Effectiveness Of Intensive Rehabilitation On Motor Functions In Adult Stroke Survivors: A Systematic Review And Meta-Analysis
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- Purpose: The use of intensive rehabilitation to minimize physical disability after a stroke is one of the key disciplines in interdisciplinary stroke rehabilitation. The main objective of this systematic review and meta-analysis was to highlight the effects of the intensive rehabilitation on motor functions in relation to the ICF model components for stroke survivors. Methods: A search was carried out through four electronic databases: Embase, PubMed Scopus, PEDro and PsycINFO. Only randomized controlled trials published in English or French and identify according the PICO criteria were selected. The quantitative syntheses were carried out using Review Manager Version 5.3 software under a random effects model. Results: Sixteen out of 4,683 identified studies with a training dose of 3 hours or more per day, met our inclusion criteria. Analysis revealed a significant improvement in everyday activities in favor of intensive rehabilitation compared to conventional rehabilitation. Effect of intensive trainings on motor functions, dexterity and participation was not significant compared to conventional rehabilitation. Conclusion: Ours findings of the data highlighted the effects of the intensive rehabilitation according to the ICF model components for stroke survivors. But the effects of intensive trainings on motor function and participation require further studies.