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European Geriatric Medicine
Erschienen in:

01.06.2019 | Review

Non-pharmacological interventions for the improvement of post-stroke quality of life amongst older stroke survivors: a systematic review of systematic reviews (The SENATOR ONTOP series)

verfasst von: Carrie Stewart, Selvarani Subbarayan, Pamela Paton, Elliot Gemmell, Iosief Abraha, Phyo Kyaw Myint, Denis O’Mahony, Antonio Cherubini, Alfonso J. Cruz-Jentoft, Roy L. Soiza

Erschienen in: European Geriatric Medicine | Ausgabe 3/2019

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Key summary points

Aim

This systematic review aimed to determine if non-pharmacological interventions can impact upon older stroke survivors quality of life.

Findings

From 28 trials we identified limited evidence supporting a beneficial impact upon quality of life from additional physiotherapy and occupational therapy. Very limited evidence supported the use of a wide array of other non-pharmacological therapies.

Message

Current evidence is limited by low study quality and small sample sizes and more trials specifically involving older stroke survivors are required.
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Literatur
1.
2.
National Institute for Health and Care Excellence (NICE) (2013) Stroke rehabilitation in adults. NICE, Manchester
3.
4.
5.
Kwakkel G, Kollen B, Lindeman E (2004) Understanding the pattern of functional recovery after stroke: facts and theories. Restor Neurol Neurosurg 22(3–5):281–299
6.
Lieberman D, Lieberman D (2005) Rehabilitation following stroke in patients aged 85 and above. J Rehabil Res Dev 42(1):47PubMed
7.
8.
Tangiisuran B, Wright J, Van der Cammen T, Rajkumar C (2009) Adverse Drug Reactions in Elderly: Challenges in Identification and Improving Preventative Strategies. Age Ageing 38(4):358–359CrossRefPubMed
9.
Kose E, Toyoshima M, Okazoe S, Oka R, Shiratsuchi Y, Hayashi H (2017) The relationship between polypharmacy and recovery of activities of daily living among convalescent stroke patients: a propensity score-matched analysis. Eur Geriatr Med 8(3):250–255CrossRef
10.
Abraha I, Cruz-Jentoft A, Soiza RL, O’Mahony D, Cherubini A (2015) Evidence of and recommendations for non-pharmacological interventions for common geriatric conditions: the SENATOR-ONTOP systematic review protocol. BMJ Open 5(1):e007488-2014-007488CrossRef
11.
Soiza RL, Subbarayan S, Cherubini A, Cruz-Jentoft AJ, Petrovic M, Gudmundsson A et al (2017) The SENATOR project: developing and trialling a novel software engine to optimise medications and non-pharmacological therapy in older people with multimorbidity and polypharmacy. Ther Adv Drug Saf 8:81–85CrossRefPubMed
12.
Lozano-Montoya I, Vélez-Díaz-Pallarés M, Abraha I, Cherubini A, Soiza RL, O’Mahony D et al (2016) Nonpharmacologic interventions to prevent pressure ulcers in older patients: an overview of systematic reviews (the software ENgine for the assessment and optimization of drug and non-drug therapy in older peRsons [SENATOR] definition of optimal evidence-based non-drug therapies in older people [ONTOP] series). JAMDA 17(4):370-e1
13.
Rimland JM, Abraha I, Dell’Aquila G, Cruz-Jentoft A, Soiza RL, Gudmundsson A, Cherubini A (2017) Non-pharmacological interventions to prevent falls in older patients: clinical practice recommendations—the SENATOR ONTOP Series. Eur Geriatr Med 8(5–6):413–418CrossRef
14.
Keeney S, Hasson F, McKenna HP (2001) A critical review of the delphi technique as a research methodology for nursing. Int J Nurs Stud 38(2):195–200CrossRefPubMed
15.
Guyatt GH, Oxman AD, Vist GE, Kunz R, Falck-Ytter Y, Alonso-Coello P et al (2008) GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ (Clin Res Ed) 336(7650):924–926CrossRef
16.
Stewart C, Subbarayan S, Paton P, Gemmell E, Abraha I, Myint PK, O’Mahony D, Cruz-Jentoft AJ, Cherubini A, Soiza RL (2018) Non-pharmacological interventions for the improvement of post-stroke activities of daily living and disability amongst older stroke survivors: a systematic review. PLoS One 13(10):e0204774CrossRefPubMedPubMedCentral
17.
Montori VM, Wilczynski NL, Morgan D, Haynes RB, Hedges Team (2005) Optimal search strategies for retrieving systematic reviews from medline: analytical survey. BMJ (Clin Res Ed) 330(7482):68CrossRef
18.
Higgins JP, Green S (2011) Cochrane handbook for systematic reviews of interventions. Wiley, Chichester
19.
20.
Johansson BB, Haker E, von Arbin M, Britton M, Langstrom G, Terent A, Swedish Collaboration on Sensory Stimulation After Stroke et al (2001) Acupuncture and transcutaneous nerve stimulation in stroke rehabilitation: a randomized, controlled trial. Stroke 32(3):707–713CrossRefPubMed
21.
Park J, White AR, James MA, Hemsley AG, Johnson P, Chambers J, Ernst E (2005) Acupuncture for subacute stroke rehabilitation: a sham-controlled, subject-and assessor-blind, randomized trial. Arch Int Med 165(17):2026–2031CrossRef
22.
23.
Wu C, Chen C, Tsai W, Lin K, Chou S (2007) A randomized controlled trial of modified constraint-induced movement therapy for elderly stroke survivors: changes in motor impairment, daily functioning, and quality of life. Arch Phys Med Rehabil 88(3):273–278CrossRefPubMed
24.
Lo AC, Guarino PD, Richards LG, Haselkorn JK, Wittenberg GF, Federman DG et al (2010) Robot-assisted therapy for long-term upper-limb impairment after stroke. N Engl J Med 362(19):1772–1783CrossRefPubMedPubMedCentral
25.
Raglio A, Zaliani A, Baiardi P, Bossi D, Sguazzin C, Capodaglio et al (2017) Active music therapy approach for stroke patients in the post-acute rehabilitation. Neurol Sci 38(5):893–897CrossRefPubMed
26.
27.
Parker C, Gladman JR, Drummond AE, Dewey M, Lincoln N, Barer D et al (2001) A multicentre randomized controlled trial of leisure therapy and conventional occupational therapy after stroke. Clin Rehabil 15(1):42–52CrossRefPubMed
28.
Walker M, Drummond A, Lincoln N (1996) Evaluation of dressing practice for stroke patients after discharge from hospital: a crossover design study. Clin Rehabil 10(1):23–31CrossRef
29.
Walker M, Gladman J, Lincoln N, Siemonsma P, Whiteley T (1999) Occupational therapy for stroke patients not admitted to hospital: a randomised controlled trial. The Lancet 354(9175):278–280CrossRef
30.
Ada L, Dean CM, Hall JM, Bampton J, Crompton S (2003) A treadmill and overground walking program improves walking in persons residing in the community after stroke: a placebo-controlled, randomized trial. Arch Phys Med Rehab 84(10):1486–1491CrossRef
31.
Duncan P, Richards L, Wallace D, Stoker-Yates J, Pohl P, Luchies C et al (1998) A randomized, controlled pilot study of a home-based exercise program for individuals with mild and moderate stroke. Stroke 29(10):2055–2060CrossRef
32.
Glasgow Augmented Physiotherapy Study Group (2004) Can augmented physiotherapy input enhance recovery of mobility after stroke? A randomized controlled trial. Clin Rehab 18(5):529CrossRef
33.
Kwakkel G, Wagenaar RC, Twisk JW, Lankhorst GJ, Koetsier JC (1999) Intensity of leg and arm training after primary middle-cerebral-artery stroke: a randomised trial. The Lancet 354(9174):191–196CrossRef
34.
Kwakkel G, Kollen BJ, Wagenaar RC (2002) Long term effects of intensity of upper and lower limb training after stroke: a randomised trial. J Neurol Neurosurg Psychiatry 72(4):473–479PubMedPubMedCentral
35.
Langhammer B, Stanghelle JK (2000) Bobath or motor relearning programme? A comparison of two different approaches of physiotherapy in stroke rehabilitation: a randomized controlled study. Clin Rehabil 14(4):361–369CrossRefPubMed
36.
Langhammer B, Stanghelle JK (2003) Bobath or motor relearning programme? Afollow-up one and four years post stroke. Clin Rehabil 17(7):731–734CrossRefPubMed
37.
McClellan R, Ada L (2004) A six-week, resource-efficient mobility program after discharge from rehabilitation improves standing in people affected by stroke: placebo-controlled, randomised trial. Aust J Phys 50(3):163–167
38.
Morris JH, van Wijck F, Joice S, Ogston SA, Cole I, MacWalter RS (2008) A comparison of bilateral and unilateral upper-limb task training in early poststroke rehabilitation: a randomized controlled trial. Arch Phys Med Rehabil 89(7):1237–1245CrossRefPubMed
39.
Sandberg K, Kleist M, Falk L, Enthoven P (2016) Effects of twice-weekly intense aerobic exercise in early subacute stroke: a randomized controlled trial. Arch Phys Med Rehabil 97(8):1244–1253CrossRefPubMed
40.
Teixeira-Salmela LF, Olney SJ, Nadeau S, Brouwer B (1999) Muscle strengthening and physical conditioning to reduce impairment and disability in chronic stroke survivors. Arch Phys Med Rehabil 80(10):1211–1218CrossRefPubMed
41.
42.
Desrosiers J, Noreau L, Rochette A, Carbonneau H, Fontaine L, Viscogliosi C et al (2007) Effect of a home leisure education program after stroke: A randomized controlled trial. Arch Phys Med Rehabil 88(9):1095–1100CrossRefPubMed
43.
Forster A, Young J (1996) Specialist nurse support for patients with stroke in the community: A randomised controlled trial. BMJ (Clin Res Ed) 312(7047):1642–1646CrossRef
44.
Nour K, Desrosiers J, Gauthier P, Carbonneau H (2002) Impact of a home leisure educational program for older adults who have had a stroke (home leisure educational program). Ther Recreat J 36(1):48
45.
Marsden D, Quinn R, Pond N, Golledge R, Neilson C, White J et al (2010) A multidisciplinary group programme in rural settings for community-dwelling chronic stroke survivors and their carers: a pilot randomized controlled trial. Clin Rehabil 24(4):328–341CrossRefPubMed
46.
Adie K, Schofield C, Berrow M, Wingham J, Humfryes J, Pritchard C et al (2017) Does the use of Nintendo Wii SportsTM improve arm function? Trial of WiiTM in Stroke: A randomized controlled trial and economics analysis. Clin rehabil 31(2):173–185CrossRefPubMed
47.
Teasell RW, Foley NC, Bhogal SK, Speechley MR (2003) An evidence-based review of stroke rehabilitation. Top Stroke Rehabil 10(1):29–58CrossRefPubMed
48.
Veerbeek JM, van Wegen E, van Peppen R, van der Wees, Jan P, Hendriks E, Rietberg M et al (2014) What is the evidence for physical therapy poststroke? A systematic review and meta-analysis. PLoS One 9(2):87CrossRef
49.
Bradt J, Magee WL, Dileo C, Wheeler BL, McGilloway E (2010) Music therapy for acquired brain injury. Cochrane Database Syst Rev 7:CD006787
50.
Särkämö T, Tervaniemi M, Laitinen S et al (2008) Music listening enhances cognitive recovery and mood after middle cerebral artery stroke. Brain 131:866–876CrossRefPubMed
51.
Schneider S, Schonle PW, Altenmuller E, Munte TF (2007) Using musical instruments to improve motor skill recovery following a stroke. J Neurol 254(1339):46
52.
53.
54.
Cohen JW, Ivanova TD, Brouwer B, Miller KJ, Bryant D, Garland SJ (2018) Do performance measures of strength, balance, and mobility predict quality of life and community reintegration after stroke? Arch Phys Med Rehabil 99(4):713–719CrossRefPubMed
55.
Lennon S, McKenna S, Jones F (2013) Self-management programmes for people post stroke: a systematic review. Clin Rehabil 27(10):867–878CrossRefPubMed
56.
Kendall E, Catalano T, Kuipers P, Posner N, Buys N, Charker J (2007) Recovery following stroke: the role of self-management education. Soc Sci Med 64(3):735–746CrossRefPubMed
57.
Clark E, Bennett K, Ward N, Jones F (2018) One size does not fit all—Stroke survivor’s views on group self-management interventions. Dis Rehabil 40(5):569–576CrossRef
58.
59.
Cherubini A, Signore SD, Ouslander J, Semla T, Michel JP (2010) Fighting against age discrimination in clinical trials. JAGS 58(9):1791–1796CrossRef
60.
Boutron I, Guittet L, Estellat C, Moher D, Hróbjartsson A, Ravaud P (2007) Reporting methods of blinding in randomized trials assessing nonpharmacological treatments. PLoS Med 4(2):61CrossRef
61.
62.
63.
64.
Metadaten
Titel
Non-pharmacological interventions for the improvement of post-stroke quality of life amongst older stroke survivors: a systematic review of systematic reviews (The SENATOR ONTOP series)
verfasst von
Carrie Stewart
Selvarani Subbarayan
Pamela Paton
Elliot Gemmell
Iosief Abraha
Phyo Kyaw Myint
Denis O’Mahony
Antonio Cherubini
Alfonso J. Cruz-Jentoft
Roy L. Soiza
Publikationsdatum
01.06.2019
Verlag
Springer International Publishing
Erschienen in
European Geriatric Medicine / Ausgabe 3/2019
Elektronische ISSN: 1878-7657
DOI
https://doi.org/10.1007/s41999-019-00180-6

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