Occupational therapy for patients with problems in personal activities of daily living after stroke: systematic review of randomised trials

Research output: Contribution to journalArticle

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Occupational therapy for patients with problems in personal activities of daily living after stroke: systematic review of randomised trials. / Legg, A; Drummond, A; Leonardi-bee, J; Gladman, J; Corr, Susan; Donkervoort, M; Edmans, J; Gilbertson, L; Jongbloed, L; Logan, P; Sackley, Catherine; Walker, M; Langhorne, P.

In: British Medical Journal, Vol. 335, No. 7626, 03.11.2007, p. 922.

Research output: Contribution to journalArticle

Harvard

Legg, A, Drummond, A, Leonardi-bee, J, Gladman, J, Corr, S, Donkervoort, M, Edmans, J, Gilbertson, L, Jongbloed, L, Logan, P, Sackley, C, Walker, M & Langhorne, P 2007, 'Occupational therapy for patients with problems in personal activities of daily living after stroke: systematic review of randomised trials', British Medical Journal, vol. 335, no. 7626, pp. 922. https://doi.org/10.1136/bmj.39343.466863.55

APA

Legg, A., Drummond, A., Leonardi-bee, J., Gladman, J., Corr, S., Donkervoort, M., Edmans, J., Gilbertson, L., Jongbloed, L., Logan, P., Sackley, C., Walker, M., & Langhorne, P. (2007). Occupational therapy for patients with problems in personal activities of daily living after stroke: systematic review of randomised trials. British Medical Journal, 335(7626), 922. https://doi.org/10.1136/bmj.39343.466863.55

Vancouver

Author

Legg, A ; Drummond, A ; Leonardi-bee, J ; Gladman, J ; Corr, Susan ; Donkervoort, M ; Edmans, J ; Gilbertson, L ; Jongbloed, L ; Logan, P ; Sackley, Catherine ; Walker, M ; Langhorne, P. / Occupational therapy for patients with problems in personal activities of daily living after stroke: systematic review of randomised trials. In: British Medical Journal. 2007 ; Vol. 335, No. 7626. pp. 922.

Bibtex

@article{ec285f58a72843c6a1e5e5527b26dbda,
title = "Occupational therapy for patients with problems in personal activities of daily living after stroke: systematic review of randomised trials",
abstract = "Objective To determine whether occupational therapy focused specifically on personal activities of daily living improves recovery for patients after stroke. Design Systematic review and meta-analysis. Data sources The Cochrane stroke group trials register, the Cochrane central register of controlled trials, Medline, Embase, CINAHL, PsycLIT, AMED, Wilson Social Sciences Abstracts, Science Citation Index, Social Science Citation, Arts and Humanities Citation Index, Dissertations Abstracts register, Occupational Therapy Research Index, scanning reference lists, personal communication with authors, and hand searching. Review methods Trials were included if they evaluated the effect of occupational therapy focused on practice of personal activities of daily living or where performance in such activities was the target of the occupational therapy intervention in a stroke population. Original data were sought from trialists. Two reviewers independently reviewed each trial for methodological quality. Disagreements were resolved by consensus. Results Nine randomised controlled trials including 12 58 participants met the inclusion criteria. Occupational therapy delivered to patients after stroke and targeted towards personal activities of daily living increased performance scores (standardised mean difference 0. 18, 95% confidence interval 0.04 to 0.32, P=0.01) and reduced the risk of poor outcome (death, deterioration or dependency in personal activities of daily living) (odds ratio 0.67, 95% confidence interval 0.51 to 0.87, P=0.003). For every 100 people who received occupational therapy focused on personal activities of daily living, 11 (95% confidence interval 7 to 30) would be spared a poor outcome. Conclusions Occupational therapy focused on improving personal activities of daily living after stroke can improve performance and reduce the risk of deterioration in these abilities. Focused occupational therapy should be available to everyone who has had a stroke.",
author = "A Legg and A Drummond and J Leonardi-bee and J Gladman and Susan Corr and M Donkervoort and J Edmans and L Gilbertson and L Jongbloed and P Logan and Catherine Sackley and M Walker and P Langhorne",
year = "2007",
month = nov,
day = "3",
doi = "10.1136/bmj.39343.466863.55",
language = "English",
volume = "335",
pages = "922",
journal = "British Medical Journal",
issn = "0959-8138",
publisher = "BMJ Publishing Group",
number = "7626",

}

RIS

TY - JOUR

T1 - Occupational therapy for patients with problems in personal activities of daily living after stroke: systematic review of randomised trials

AU - Legg, A

AU - Drummond, A

AU - Leonardi-bee, J

AU - Gladman, J

AU - Corr, Susan

AU - Donkervoort, M

AU - Edmans, J

AU - Gilbertson, L

AU - Jongbloed, L

AU - Logan, P

AU - Sackley, Catherine

AU - Walker, M

AU - Langhorne, P

PY - 2007/11/3

Y1 - 2007/11/3

N2 - Objective To determine whether occupational therapy focused specifically on personal activities of daily living improves recovery for patients after stroke. Design Systematic review and meta-analysis. Data sources The Cochrane stroke group trials register, the Cochrane central register of controlled trials, Medline, Embase, CINAHL, PsycLIT, AMED, Wilson Social Sciences Abstracts, Science Citation Index, Social Science Citation, Arts and Humanities Citation Index, Dissertations Abstracts register, Occupational Therapy Research Index, scanning reference lists, personal communication with authors, and hand searching. Review methods Trials were included if they evaluated the effect of occupational therapy focused on practice of personal activities of daily living or where performance in such activities was the target of the occupational therapy intervention in a stroke population. Original data were sought from trialists. Two reviewers independently reviewed each trial for methodological quality. Disagreements were resolved by consensus. Results Nine randomised controlled trials including 12 58 participants met the inclusion criteria. Occupational therapy delivered to patients after stroke and targeted towards personal activities of daily living increased performance scores (standardised mean difference 0. 18, 95% confidence interval 0.04 to 0.32, P=0.01) and reduced the risk of poor outcome (death, deterioration or dependency in personal activities of daily living) (odds ratio 0.67, 95% confidence interval 0.51 to 0.87, P=0.003). For every 100 people who received occupational therapy focused on personal activities of daily living, 11 (95% confidence interval 7 to 30) would be spared a poor outcome. Conclusions Occupational therapy focused on improving personal activities of daily living after stroke can improve performance and reduce the risk of deterioration in these abilities. Focused occupational therapy should be available to everyone who has had a stroke.

AB - Objective To determine whether occupational therapy focused specifically on personal activities of daily living improves recovery for patients after stroke. Design Systematic review and meta-analysis. Data sources The Cochrane stroke group trials register, the Cochrane central register of controlled trials, Medline, Embase, CINAHL, PsycLIT, AMED, Wilson Social Sciences Abstracts, Science Citation Index, Social Science Citation, Arts and Humanities Citation Index, Dissertations Abstracts register, Occupational Therapy Research Index, scanning reference lists, personal communication with authors, and hand searching. Review methods Trials were included if they evaluated the effect of occupational therapy focused on practice of personal activities of daily living or where performance in such activities was the target of the occupational therapy intervention in a stroke population. Original data were sought from trialists. Two reviewers independently reviewed each trial for methodological quality. Disagreements were resolved by consensus. Results Nine randomised controlled trials including 12 58 participants met the inclusion criteria. Occupational therapy delivered to patients after stroke and targeted towards personal activities of daily living increased performance scores (standardised mean difference 0. 18, 95% confidence interval 0.04 to 0.32, P=0.01) and reduced the risk of poor outcome (death, deterioration or dependency in personal activities of daily living) (odds ratio 0.67, 95% confidence interval 0.51 to 0.87, P=0.003). For every 100 people who received occupational therapy focused on personal activities of daily living, 11 (95% confidence interval 7 to 30) would be spared a poor outcome. Conclusions Occupational therapy focused on improving personal activities of daily living after stroke can improve performance and reduce the risk of deterioration in these abilities. Focused occupational therapy should be available to everyone who has had a stroke.

U2 - 10.1136/bmj.39343.466863.55

DO - 10.1136/bmj.39343.466863.55

M3 - Article

C2 - 17901469

VL - 335

SP - 922

JO - British Medical Journal

JF - British Medical Journal

SN - 0959-8138

IS - 7626

ER -