Keywords
Exercise Therapy
Stroke
Activities of Daily Living
How to Cite
Abstract
90% of the population with stroke suffer sequelae that disable the individual for their independence in the activities of daily life. We sought to determine the effects of interventions in adults after stroke of the motor relearning program vs different physiotherapeutic treatments on functional independence. A systematic review of the literature was carried out. in PubMed, PEDro, LILACS, Cochrane, Scopus and ScienceDirect databases, and a manual search, taking into account clinical trials, Spanish, English or Portuguese. The methodological quality was carried out using the PEDro scale and the risk of bias assessment was applied according to the Cochrane Manual. Eight studies out of a potential 984 were included. A clinically significant improvement was found in the motor relearning groups and only in one study is this improvement significant compared to another intervention. There are significant clinical effects in the use of the motor relearning program.References
Puentes Madera I. Epidemiología de las enfermedades cerebrovasculares de origen extracraneal. Rev Cuba Angiol y Cirugía Vasc. 2014;15(2):66–74. http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1682-00372014000200002
Yanez N, Useche JN, Bayona H, Porras A, Carrasquilla G. Analyses of mortality and prevalence of cerebrovascular disease in colombia, south america (2014-2016): a cross-sectional and ecological study. J Stroke Cerebrovasc Dis. 2020;29(5):104699. http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2020.104699
Govantes Y, Bravo T. Estado funcional en pacientes con ictus isquémico. Hospital “Julio Díaz González.” Rev Cuba Med Fisica y Rehabil. 2014;6(2):149–58. http://www.revrehabilitacion.sld.cu/index.php/reh/article/view/169
Wolf SL, Winstein CJ, Miller JP, Morris D. Effect of constraint-induced movement therapy on upper extremity function 3 to 9 months after stroke the EXCITE randomized clinical trial. JAMA. 2006;296(17):2095–104. http://dx.doi.org/10.1001/jama.296.17.2095
Veerbeek JM, Van Wegen E, Van Peppen R, Van Der Wees PJ, Hendriks E, Rietberg M, et al. What is the evidence for physical therapy poststroke? A systematic review and meta-analysis. PLoS One. 2014;9(2):e87987. http://dx.doi.org/10.1371/journal.pone.0087987
Alon G, Levitt AF, McCarthy PA. Functional electrical stimulation enhancement of upper extremity functional recovery during stroke rehabilitation: A pilot study. Neurorehabil Neural Repair. 2007;21(3):207–15. http://dx.doi.org/10.1177/1545968306297871
Preston E, Ada L, Dean CM, Stanton R, Waddington G. What is the probability of patients who are nonambulatory after stroke regaining independent walking? A systematic review. Int J Stroke. 2011;6(6):531–40. http://dx.doi.org/10.1111/j.1747-4949.2011.00668.x
Pinzón Bernal MY, Henao Lema CP, Pérez-Parra JE, Amezquita-Londoño AP, Apolinar-Joven LY, Arias-Becerra LJ, et al. Effect of an intervention program based on motor relearning on postural control in adults with hemiparesis. Fisioterapia. 2020;42(1):5–16. http://dx.doi.org/10.1016/j.ft.2019.09.001%0A
Wade DT, Richard LH. Functional abilities after stroke: Measurement, natural history and prognosis. J Neurol Neurosurg Psychiatry. 1987;50(2):177–82. http://dx.doi.org/10.1136/jnnp-2011-301689
Van Peppen RPS, Kwakkel G, Wood-Dauphinee S, Hendriks HJM, Van der Wees PJ, Dekker J. The impact of physical therapy on functional outcomes after stroke: What’s the evidence? Clin Rehabil. 2004;18(8):833–62. http://dx.doi.org/10.1191/0269215504cr843oa
Coleman ER, Moudgal R, Lang K, Hyacinth HI, Awosika OO, Kissela BM, et al. Early Rehabilitation After Stroke: a Narrative Review. Curr Atheroscler Rep. 2017;19(12). http://dx.doi.org/10.1007/s11883-017-0686-6
Thieme H, Morkisch N, Mehrholz J, Pohl M, Behrens J, Borgetto B, et al. Mirror therapy for improving motor function after stroke. Cochrane Database Syst Rev. 2018;2018(7). http://dx.doi.org/10.1002/14651858.CD008449.pub3
Villamil Parra WA, Hernández Álvarez ED, Moscoso Loaiza LF. Eficacia del ejercicio físico terapéutico en pacientes adultos hospitalizados en UCI: revisión sistemática y metaanálisis. Fisioterapia. 2020;42(2):98–107. http://dx.doi.org/10.1016/j.ft.2019.10.004
Pollock A, Baer G, Campbell P, Choo PL, Forster A, Morris J, et al. Physical rehabilitation approaches for the recovery of function and mobility following stroke. Cochrane Database Syst Rev. 2014;(4). http://dx.doi.org/10.1002/14651858.CD001920.pub3
Flórez García M. Intervenciones para mejorar la función motora en el paciente con ictus. Rehabilitación. 2000;34(6):423–37. https://www.elsevier.es/es-revista-rehabilitacion-120-articulo-intervenciones-mejorar-funcion-motora-el-10018774
Chien W tong, Chong Y yu, Tse M kei, Chien C woon, Cheng H yu. Robot-assisted therapy for upper-limb rehabilitation in subacute stroke patients: A systematic review and meta-analysis. Brain Behav. 2020;10(8):1–16. http://dx.doi.org/10.1002/brb3.1742
Silva S, Borges LRDM, Santiago L, Lucena L, Lindquist AR, Ribeiro T. Motor imagery for gait rehabilitation after stroke. Cochrane Database Syst Rev. 2020;9(9):CD013019. http://dx.doi.org/10.1002/14651858.CD013019.pub2
Laver KE, Lange B, George S, Deutsch JE, Saposnik G, Crotty M. Virtual reality for stroke rehabilitation. Vol. 11, Cochrane Database of Systematic Reviews. 2017. p. CD008349. http://dx.doi.org/110.1002/14651858.CD008349.pub4
Maggio MG, Latella D, Maresca G, Sciarrone F, Manuli A, Naro A, et al. Virtual reality and cognitive rehabilitation in people with stroke: An overview. J Neurosci Nurs. 2019;51(2):101–5. http://dx.doi.org/10.1097/JNN.0000000000000423
Aramaki AL, Sampaio RF, Caroline A, Reis S, Cavalcanti A, Caetano F, et al. Virtual reality in the rehabilitation of patients with stroke : an integrative review. Arq Neuropsiquiatr. 2019;77(4):268–78. http://dx.doi.org/10.1590/0004-282X20190025
Ordoñez Mora LT, Araujo Morales TK, Villacrez Pinchao LM. Reaprendizaje motor orientado a tareas en pacientes con secuelas de enfermedad cerebro vascular: una revisión narrativa. Rev Investig Andin. 2019;21(38):139–52. http://dx.doi.org/10.33132/01248146.996
Zhang Q, Schwade M, Smith Y, Wood R, Young L. Exercise-based interventions for post-stroke social participation: A systematic review and network meta-analysis. Int J Nurs Stud. 2020;111:103738. http://dx.doi.org/10.1016/j.ijnurstu.2020.103738
Valencia-Buitrago M, Duque-Alzate A, Pinzón-Bernal MY, Castellanos-Ruiz J. Effectiveness of a motor relearning programme for recovery of the spastic hand in adults with hemiplegia. Systematic review and meta-analysis. Rehabilitacion. 2018;52(3):148–57. https://dx.doi.org/10.1016/j.rh.2018.01.002
Higgins JPT GS. Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0. The Cochrane Collaboration. 2011. p. 639. https://training.cochrane.org/es/manual-cochrane-de-revisiones-sistemáticas-de-intervenciones
Verhagen AP, De Vet HCW, De Bie RA, Kessels AGH, Boers M, Bouter LM, et al. The Delphi list: a criteria list for quality assessment of randomized clinical trials for conducting systematic reviews developed by Delphi consensus. J Clin Epidemiol. 1998;51(12):1235–41. http://dx.doi.org/10.1016/s0895-4356(98)00131-0
Kumar Immadi S, Achyutha KK, Reddy A, Tatakuntla KP. Effectiveness of the Motor Relearning Approach in Promoting Physical Function of the Upper Limb after a Stroke. Int J Physiother. 2015;2(1):386. http://dx.doi.org/10.15621/ijphy/2015/v2i1/60047
Rehani PP, Kumari R, Midha D. Effectiveness of motor relearning programme and mirror therapy on hand functions in patients with stroke-a randomized clinical trial. Int J Ther Rehabil Res. 2015;4(3):20. http://dx.doi.org/10.5455/ijtrr.00000058
Bhalerao G, Kulkami V, Kapoor D. Comparison of two physiotherapy approaches in acute stroke rehabilitation: motor relearning program versus bobath approach. J Orthop Rehabil. 2011;1(1):79–88. http://jorjournal.com/wp-content/uploads/2015/06/2249–0027.015.pdf
Bhalerao G, Kulkarni V, Doshi C, Rairikar S, Shyam A, Sancheti P. Comparison of motor relearning program versus Bobath approach at every two weeks interval for improving activities of daily living and ambulation in acute stroke rehabilitation. Int J Basic Appl Med Sci. 2013;3(3):70–7. http://www.cibtech.org/jms.htm
Batool S, Soomro N, Amjad F, Fauz R. To compare the effectiveness of constraint induced movement therapy versus motor relearning programme to improve motor function of hemiplegic upper extremity after stroke. Pakistan J Med Sci. 2015;31(5):1167–71. http://dx.doi.org/10.12669/pjms.315.7910
Chan DYL, Chan CCH, Au DKS. Motor relearning programme for stroke patients: A randomized controlled trial. Clin Rehabil. 2006;20(3):191–200. http://dx.doi.org/10.1191/0269215506cr930oa
Langhammer B, Stanghelle JK. Bobath or motor relearning programme? A comparison of two different approaches of physiotherapy in stroke rehabilitation: A randomized controlled study. Clin Rehabil. 2000;14(4):361–9. http://dx.doi.org/10.1191/0269215500cr338oa
Nilsson L, Carlsson J, Danielsson A, Fugl-Meyer A, Hellström K, Kristensen L, et al. Walking training of patients with hemiparesis at an early stage after stroke: A comparison of walking training on a treadmill with body weight support and walking training on the ground. Clin Rehabil. 2001;15(5):515–27. http://dx.doi.org/10.1191/026921501680425234
Arya KN, Pandian S, Verma R, Garg RK. Movement therapy induced neural reorganization and motor recovery in stroke: A review. J Bodyw Mov Ther. 2011;15(4):528–37. http://dx.doi.org/10.1016/j.jbmt.2011.01.023
Hara Y. Brain plasticity and rehabilitation in stroke patients. J Nippon Med Sch. 2015;82(1):4–13. http://dx.doi.org/10.1272/jnms.82.4
Stinear CM, Lang CE, Zeiler S, Byblow WD. Advances and challenges in stroke rehabilitation. Lancet Neurol. 2020;19(4):348–60. http://dx.doi.org/10.1016/S1474-4422(19)30415-6
Castro-Medina K, Pérez-Páez M, Moscoso-Alvarado F, Tanaka C. Transfer of motor learning in stroke: A case report series. Rev Fac Med. 2015;63(2):315–20. http://dx.doi.org/10.15446/revfacmed.v63n2.48206
Pandian S, Arya KN, Davidson EWR. Comparison of Brunnstrom movement therapy and motor relearning program in rehabilitation of post-stroke hemiparetic hand: A randomized trial. J Bodyw Mov Ther. 2012;16(3):330–7. http://dx.doi.org/10.1016/j.jbmt.2011.11.002
Chen L, Xiong S, Liu Y, Lin M, Zhu L, Zhong R, et al. Comparison of motor relearning program versus bobath approach for prevention of poststroke apathy: A randomized controlled trial. J Stroke Cerebrovasc Dis. 2019;28(3):655–64. https://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2018.11.011
Jan S, Arsh A, Darain H, Gul S. A randomized control trial comparing the effects of motor relearning programme and mirror therapy for improving upper limb motor functions in stroke patients. J Pak Med Assoc. 2019;69(9):1242–5. https://pubmed.ncbi.nlm.nih.gov/31511706/
Rostami HR, Ashayeri H. Effects of motor skill practice on reaction time and learning retention in Parkinson’s disease. Neurol India. 2009;57(6):768–71. https://dx.doi.org/10.4103/0028-3886.59474
Bernhardt J, Godecke E, Johnson L, Langhorne P. Early rehabilitation after stroke. Curr Opin Neurol. 2017;30(1):48–54. http://dx.doi.org/10.1097/WCO.0000000000000404
Ullah I, Arsh A, Zahir A, Jan S. Motor relearning program along with electrical stimulation for improving upper limb function in stroke patients: A quasi experimental study. Pakistan J Med Sci. 2020;36(7):1613–7. http://dx.doi.org/10.12669/pjms.36.7.2351
Kanase S. Effect of motor relearning programme and conventional training on functional mobility in post stroke patients. Indian J Public Heal Res Dev. 2020;11(5):496–501. https://dx.doi.org/10.37506/ijphrd.v11i5.9375
French B, Thomas L, Leathley M, Sutton C, McAdam J, Forster A, et al. Does repetitive task training improve functional activity after stroke? A Cochrane systematic review and meta-analysis. J Rehabil Med. 2010;42(1):9–15. http://dx.doi.org/10.2340/16501977-0473
Ottenbacher KJ, Jannell S. The results of clinical trials in stroke rehabilitation research. Arch Neurol. 1993;50(1):37–44. http://dx.doi.org/10.1001/archneur.1993.00540010033014
Langhammer B, Stanghelle JK. Bobath or motor relearning programme? A follow-up one and four years post stroke. Clin Rehabil. 2003;17(7):731–4. http://dx.doi.org/10.1191/0269215503cr670oa
Krutulyte G, Kimtys A, Krisciunas A. The effectiveness of physical therapy methods (Bobath and motor relearning program) in rehabilitation of stroke patients. Medicina (Kaunas). 2003;39(9):889–95. https://pubmed.ncbi.nlm.nih.gov/14515053/
Carr J, Shepherd R. The changing face of neurological rehabilitation. Rev Bras Fisioter. 2006;10(2):147–56. https://dx.doi.org/10.1590/S1413-35552006000200003
Zhang Q, Schwade M, Smith Y, Wood R, Young L. Exercise-based interventions for post-stroke social participation: A systematic review and network meta-analysis. Int J Nurs Stud. 2020;111:103738. http://dx.doi.org/10.1016/j.ijnurstu.2020.103738
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Copyright (c) 2023 Universidad Del Magdalena