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Table 3 Descriptive analysis

From: Motor training programs of arm and hand in patients with MS according to different levels of the ICF: a systematic review

 

Set

Intervention

Outcome measures

Results

References

 

ICF level

Content

Weeks

Freq/ week

Freq/day

Intensity ('/day)

ICF level

Motor outcome UE

 

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))

Romberg et al. [21, 22]

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

  1. ACT (activity); BBT (Block and Box Test); BI (Barthel Index); CIMT (Constraint Induced Movement Therapy); ES (Effect Sizes calculated); ES (Effect Sizes reported by authors); ex (exercises); FIM (Functional Independence Measure); FSS (Functional System Scale); FU (Function); GHQ (General Health Questionnaire); GNDS (Guy’s Neurological Disability Scale); In (inpatient); ind (individual); JTHF (Jebson Test for Hand Function); LE (Lower Extremities); MAL (Motor Activity Log); MD (Multidisciplinary); MSFC (Multiple Sclerosis Functional Composite); MSIS (Multiple Sclerosis Impairment Scale); MSIS-29 (Multiple Sclerosis Impact Scale); NPI (Northwick Park ADL Index); OT (Occupational Therapy); out (outpatients); PRE (Progressive Resistance Exercises); PT (Physiotherapy); rep (repetitions); Ric-Fac (Rehabilitation Institute of Chicago-Functional Assessment Scale); RM (Repetitive Maximum); SET (Setting); UE (Upper Extremities); WMFT (Wolf Motor Function Test); 9HPT (Nine Hole Peg Test); * (significant); # (plus maintenance home program); ## (plus 6 weeks home program).