Cochrane · systematic review · CD012612
The effect of time spent in rehabilitation on activity limitation and impairment after stroke
Clark, B, Whitall, J, Kwakkel, G, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library
StrokeAMSTAR 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
17
current version
GRADE rated
14
No studies
3
Included studies
NR
No studies 3 · 17.6%Ungraded 0 · 0%Very low 9 · 52.9%Low 5 · 29.4%Moderate 0 · 0%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
Summary of findings table ‐ More time compared to less time in rehabilitation (objective one – immediately after intervention)
Population: rehabilitation vs less time spent
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Activities of daily living (ADL) outcomes Summary of findings table ‐ More time vs less time | no estimate extracted | 19 studies · 864 participants | Very low Downgraded: risk of bias, publication bias |
Activity measures of the upper limb (upper limb activity) Summary of findings table ‐ More time vs less time | no estimate extracted | 18 studies · 426 participants | Very low Downgraded: risk of bias |
Activity measures of the lower limb (lower limb activity) Summary of findings table ‐ More time vs less time | no estimate extracted | 5 studies · 425 participants | Low Downgraded: risk of bias |
Motor impairment measures of the upper limb (upper limb impairment) Summary of findings table ‐ More time vs less time | no estimate extracted | 12 studies · 287 participants | Low Downgraded: risk of bias, imprecision |
Motor impairment measures of the lower limb (lower limb impairment) Summary of findings table ‐ More time vs less time | no estimate extracted | 1 study · 51 participants | Very low Downgraded: risk of bias, imprecision |
Serious adverse events/death Summary of findings table ‐ More time vs less time | RR 1.2 [0.51, 2.85] | 2 studies · 379 participants | Low Downgraded: risk of bias |
Summary of findings table ‐ More time compared to less time in rehabilitation (objective one – medium‐term outcomes)
Population: rehabilitation (medium‐term outcomes)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Activities of daily living (ADL) outcomes: medium‐term outcomes Summary of findings table ‐ More time vs less time | no estimate extracted | 12 studies · 673 participants | Very low Downgraded: risk of bias, imprecision, publication bias |
Activity measures of the upper limb: medium‐term outcomes Summary of findings table ‐ More time vs less time | no estimate extracted | 9 studies · 218 participants | Very low Downgraded: risk of bias |
Activity measures of the lower limb: medium‐term outcomes Summary of findings table ‐ More time vs less time | no estimate extracted | 4 studies · 243 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Motor impairment measures of the upper limb: medium‐term outcomes Summary of findings table ‐ More time vs less time | no estimate extracted | 5 studies · 115 participants | Very low Downgraded: risk of bias |
Motor impairment measures of the lower limb: medium‐term outcomes Summary of findings table ‐ More time vs less time | no estimate extracted | 1 study · 37 participants | Very low Downgraded: risk of bias, imprecision |
Serious adverse events/death: medium‐term outcomes Summary of findings table ‐ More time vs less time | RR 1.32 [0.63, 2.76] | 3 studies · 344 participants | Very low Downgraded: risk of bias |
Summary of findings table ‐ More time compared to less time in rehabilitation (objective one – long‐term outcomes)
Population: rehabilitation (long‐term outcomes)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Activities of daily living (ADL) outcomes: long‐term outcomes Summary of findings table ‐ More time vs less time | no estimate extracted | 1 study · 67 participants | Low Downgraded: imprecision |
Activity measures of the lower limb: long‐term outcomes Summary of findings table ‐ More time vs less time | no estimate extracted | 1 study · 67 participants | Low Downgraded: imprecision |
Motor impairment measures of the upper limb: long‐term outcomes ‐ not reported Summary of findings table ‐ More time vs less time | no estimate extracted | NR | No studies |
Motor impairment measures of the lower limb: long‐term outcomes ‐ not reported Summary of findings table ‐ More time vs less time | no estimate extracted | NR | No studies |
Serious adverse events/death: long‐term outcomes ‐ not reported Summary of findings table ‐ More time vs less time | no estimate extracted | NR | No studies |