Cochrane · systematic review · CD005950

Mental practice for treating upper extremity deficits in individuals with hemiparesis after stroke

Barclay, RE, Stevenson, TJ, Poluha, W, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

Stroke2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
12
current version
GRADE rated
4
No studies
5
Included studies
NR
No studies 5 · 41.7%Ungraded 3 · 25%Very low 0 · 0%Low 2 · 16.7%Moderate 2 · 16.7%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Current version only

Mental practice in addition to other treatment compared to other treatment (± placebo) for treating upper extremity deficits in individuals with hemiparesis after stroke

Population: treating upper extremity deficits in individuals with hemiparesis after stroke
CD005950.PUB5 (current) · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Mean upper extremity activity
Mental practice in addition to other treatment vs other treatment (± placebo)
no estimate extracted15 studies · 397 participantsModerate
Downgraded: risk of bias
Mean upper extremity impairment
Mental practice in addition to other treatment vs other treatment (± placebo)
no estimate extracted15 studies · 397 participantsModerate
Downgraded: risk of bias
Mean activities of daily living
Mental practice in addition to other treatment vs other treatment (± placebo)
no estimate extracted4 studies · 157 participantsLow
Downgraded: risk of bias
Mean quality of Life
Mental practice in addition to other treatment vs other treatment (± placebo)
no estimate extracted0 studies · 0 participantsUngraded
Mean economic costs: not reported
Mental practice in addition to other treatment vs other treatment (± placebo)
no estimate extractedNRNo studies
Mean adverse events: not reported
Mental practice in addition to other treatment vs other treatment (± placebo)
no estimate extractedNRNo studies

Mental practice compared to conventional therapy for treating upper extremity deficits in individuals with hemiparesis after stroke

Population: treating upper extremity deficits in individuals with hemiparesis after stroke
CD005950.PUB5 (current) · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Mean upper extremity activity
Mental practice vs conventional therapy
no estimate extracted0 studies · 0 participantsUngraded
Mean upper extremity impairment
Mental practice vs conventional therapy
no estimate extracted3 studies · 50 participantsLow
Downgraded: risk of bias
Mean activities of daily living
Mental practice vs conventional therapy
no estimate extracted0 studies · 0 participantsUngraded
Mean quality of life: not reported
Mental practice vs conventional therapy
no estimate extractedNRNo studies
Mean economic costs: not reported
Mental practice vs conventional therapy
no estimate extractedNRNo studies
Mean adverse events: not reported
Mental practice vs conventional therapy
no estimate extractedNRNo studies

Mental practice in addition to other treatment for treating upper extremity deficits in individuals with hemiparesis after stroke

Population: patients with treating upper extremity deficits in individuals with hemiparesis after stroke
CD005950.PUB4 · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Impairment ‐ Motor Recovery Fugl‐Meyer or Motricity Index
no estimate extracted4 studies · 91 participantsModerate
Downgraded: risk of bias, inconsistency
Impairment ‐ Motor Recovery ‐ less than 6 months post stroke Motricity Index. Scale from: 0 to 100.
no estimate extracted1 study · 36 participantsModerate
Downgraded: risk of bias, inconsistency
Impairment ‐ Motor Recovery ‐ greater than 6 months post stroke Fugl‐Meyer Assessment of Motor Recovery after Stroke ‐ upper extremity section. Scale from: 0 to 66.
no estimate extracted3 studies · 55 participantsModerate
Downgraded: risk of bias, inconsistency
Activity ‐ Upper Extremity Function Action Research Arm Test or Arm Functional Test
no estimate extracted5 studies · 102 participantsModerate
Downgraded: risk of bias, inconsistency
Activity ‐ Upper Extremity Function ‐ greater than 6 months post stroke Action Research Arm Test. Scale from: 0 to 57.
no estimate extracted4 studies · 66 participantsModerate
Downgraded: risk of bias, inconsistency
Activity ‐ Upper Extremity Function ‐ less than 6 months post stroke Arm Functional Test ‐ Functional Ability Scale
no estimate extracted1 study · 36 participantsModerate
Downgraded: risk of bias, inconsistency