiveness of static stretching positioning on post-stroke upper-limb spasticity and mobility: Systematic review with meta-analysis

2019 ◽  
Vol 62 (4) ◽  
pp. 274-282 ◽  
Author(s):  
Ana Paula Salazar ◽  
Camila Pinto ◽  
Joao Victor Ruschel Mossi ◽  
Bruno Figueiro ◽  
Janice Luisa Lukrafka ◽  
...  
Keyword(s):  
Systematic Review ◽  
Upper Limb ◽  
Meta Analysis ◽  
Static Stretching ◽  
Post Stroke ◽  
Limb Spasticity

Effects of upper limb exercise programs on the arteriovenous fistula in patients on hemodialysis: A systematic review and meta-analysis

2021 ◽  
pp. 112972982110011
Author(s):  
Francini Porcher Andrade ◽  
Heloíse Benvenutti ◽  
Kacylen Costa da Silva ◽  
Paula Maria Eidt Rovedder
Keyword(s):  
Systematic Review ◽  
Arteriovenous Fistula ◽  
Flow Rate ◽  
Upper Limb ◽  
Handgrip Strength ◽  
Meta Analysis ◽  
Blood Flow Rate ◽  
Exercise Programs ◽  
Exercise Interventions ◽  
Limb Exercise

Background: The arteriovenous fistula (AVF) is a commonly used vascular access for chronic kidney disease (CKD) patients; exercise interventions may boost its maturation and help in its maintenance. A systematic review and meta-analysis of clinical trials on the effects of upper limb exercise programs on the AVF was conducted. Methods: The primary outcomes were draining vein diameter (DVD) and draining vein blood flow rate (DVBFR), and secondary outcomes were handgrip strength (HGS) and brachial artery flow rate (BAFR). Quality of evidence was assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE). Results: Four studies met the inclusion criteria. When compared to usual care groups, the experimental groups did not improve DVD (mean difference [MD] 0.23, confidence interval [CI] −0.20–0.65). There were significant differences in DVBFR (mL/min) according to the fixed-effect model (MD 141.13, CI 36.84–245.42). HGS (kg) was significantly different between groups (MD 2.95, CI 0.55–5.35), but BAFR (mL/min) was not (MD 91.65, CI −94.72–278.01). Conclusions: Although exercise programs did not improve DVD and BAFR, they increased muscle strength and DVBFR. Therefore, experimental exercise programs should be emphasized for AVF maturation and maintenance. Research Registry number: reviewregistry924.

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