Cochrane · systematic review · CD007455

Stretch for the treatment and prevention of contractures

Harvey, LA, Katalinic, OM, Herbert, RD, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

Musculoskeletal2 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
8
No studies
4
Included studies
NR
No studies 4 · 33.3%Ungraded 0 · 0%Very low 0 · 0%Low 3 · 25%Moderate 1 · 8.3%High 4 · 33.3%

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

Show all 2 versions

Short‐term effects of stretch for the treatment and prevention of contractures in people with neurological conditions

Population: people with neurological conditions1
6 questions
OutcomeEffectEvidenceStatus / GRADE
Joint mobility Range of motion Scale from 0°‐135° (higher number reflects better outcome)
no estimate extracted18 studies · 549 participantsHigh
Quality of life
no estimate extractedNRNo studies
Pain 10‐point VAS (lower score reflects better outcome)
no estimate extracted5 studies · 174 participantsLow
Downgraded: risk of bias, imprecision, indirectness
Activity limitations 18‐point upper limb scale (higher score reflects better outcome)
no estimate extracted7 studies · 237 participantsLow
Downgraded: risk of bias, imprecision, indirectness
Participation restrictions
no estimate extractedNRNo studies
Adverse events
no estimate extractedNRNo studies

Short‐term effects of stretch for the treatment and prevention of contractures in people with non‐neurological conditions

Population: people with non‐neurological conditions1
6 questions
OutcomeEffectEvidenceStatus / GRADE
Joint mobility Range of motion Scale from 0°‐90° (higher number reflects better outcome)
no estimate extracted18 studies · 865 participantsHigh
Quality of life 160‐point Burn Specific Health Scale‐Brief questionnaire (higher score reflects better outcome)
no estimate extracted2 studies · 97 participantsModerate
Downgraded: risk of bias, imprecision, indirectness
Pain 10‐point VAS (lower score reflects better outcome)
no estimate extracted7 studies · 422 participantsHigh
Activity limitations 100‐point Disabilities of the Arm, Shoulder and Hand questionnaire (lower score reflects better outcome)
no estimate extracted5 studies · 356 participantsHigh
Participation restrictions 100 mm return to usual work activities VAS (higher score reflects better outcome)
no estimate extracted2 studies · 129 participantsLow
Downgraded: risk of bias, imprecision, indirectness
Adverse events
no estimate extractedNRNo studies