Physiotherapy treatment approaches for the recovery of postural control and lower limb function following stroke

摘要: Background There are a number of different approaches to physiotherapy treatment following stroke that, broadly speaking, based on neurophysiological, motor learning and orthopaedic principles. Some physiotherapists base their single approach, while others use mixture components from approaches. Objectives To determine if there is difference in the recovery postural control lower limb function patients with or neurophysiological principles, these principles. Search methods We searched Cochrane Stroke Group Trials Register (last May 2005), Central Controlled (CENTRAL) (The Library Issue 2, MEDLINE (1966 EMBASE (1980 2005) CINAHL (1982 2005). We contacted experts researchers an interest rehabilitation. Selection criteria Randomised quasi-randomised controlled trials aimed at promoting adult participants clinical diagnosis stroke. Outcomes included measures disability, impairment participation. Data collection analysis Two review authors independently categorised identified according inclusion exclusion criteria, documented methodological quality, extracted data. Main results Twenty-one were review, five which two comparisons. Eight compared approach another approach; eight mixed approach. A was significantly more effective than no placebo for improving functional independence (standardised mean (SMD) 0.94, 95% confidence intervals (CI) 0.08 1.80). There significant evidence that any had better outcome other control. Authors' conclusions There intervention, using mix approaches, insufficient conclude one recommend future research should concentrate investigating effectiveness clearly described individual techniques task-specific treatments, regardless historical philosophical origin.