Vásquez-Carrasco Edgar, Jamett-Oliva Pía, Hernandez-Martinez Jordan, Riquelme-Hernández Cristóbal, Villagrán-Silva Francisca, Branco Braulio Henrique Magnani, Sandoval Cristian, Valdés-Badilla Pablo
School of Occupational Therapy, Faculty of Psychology, Universidad de Talca, Talca 3465548, Chile.
Centro de Investigación en Ciencias Cognitivas, Faculty of Psychology, Universidad de Talca, Talca 3465548, Chile.
J Clin Med. 2025 Mar 24;14(7):2197. doi: 10.3390/jcm14072197.
Occupational therapy (OT) interventions on activities of daily living (ADL), cognitive functions, and physical function in middle-aged and older people with chronic stroke. : A systematic review search until November 2024 using five generic databases: PubMed/Medline, Web of Science, Scopus, ScienceDirect, and OT seeker. The PRISMA checklist, RoB 2 (Cochrane, London, UK), and GRADEpro (Evidence Prime Inc., Hamilton, CA) tools assessed the evidence's methodological quality and certainty. The protocol was registered in PROSPERO (code: CRD42024568225). Of 1733 records were identified across the databases, nine studies were analyzed using the PICOS format. The meta-analysis revealed significant improvements in independent performance of activities of daily living (ADL), as measured by the Canadian Occupational Performance Measure (COPM), in favor of the experimental groups ( = 0.03). No significant differences were found for the other variables analyzed. : Performance on ADLs improved significantly according to the COPM, whereas no significant improvements in cognitive or physical function were observed among middle-aged and older chronic stroke survivors. Individual studies highlight the potential benefits of OT interventions that combine cognitive, motor, and technological approaches, such as virtual reality and brain stimulation.
职业治疗（OT）对中老年慢性中风患者日常生活活动（ADL）、认知功能和身体功能的干预：截至2024年11月，使用五个通用数据库进行系统综述检索：PubMed/Medline、科学网、Scopus、ScienceDirect和OT seeker。PRISMA清单、RoB 2（英国伦敦考科蓝协作网）和GRADEpro（美国加利福尼亚州汉密尔顿市Evidence Prime公司）工具评估了证据的方法学质量和确定性。该方案已在国际前瞻性系统评价注册库（注册号：CRD42024568225）注册。在各数据库中识别出1733条记录，使用PICOS格式分析了9项研究。荟萃分析显示，以加拿大职业表现测量量表（COPM）衡量，实验组在日常生活活动独立表现方面有显著改善（ = 0.03）。分析的其他变量未发现显著差异。：根据COPM，ADL表现有显著改善，而中老年慢性中风幸存者的认知或身体功能未观察到显著改善。个别研究强调了结合认知、运动和技术方法（如虚拟现实和脑刺激）的职业治疗干预的潜在益处。
