The Effectiveness of Upper Extremity Orthotic Interventions on Performance Skills and Performance of Occupations for Adults after Stroke: A Scoping Review.

IF 0.9 Q4 REHABILITATION OCCUPATIONAL THERAPY IN HEALTH CARE Pub Date : 2024-04-01 Epub Date: 2024-02-07 DOI:10.1080/07380577.2024.2310801
Sarah S Synek, Helene L Lohman, Vanessa D Jewell
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Abstract

The objective of this study was to determine the effectiveness of upper extremity orthoses on improving performance skills and performance of occupations after stroke. Databases searched included CINAHL, PubMed, and OT Seeker. Articles were included if published between 2012 to 2022, English, peer-reviewed, level of evidence IB, IIB, or IIIB, and included upper extremity orthoses, adults after a stroke, and performance skill and performance of occupation outcome measures; six studies meet inclusion criteria. Moderate strength of evidence supports the usage of dynamic upper extremity orthoses to improve performance skills, although they do not improve performance of occupations for adults after stroke. Evidence suggests practitioners should utilize dynamic orthoses concurrently with tasks that promote performance skills such as gripping, pinching, grasping, and reaching during interventions to promote upper extremity use after stroke. Additional research is needed to further justify the use of upper extremity orthoses for performance of occupations after stroke.

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上肢矫形器干预对中风后成人的技能和职业表现的影响:范围综述》。
本研究旨在确定上肢矫形器对改善中风后的表现技能和职业表现的有效性。检索的数据库包括 CINAHL、PubMed 和 OT Seeker。如果文章发表于 2012 年至 2022 年之间、英文、经过同行评审、证据级别为 IB、IIB 或 IIIB,并包括上肢矫形器、中风后成人、表现技能和职业表现结果测量指标,则纳入这些文章;有六项研究符合纳入标准。中等强度的证据支持使用动态上肢矫形器来提高表现技能,尽管它们并不能提高中风后成人的职业表现。有证据表明,在进行干预以促进中风后上肢使用的过程中,医生应将动态矫形器与促进表现技能(如抓、捏、握和伸)的任务同时使用。需要进行更多的研究来进一步证明上肢矫形器在中风后职业活动中的应用。
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来源期刊
CiteScore
1.90
自引率
0.00%
发文量
50
期刊介绍: Occupational Therapy in Health Care is a journal of contemporary practice in occupational therapy. It provides occupational therapy practitioners with a forum to stay up-to-date on current methods and theories in the field. Focused on everyday practice, the journal addresses the concerns of new and experienced therapists, presenting innovations in client evaluations and treatments, current research findings, critical reviews of current textbooks, descriptions of novel programs and descriptions of fieldwork innovations. An essential guide to the changing trends in health care, social services, and education, Occupational Therapy in Health Care provides occupational therapy practitioners with a forum to stay up-to-date on current methods and theories in the field.
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