Purcell Sinead, Galvin Rose, Coughlan Aoibhean, O'Connor Margaret, O'Neill Aoife, Robinson Katie
Occupational Therapy Department, University Hospital Limerick, Limerick, Ireland.
School of Allied Health, Faculty of Education and Health Sciences, Ageing Research Centre, Health Research Institute, University of Limerick, Limerick, Ireland.
Br J Occup Ther. 2024 Feb;87(2):67-78. doi: 10.1177/03080226231201738. Epub 2023 Nov 20.
Upper limb apraxia is a post stroke disorder affecting the persons' ability to perform everyday activities. This review aimed to determine the effectiveness of interventions on occupational performance outcomes. A systematic review of literature (2000-2022) across five electronic databases was conducted. PRISMA guidelines were applied. Data were pooled using RevMan. Four studies reporting findings from three randomised controlled trials were included. The methodological quality of studies was low. Three treatment approaches were reported: (1) strategy training (2) gesture training (3) combined gesture and strategy training. Strategy training alone or in combination with gesture training was significantly more effective than control interventions in improving occupational performance scores (FEM, mean difference: 1.08, 95% confidence interval: -6.01-8.16, I2 = 0%). This review provides low quality evidence to support the use of strategy training alone, or in combination with gesture training, by Occupational Therapists to improve occupational performance and apraxia scores post intervention among people with post stroke upper limb apraxia.
上肢失用症是一种中风后疾病，会影响患者进行日常活动的能力。本综述旨在确定干预措施对职业表现结果的有效性。对五个电子数据库中2000年至2022年的文献进行了系统综述。应用了PRISMA指南。使用RevMan对数据进行汇总。纳入了四项报告三项随机对照试验结果的研究。研究的方法学质量较低。报告了三种治疗方法：（1）策略训练（2）手势训练（3）手势与策略联合训练。单独进行策略训练或与手势训练相结合，在提高职业表现得分方面比对照干预显著更有效（固定效应模型，平均差：1.08，95%置信区间：-6.01至8.16，I² = 0%）。本综述提供了低质量证据，支持职业治疗师单独使用策略训练或与手势训练相结合，以改善中风后上肢失用症患者干预后的职业表现和失用症得分。
