1. MOBILE APPLICATION FOR UPPER LIMB REHABILITATION AFTER STROKE: A SYSTEMATIC REVIEW AND META-ANALYSIS.
- Author
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de Souza, Carolina, Boening, Augusto, Martins, Janayna A., da Silva, Simone T., Peres, Daniele, Michaelsen, Stella M., and Nascimento, Lucas R.
- Abstract
Background: The effects of mobile applications on upper limb impairments after stroke was not investigated. Aim: To examine the effects of mobile applications for improving upper limb after stroke. Methods: A systematic review of randomized trials was performed. Searches were conducted on MEDLINE/PUBMED, CINAHL, EMBASE, SCOPUS, Web of Science and PEDro databases. Participants were adults after stroke. The experimental intervention was upper limb rehabilitation using mobile applications compared with no/placebo, or rehabilitation without mobile applications. Outcome data related to upper limb outcomes were combined in meta-analyses. The quality of trials was assessed by the PEDro scores. Results: Seven trials (PEDro score 5; n=193; age = 28 to 85 years old) were included. Mobile applications may have a positive effect on upper limb motor impairment (MD 12 points out of 66; 95% CI -6 to 31) but unclear on capacity (MD 2 points out of 32; 95% CI -1.5 to 5.7), strength (MD 0.4 points out of 5; 95% CI -0.3 to 1.2), and dexterity (MD 2 points; 95% CI -2 to 6). Mobile applications may have similar effects of rehabilitation without mobile applications on upper limb motor impairment 18 (SMD 0.4; 95% CI -0.3 to 1.2), capacity (SMD 0.1; 95% CI -0.4 to 0.6), and strength (MD 0 19 Kg; 95% CI -4.3 to 4.3). Conclusion: Mobile applications may improve upper limb motor impairment, but the effects appear to be similar to rehabilitation without mobile applications. [ABSTRACT FROM AUTHOR]
- Published
- 2023