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Content and Effectiveness of Community-Based Rehabilitation on Quality of Life in People Post Stroke: a Systematic Review with Meta-Analysis

Authors:

Sènadé Inès Noukpo,

Unité de NeuroRehabilitation, Service de Neurologie, Hopital Universitaire de Parakou, Parakou, Benin; and REVAL, Rehabilitation Research Centre, Hasselt University, Belgium, BJ
About Sènadé Inès
Inès Sènadé Noukpo is Ph.D. student in Rehabilitation Sciences at University of Hasselt (Belgium). She graduated from the Faculty of Health Sciences at the University of Abomey-Calavi (Benin) and worked as a Physiotherapist in the Neuro-rehabilitation domain for the last few years. She has also worked with a research group on neurological rehabilitation (Departmental Hospital and University Center of Parakou, Benin) and is skilled in community-based physical activities for stroke survivors.
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Oyéné Kossi ,

Unité de NeuroRehabilitation, Service de Neurologie, Hopital Universitaire de Parakou, Parakou, Benin; REVAL, Rehabilitation Research Centre, Hasselt University, Belgium; ENATSE (Ecole Nationale de Santé Publique et de Surveillance Epidémiologique), Université de Parakou, Parakou, Benin; and Département de Neurologie, Faculté de Medicine, Université de Parakou, Parakou, Benin., BJ
About Oyéné

Dr. Oyéné Kossi is a PT, Ph.D., specialist in Neuro-rehabilitation with extensive research, educational, and clinical experience. He currently works as an Assistant Professor at the National School of Epidemiology and Public Health, University of Parakou, Benin. He has vast experience in teaching and supervising at undergraduate, advanced and doctoral level. 

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Lisa Tedesco Triccas,

REVAL, Faculty of Rehabilitation Sciences, Agoralaan, Gebouw A, Universiteit Hasselt, B-3590 Diepenbeek Belgium, BE
About Lisa
Dr. Lisa Tedesco Triccas is a Post-doctoral fellow at UHasselt and also at the University College London. Her passion and motivation is to promote sensorymotor recovery of people with stroke, therefore, her research integrates the investigation of different doses of rehabilitation programmes with behavioural and neurophysiological assessments in people with acute and chronic stroke.
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Thierry Adoukonou,

Unité de NeuroRehabilitation, Service de Neurologie, Hopital Universitaire de Parakou, Parakou, Benin; ENATSE (Ecole Nationale de Santé Publique et de Surveillance Epidémiologique), Université de Parakou, Parakou, Benin; and Département de Neurologie, Faculté de Medicine, Université de Parakou, Parakou, Benin, BJ
About Thierry

Prof. Dr.  Thierry Armel Adoukonou is a Neurologist, Epidemiologist, Specialist of Stroke, Neurophysiologist, Clinical Neurology. He is the Head of Department of Neurology and Head of School of Epidemiology and Public Health at the University of Parakou. His research is in the field of neurology and epidemiology, particularly in stroke, headache, dementia and epidemiology of non-communicable diseases. He is a member of several scientific societies (Africa Stroke Organization, World Stroke Organization, International Headache Society, French Stroke Society) and has authored more than 80 scientific papers with impact factor.

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Peter Feys

REVAL, Faculty of Rehabilitation Sciences, Agoralaan, Gebouw A, Universiteit Hasselt, B-3590 Diepenbeek Belgium, BE
About Peter
Peter Feys is a Professor in Neuro-rehabilitation and Dean of the Faculty of Rehabilitation Sciences at UHasselt. His research is focused on rehabilitation for gait and upper limb function predominantly in persons with neurological conditions. It comprises investigations of walking motor fatigability, music-based entrainment and sonification, cognitive-motor interference, technology-supported training, upper limb functioning and community self-directed training. The research is mainly related to persons with multiple sclerosis, stroke and CP.
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Abstract

Purpose: The study aimed to review the content and evaluate the effects of CBR on quality of life (QoL), balance, and walking capacity for people post stroke, compared to other rehabilitation protocols or no care.

Methods: A systematic search and meta-analysis of clinical trials of CBR interventions for stroke survivors was conducted. Five online electronic databases (MEDLINE/PubMed, Web of sciences, Scopus, Hinari, and Pedro) were searched for articles published in English and French languages, from inception up to December 2021. Sixteen studies were included that reported on QoL outcomes from CBR interventions involving 1755 adults post stroke.

Results: The different CBR interventions that were selected were grouped into three clusters: a) exercise programmes, b) task-oriented training, and c) educational and taking-charge programmes. CBR interventions were more effective than other rehabilitation protocols (SMD=0.16[0.02, 0.30], P=0.03, I2 =40%) on QoL for people with chronic stroke. The effects of interventions on walking capacity and balance demonstrated non-significant difference (SMD=0.31[-0.02, 0.64], P=0.06, I2 =88%, and SMD= 0.20[-0.12, 0.53], P=0.22, I2 =68%, respectively).

Conclusion: Current data indicates that CBR can be used in many forms or in combinations to benefit people with chronic stroke. Also, CBR is as effective as other rehabilitative protocols on walking capacity and balance, while being more effective than institution-based rehabilitation or no care, in improving quality of life which is a well-recognised goal in the rehabilitation of people with chronic stroke.

How to Cite: Noukpo, S.I., Kossi, O., Tedesco Triccas, L., Adoukonou, T. and Feys, P., 2022. Content and Effectiveness of Community-Based Rehabilitation on Quality of Life in People Post Stroke: a Systematic Review with Meta-Analysis. Disability, CBR & Inclusive Development, 33(2), pp.75–107. DOI: http://doi.org/10.47985/dcidj.571
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Published on 05 Aug 2022.
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