[Evidence-based methods in motor rehabilitation after stroke]

Fortschr Neurol Psychiatr. 2012 Jul;80(7):388-93. doi: 10.1055/s-0031-1299490. Epub 2012 Jul 3.
[Article in German]

Abstract

In this review, treatments for motor rehabilitation after stroke will be presented. In particular, randomised, controlled trials, meta-analyses and systematic reviews, mainly from the years 2009 - 2011, were taken into consideration. In summary, evidence is best for constraint-induced movement therapy and Botulinum toxin type A in patients with focal spasticity. Superiority has been demonstrated for the administration of drugs (serotonin re-uptake inhibitors and L-dopa), mirror therapy, the use of virtual reality, electromechanical devices to restore independent walking, and fitness and circuit training. Other therapies (bilateral arm training, treadmill therapy, robot-assisted arm therapy) did not show superiority. For sensory training and repetitive transcranial magnetic stimulation large clinical studies still need to be done.

Publication types

  • Meta-Analysis
  • Review

MeSH terms

  • Botulinum Toxins, Type A / therapeutic use
  • Evidence-Based Medicine*
  • Humans
  • Movement Disorders / drug therapy
  • Movement Disorders / etiology
  • Movement Disorders / rehabilitation*
  • Neuromuscular Agents / therapeutic use
  • Physical Fitness
  • Physical Therapy Modalities
  • Recovery of Function / physiology
  • Robotics
  • Stroke / complications
  • Stroke Rehabilitation*
  • Transcranial Magnetic Stimulation
  • User-Computer Interface
  • Walking / physiology

Substances

  • Neuromuscular Agents
  • Botulinum Toxins, Type A