Non-pharmacological interventions for caregivers of stroke survivors
Abstract Background A substantial component of care is provided to stroke survivors by informal caregivers. However, providing such care is often a new and challenging experience and has been linked to a number of adverse outcomes. A range of interventions targeted towards stroke survivors and their family or other informal caregivers have been tested in […]
Hands-on therapy interventions for upper limb motor dysfunction following stroke
Abstract Background Recent studies have attempted to disaggregate therapeutic intervention packages by looking at the impact of structure and process characteristics of environment upon outcome. However, what is commonly referred to as the ‘black box’ of therapy has yet to be comprehensively unpacked. This failure to analyse the components of therapy means that it remains […]
Water-based exercises for improving activities of daily living after stroke
Abstract Background Water-based exercises are used in rehabilitation and might help to reduce disability after stroke. Objectives To investigate the effect of water-based exercises for reducing disability after stroke. Search methods We searched the Cochrane Stroke Group Trials Register (last searched August 2010), the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2010, […]
Botulinum toxin for shoulder pain
Abstract Background Recent evidence suggests an anti-nociceptive effect of botulinum toxin. Objectives To compare the efficacy and safety of botulinum toxin in comparison to placebo or other treatment options for shoulder pain. Search methods We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library), Ovid MEDLINE, CINAHL (via EBSCOhost), Ovid SPORTDiscus, EMBASE […]
Physical methods for preventing deep vein thrombosis in stroke
Abstract Background Deep vein thrombosis (DVT) and resulting pulmonary embolism (PE) are important complications of stroke. Physical methods to reduce the risk of DVT and PE, such as graduated compression stockings (GCS) or intermittent pneumatic compression (IPC) applied to the legs, do not appear to be associated with any bleeding risk and reduce the risk […]
Interventions for sensory impairment in the upper limb after stroke
Abstract Background Sensory impairments significantly limit the ability to use the upper limb after stroke. However, little is known about the effects of interventions used to address such impairments. Objectives To determine the effects of interventions that target upper limb sensory impairment after stroke. Search methods We searched the Cochrane Stroke Group Trials Register (last […]
Stroke liaison workers for stroke patients and carers: an individual patient data meta-analysis
Abstract Background Many patients experience depression, social isolation and anxiety post stroke. These are associated with a poorer outcome. Ameliorating these problems may improve patient wellbeing. Objectives To evaluate the impact of a healthcare worker or volunteer whose multi-dimensional roles have been grouped under the title ‘stroke liaison worker’. Search methods We searched the Cochrane […]
Simultaneous bilateral training for improving arm function after stroke
Abstract Background Simultaneous bilateral training, the completion of identical activities with both arms simultaneously, is one intervention to improve arm function and reduce impairment. Objectives To determine the effects of simultaneous bilateral training for improving arm function after stroke. Search methods We searched the Cochrane Stroke Trials Register (last searched August 2009) and 10 electronic […]
Overground physical therapy gait training for chronic stroke patients with mobility deficits
Abstract Background Overground gait training forms a major part of physical therapy services for chronic stroke patients in almost every setting. Overground gait training refers to physical therapists’ observation and cueing of the patient’s walking pattern along with related exercises, but does not include high-technology aids such as functional electrical stimulation or body weight support. […]
Very early versus delayed mobilisation after stroke
Abstract Background Very early mobilisation is performed in some stroke units and recommended in acute stroke clinical guidelines. It is unclear whether very early mobilisation independently improves outcome after stroke. Objectives To determine the benefits and harms of very early mobilisation (commenced within 48 hours of stroke) compared with conventional care. Search methods We searched […]