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Table 4 Included studies interventions, intensity and outcome measures

From: The effects of increased dose of exercise-based therapies to enhance motor recovery after stroke: a systematic review and meta-analysis

Study

Intervention

Intensity - mean hours delivered (SD)

Measurement time points

Outcome measures

 

Control

Extra

Control

Extra

Baseline

Outcome

Follow-up 1

Follow-up 2

 

Cooke 2009

Conventional physical therapy - lower limb from usual staff

9.2

(6.9)

23.0 (10.4)

Pre-intervention

After 6 weeks of intervention

12 weeks after end treatment

NA

â–ª Walking speed

â–ª Ability to walk at 0.8 m/s or more

â–ª Modified Rivermead Mobility Index

â–ª Knee flexion peak torque

â–ª Knee extension peak torque

  

Extra from research staff

       

Donaldson 2009

Conventional physical therapy - upper limb from usual staff

2.81

(3.7)

13.8

(27.1)

Pre-intervention

After 6 weeks of intervention

12 weeks after end treatment

 

â–ª Action Research Arm Test

â–ª 9 hole peg test

â–ª Hand grip force

â–ª Pinch grip force

â–ª Elbow flexion force - isometric

â–ª Elbow extension force - isometric

  

Extra from research staff

       

GAPS 2004

Treatment broadly based on 'normal movement' (Bobath approach) from usual staff.

Average 21

(no data)

Average 34

(no data)

Pre-intervention

After 4 weeks of intervention

3 months after start treatment

6 months after start treatment

â–ª Rivermead Mobility Index

â–ª Motricty Index

Lincoln 1999

Treatment based on the Bobath approach from usual staff

No data

Median 9.58 extra to control

(IQR 4.7-10)

Pre-intervention

After 5 weeks of intervention

3 months after start treatment

6 months after start treatment

â–ª Rivermead Arm Assessment

â–ª Action Research Arm Test

â–ª Rivermead Motor Assess - gross function

â–ª 10-hole Peg Teat

â–ª Maximum grip strength

  

Extra from research staff

       

Kwakkel 1999 & 2002

Routine arm & leg training using evidenced-based guidelines from usual staff

27.5 arm

&

23.2 leg*

Arm group

91.8*

Pre-intervention

After 20 weeks treatment

26 weeks after start treatment

52 weeks after start treatment

Arm group

â–ª Action Research Arm Test

â–ª Frenchay Activities Index

  

Arm group

Arm training from usual staffLeg group

Leg training from usual staff

leg*

Leg group

84.2*

    

Leg group

â–ª Comfortable walking speed

â–ª Maximum walking speed

â–ª Functional Ambulation Categories

Partridge 2000

Bobath method of treatment from usual staff

No data

No data

Pre-intervention

After 6 weeks of intervention

6 months after start treatment

NA

â–ª Functional reach

â–ª 5-metre timed walk

â–ª Timed sit-to-stand

Rodgers 2003

Normal movement approach (Bobath) within meaningful activity and task analysis from usual staff

17.4

24.9

Pre-intervention

None

3 months after stroke

6 months after stroke

â–ª Action Research Arm Test

â–ª Upper Limb Motricity Index

â–ª Frenchay Arm Test

  1. * calculated using minutes/day data 20 weeks each with 5 treatment days
  2. $ calculated using median 30 days with 0.58 hours a day for control and 0.83 hours a day for extra