Tzu-Hsuan Peng1, Jun-Ding Zhu1, Chih-Chi Chen2,3, Ruei-Yi Tai4,5, Chia-Yi Lee6, Yu-Wei Hsieh1,2,7. 1. 1 Department of Occupational Therapy and Graduate Institute of Behavioral Sciences, College of Medicine, Chang Gung University, Taoyuan. 2. 2 Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Linkou. 3. 3 School of Medicine, College of Medicine, Chang Gung University, Taoyuan. 4. 4 Department of Neurology, Taipei Medical University Hospital, Taipei. 5. 5 Taipei Neuroscience Institute, Taipei Medical University, Taipei. 6. 6 Department of Physical Medicine and Rehabilitation, Cathay General Hospital, Taipei. 7. 7 Healthy Aging Research Center, Chang Gung University, Taoyuan.
Abstract
OBJECTIVE: This study was to investigate the effectiveness of action observation therapy on arm and hand motor function, walking ability, gait performance, and activities of daily living in stroke patients. DESIGN: Systematic review and meta-analysis of randomized controlled trials. DATA SOURCES: Searches were completed in January 2019 from electronic databases, including PubMed, Scopus, the Cochrane Library, and OTseeker. REVIEW METHODS: Two independent reviewers performed data extraction and evaluated the study quality by the PEDro scale. The pooled effect sizes on different aspects of outcome measures were calculated. Subgroup analyses were performed to examine the impact of stroke phases on treatment efficacy. RESULTS: Included were 17 articles with 600 patients. Compared with control treatments, the action observation therapy had a moderate effect size on arm and hand motor outcomes (Hedge's g = 0.564; P < 0.001), a moderate to large effect size on walking outcomes (Hedge's g = 0.779; P < 0.001), a large effect size on gait velocity (Hedge's g = 0.990; P < 0.001), and a moderate to large effect size on activities of daily function (Hedge's g = 0. 728; P = 0.004). Based on subgroup analyses, the action observation therapy showed moderate to large effect sizes in the studies of patients with acute/subacute stroke or those with chronic stroke (Hedge's g = 0.661 and 0.783). CONCLUSION: This review suggests that action observation therapy is an effective approach for stroke patients to improve arm and hand motor function, walking ability, gait velocity, and daily activity performance.
OBJECTIVE: This study was to investigate the effectiveness of action observation therapy on arm and hand motor function, walking ability, gait performance, and activities of daily living in stroke patients. DESIGN: Systematic review and meta-analysis of randomized controlled trials. DATA SOURCES: Searches were completed in January 2019 from electronic databases, including PubMed, Scopus, the Cochrane Library, and OTseeker. REVIEW METHODS: Two independent reviewers performed data extraction and evaluated the study quality by the PEDro scale. The pooled effect sizes on different aspects of outcome measures were calculated. Subgroup analyses were performed to examine the impact of stroke phases on treatment efficacy. RESULTS: Included were 17 articles with 600 patients. Compared with control treatments, the action observation therapy had a moderate effect size on arm and hand motor outcomes (Hedge's g = 0.564; P < 0.001), a moderate to large effect size on walking outcomes (Hedge's g = 0.779; P < 0.001), a large effect size on gait velocity (Hedge's g = 0.990; P < 0.001), and a moderate to large effect size on activities of daily function (Hedge's g = 0. 728; P = 0.004). Based on subgroup analyses, the action observation therapy showed moderate to large effect sizes in the studies of patients with acute/subacute stroke or those with chronic stroke (Hedge's g = 0.661 and 0.783). CONCLUSION: This review suggests that action observation therapy is an effective approach for stroke patients to improve arm and hand motor function, walking ability, gait velocity, and daily activity performance.
Authors: Ioannis Giannakopoulos; Panagiota Karanika; Charalambos Papaxanthis; Panagiotis Tsaklis Journal: Int J Environ Res Public Health Date: 2022-03-11 Impact factor: 3.390