| Set | Intervention | Outcome measures | Results | ||||||
---|---|---|---|---|---|---|---|---|---|---|
References | Â | ICF level | Content | Weeks | Freq/ week | Freq/day | Intensity ('/day) | ICF level | Motor outcome UE | Â |
Gehlsen et al. [24] | out | FU | aquatic exercise (including freestyle swimming) | 10 | 3 | 1 | 60 (60- 75% max heart rate) | FU | peak force, work, power (fatigue) | *improvement in force (ES:0.94), power(ES:0.79) and total work(ES:0.72); (not on fatigue (ES:0.23)) |
in/out | FU | exercise program: strenght + aerobic | 26 | 3-4 (resistance); 1(endurance) | ? | ? | FU +  ACT | FU:UE endurance; ACT:FIM, MSFC (including 9HPT); BBT | *difference between groups on UE endurance, MSFC (ES:0.1)(mainly due to mobility factor); (not on BBT; FIM (ES:0.15)) | |
Taylor al. [25] | out | FU | PRE: UE (3ex)(and LE (3ex)):2x10-12rep | 10 | 2 | 1 | 60 | FU +  ACT | FU:Arm press (1RM and endurance) | *improvement on arm press 1RM (ES:0.31); not on arm endurance (ES:0.47) (* improvement on MSIS-29 physical(ES:0.65)) |
Freeman et al. [26] | in | ACT | MD: patient tailored; towards functional goals | 3 | ? | PT:2; OT: 1; + MD | 135 | ACT | FIMmotor; (EDSS) | *improvement in comparison with control on FIM motor (selfcare; sphincter; transfer)(ES:0.21); (not on EDSS) |
Khan et al. [33] | in/out | ACT | MD:individual, achievable functional goal oriented | 7# | in: 5; out: 2-3 | in:3; out2 | in: 180; out:60 | ACT | FIMmotor | *difference between groups on FIM motor (ES:1.13) and subscales (self care; sphincter; transfers); (not on MSIS (ES:0.23) or GHQ) |
Mark et al. [27] | out | ACT | CIMT | 2-10 | ? | 1 | 180 (30 h total) | ACT | WMFT; MAL | *improvement MAL (ES2.66), WMFT functional ability (1.17); not on WMFT performance time(ES:0.91) |
Patti et al. [28] | out | ACT | comprehensive individualised goal-oriented program | 6## | 6 | ? | ? | ACT (+FU) | ACT:FIMmotor; (FU:EDSS; FSS) | *difference between groups on FIM mot (ES:0.78) and subscales; not on EDSS or FSS |
Jones et al. [29] | in | FU +  ACT | PT and OT: promoting normal posture and movement (weight baering, approximation,..), stabilisation, equipment, damping and weighting | 8 days | 7 | 2 | 60 | FU +  ACT | ACT:NPI, JTHF, (FU:FSS) | *difference between groups on NPI and on 4 of 20 JTHF items; not on FSS (FU) |
Mathiowetz et al. [30] | in | FU +  ACT | MD: OT: compensatory strategies, adapted equipment, conserve enerergy; hand strength; PT:mobility, endurance, strength, streching | 5-7 | 7 | ? | ? | ACT | RIC-FAC | *improvement on all subscales (transfer, toileting, feeding, grooming, dressing upper body, dressing lower body) before-after (ES:0.33-1.19)(also after-follow-up (ES:0.52-1.35), except for feeding)(ES:0.23) |
Storr et al. [31] | in | ACT +  FU | MD: PT:individualised: joint mobilisation, stretching, relaxtion, balance, coordination, ambulation, hydro-, hypotherapy; OT | 3-5 | PT:4–5: OT: 3; self training 5 | ? | PT: 45; OT 30; zelf training 30 | ACT (FU) | ACT:GNDS, 9HPT; (FU:EDSS, MSIS) | no *difference between groups on any of outcome measures: 9HPT(ES: 0.01); GNDS(ES 0.08) |
Vikman et al. [32] | out | FU +  ACT | MD: standard inpatients; PT: group session: strenght, mobility, aquatic, balance; OT: hand therapy | 3 | ind: 5PT, 3OT; group: 5 PT, 5OT | ind: 1PT,1OT; group: 3PT, 1OT (handfunction) | 170 | ACT + FU | ACT:BBT, 9HPT, BI, MSFC; FU: Grip strength | A and B:* improvement in MSFC (ES:0.27); and on some of subscales of BBT (ES:0.16) and 9HPT(ES:0.1); not * on BI (ES:0.03) or grip strength (ES:0.08); A* on SF-36 |