Abstract

Apraxia is widely used to describe one of the more disabling deficits following left strokes. The role of rehabilitation in treating apraxic stroke patients remains unclear. This systematic review was conducted to study the impacts of various rehabilitation interventions on the limb apraxia post-stroke. PubMed, SCOPUS, PEDro, CINAHL, MEDLINE, REHABDATA, and Web of Science were searched for the experimental studies that investigated the effects of the rehabilitation interventions on apraxia in patients with stroke. The methodological quality was rated using the Physiotherapy Evidence Database scale (PEDro). Six studies met our inclusion criteria in this systematic review. Four were randomized controlled trials, pilot (n = 1), and case study (n = 1). The scores on the PEDro scale ranged from two to eight, with a median of seven. The results showed some evidence for the effects of strategy training and gesture training interventions on the cognitive functions, motor activities, and activities of daily livings outcomes poststroke. The preliminary findings showed that the effects of the strategy training and the gesture training on apraxia in patients with stroke are promising. Further randomized controlled trials with long-term follow-ups are strongly needed.

摘要

失用症被广泛用于描述左中风后更致残的缺陷之一。康复在治疗失用性卒中患者中的作用仍不清楚。这项系统评价旨在研究各种康复干预措施对中风后肢体失用症的影响。搜索了 PubMed、SCOPUS、PEDro、CINAHL、MEDLINE、REHABDATA 和 Web of Science，以寻找研究康复干预对卒中患者失用症影响的实验研究。使用物理治疗证据数据库量表 (PEDro) 对方法学质量进行评级。六项研究符合我们在本系统评价中的纳入标准。四项是随机对照试验、试点（n  = 1）和案例研究（n = 1)。PEDro 量表的分数从 2 到 8 不等，中位数为 7。结果显示了策略训练和手势训练干预对中风后认知功能、运动活动和日常生活活动的影响的一些证据。初步研究结果表明，策略训练和手势训练对脑卒中患者失用的效果是有希望的。非常需要进一步的具有长期随访的随机对照试验。