Abstract
OBJECTIVE: To evaluate the evidence for, and clinical
relevance of, immediate and long-term effects of trunk
restraint during reach-to-grasp training poststroke on
movement patterns and functional abilities within the
framework of the International Classification of
Functioning, Disability and Health. DATA SOURCES: PubMed,
Web of Science, CINAHL, Embase, PEDro, Cochrane Library
(publication dates January 1985 to March 2015). STUDY
SELECTION: Randomized controlled trials comparing training
using trunk restraint with any other exercise training.
DATA EXTRACTION: Data were extracted by one researcher and
checked by two other researchers. The Cochrane
Collaboration's tool for assessing risk of bias and the
Physiotherapy Evidence Database scale were used by two
researchers to assess study quality and risk of bias. DATA
SYNTHESIS: Eight studies met the inclusion criteria. Five
studies found better recovery of movement patterns (trunk
displacement, elbow extension, and/or shoulder flexion -
body function/structure) at post-test in the experimental
compared with the control groups. Functional abilities
(activity/participation) improved more in the experimental
groups in 3 studies at post-test. Long-term effects were
found in one study after 4 weeks. CONCLUSION: Trunk
restraint has immediate and some long-term effects in
adults with chronic stroke. However, these effects are not
consistently clinically relevant when referring to minimal
detectable change or minimal clinically important
difference values.
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