Physiotherapy Program, Centre for Rehabilitation and Special Needs Studies, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Centre for Physiotherapy Studies, Faculty of Health Sciences, Universiti Teknologi MARA, Selangor, Malaysia.
Medicine (Baltimore). 2023 Jul 14;102(28):e34249. doi: 10.1097/MD.0000000000034249.
Motor impairment is common after a stroke and directly affects the function and quality of life of stroke survivors. Constraint-induced movement therapy and neuromuscular electrical stimulation are interventions that facilitate functional recovery of the upper extremities of a particular subgroup of stroke survivors. The objective of this study was to summarize the available evidence on the effects of neuromuscular electrical stimulation combined with constraint-induced movement therapy in patients with stroke.
We conducted a comprehensive search of published articles in electronic databases, including PubMed, Scopus, PEDro, Medline (via Ovid), EMBASE, Cochrane Library, and Web of Science, using the following search terms: "stroke"; "upper extremity"; "Constraint-Induced Movement Therapy"; and "Neuromuscular Electrical Stimulation." The search included published studies, conferences, and presentations. The article selection, data extraction, and quality evaluation will be conducted independently by 2 reviewers. The 3rd and 4th reviewers will assist in resolving any disagreements that may arise between the 2 reviewers. The risk of bias in the included studies will be assessed using the PEDro scale and Cochrane risk of bias assessment tool. Narrative synthesis and meta-analysis will be performed based on the characteristics of the included articles, including the risk of bias (if sufficient information is available).
This review summarizes the available evidence and could assist therapists in choosing the best treatment for poststroke upper extremity dysfunction.
This study will provide the available evidence on the effectiveness of CIMT and NMES on upper extremity function in patients with stroke.
Ethical approval is not required because the review will be based on publicly available literature. The findings of this study will be published in a peer-reviewed journal, and updates will be made depending on whether sufficient additional evidence modifies the conclusions of the review. Any changes made to the methods throughout the review will be stated in the article.
PROSPERO CRD42023415645.
运动障碍在中风后很常见，直接影响中风幸存者的功能和生活质量。强制性运动疗法和神经肌肉电刺激是促进特定亚组中风幸存者上肢功能恢复的干预措施。本研究的目的是总结神经肌肉电刺激联合强制性运动疗法对中风患者的影响的现有证据。
我们在电子数据库中进行了全面的文献检索，包括 PubMed、Scopus、PEDro、Medline（通过 Ovid）、EMBASE、Cochrane 图书馆和 Web of Science，使用以下搜索词：“stroke”；“upper extremity”；“Constraint-Induced Movement Therapy”；和“Neuromuscular Electrical Stimulation”。搜索包括已发表的研究、会议和演讲。文章选择、数据提取和质量评估将由 2 名评审员独立进行。第 3 和第 4 名评审员将协助解决 2 名评审员之间可能出现的任何分歧。将使用 PEDro 量表和 Cochrane 风险偏倚评估工具评估纳入研究的偏倚风险。将根据纳入文章的特点，包括偏倚风险（如果有足够的信息）进行叙述性综合和荟萃分析。
本综述总结了现有证据，可帮助治疗师为中风后上肢功能障碍选择最佳治疗方法。
本研究将提供有关 CIMT 和 NMES 对中风患者上肢功能影响的现有证据。
由于综述将基于公开可用的文献，因此不需要伦理批准。本研究的结果将发表在同行评议的期刊上，并根据是否有足够的额外证据修改综述的结论进行更新。在整个综述过程中对方法所做的任何更改都将在文章中说明。
PROSPERO CRD42023415645。
