Systematic Review of Ischemic Post-Stroke Rehabilitation and Its Impact on Motoric Function, Independence and Quality of Life
DOI:
https://doi.org/10.37287/jlh.v6i4.1097Keywords:
independence, ischemic stroke, motor function, rehabilitation therapy, quality of liveAbstract
According to the World Health Organization (WHO), stroke remains the foremost cause of disability globally and ranks as the second leading cause of mortality. The progression of disability post-stroke is influenced by multiple interrelated factors, including advanced age, pre-existing comorbidities, cognitive dysfunction, and the initial severity of stroke at the time of onset. Various therapeutic approaches, including physical therapy to enhance muscle strength and coordination, occupational therapy to develop skills for performing daily activities, and psychosocial support, are essential components of rehabilitation programs aimed at improving the quality of life for stroke patients Objective this research for analyze the effectiveness of mindfulness therapy as part of ischemic post- stroke rehabilitation strategies in improving patients' quality of life and independence. Methods this research is A systematic review was conducted on studies published between 2020 and 2024. The search terms included: "Ischemic Stroke" OR "Strokes" OR "Cerebrovascular Accident" OR "CVA" OR "CVA's" AND "Disability" AND "Rehabilitation" OR "Rehabilitations Therapy" OR "Exercise Therapy”.Data identified from Pubmed 367, Semantic Scholar 287, Google Scholar 525, Science Direct 338, total number of articles used was 1517. Studies included in review 13 articles met the inclusion criteria and were deemed of sufficient quality. Eleven studies are RCT design, one study is One group pre- test post-test, and one study is quasi experiment design. Effective stroke rehabilitation requires a multidimensional approach that integrates physical exercise, community-based rehabilitation, technological innovations, and nursing interventions to enhance motor function, independence, and quality of life, with future research needed to evaluate long-term outcomes and personalized strategies.
References
Alsubiheen, A. M., Choi, W., Yu, W., & Lee, H. (2022). The Effect of Task-Oriented Activities Training on Upper-Limb Function, Daily Activities, and Quality of Life in Chronic Stroke Patients: A Randomized Controlled Trial. International Journal of Environmental Research and Public Health, 19(21), 14125. https://doi.org/10.3390/ijerph192114125
Chen, S., Lv, C., Wu, J., Zhou, C., Shui, X., & Wang, Y. (2021). Effectiveness of a home-based exercise program among patients with lower limb spasticity post-stroke: A randomized controlled trial. Asian Nursing Research, 15(1), 1–7. https://doi.org/10.1016/j.anr.2020.08.007
Chiado, A. P. A., Ferreira, M. S. M., Ribeiro, O. M. P. L., Gomes, B. P., & Martins, M. M. F. (2022). Impact Of A Rehabilitation Program On The Urinary Management Of Patients Affected By Cerebrovascular Accident. Texto & Contexto - Enfermagem, 31, e20200656. https://doi.org/10.1590/1980-265x-tce-2020-0656en
Dąbrowska´, M., Pastucha, D., Janura, M., Toma´sˇkova´, H., Honzí´kova´, L., Baní´kova´, Sˇ., Filip, M., & Fiedorova´, I. (2023). Effect of Virtual Reality Therapy on Quality of Life and Self-Sufficiency in Post-Stroke Patients. Medicina, 59(9), 1669. https://doi.org/10.3390/medicina59091669
E. Wurzinger, H., Abzhandadze, T., Rafsten, L., & Sunnerhagen, K. S. (2021). Dependency in Activities of Daily Living During the First Year After Stroke. Frontiers in Neurology, 12(November), 1–9. https://doi.org/10.3389/fneur.2021.736684
Gawulayo, S., Erasmus, C. J., & Rhoda, A. J. (2021). Family functioning and stroke: Family members’ perspectives. African Journal of Disability, 10, 1–11. https://doi.org/10.4102/AJOD.V10I0.801
Gjellesvik, T. I., Becker, F., Tjønna, A. E., Indredavik, B., Lundgaard, E., Solbakken, H., Brurok, B., Tørhaug, T., Lydersen, S., & Askim, T. (2021). Effects of High-Intensity Interval Training After Stroke (The HIIT Stroke Study) on Physical and Cognitive Function: A Multicenter Randomized Controlled Trial. Archives of Physical
Medicine and Rehabilitation, 102(9), 1683–1691. https://doi.org/10.1016/j.apmr.2021.05.008
Gurkova´, E., Sˇturekova´, L., Mandysova´, P., & Sˇanˇa´k, D. (2023). Factors affecting the quality of life after ischemic stroke in young adults: A scoping review. Health and Quality of Life Outcomes, 21(1), 4. https://doi.org/10.1186/s12955-023-02090-5
Hu, L., & Liu, G. (2021). Effects of early rehabilitation nursing on neurological functions and quality of life of patients with ischemic stroke hemiplegia.
Hyun, S.-J., Lee, J., & Lee, B.-H. (2021). The Effects of Sit-to-Stand Training Combined with Real-Time Visual Feedback on Strength, Balance, Gait Ability, and Quality of Life in Patients with Stroke: A Randomized Controlled Trial. International Journal of Environmental Research and Public Health, 18(22), 12229. https://doi.org/10.3390/ijerph182212229
Imoisili, O. E., Chung, A., Tong, X., Hayes, D. K., & Loustalot, F. (2024). Prevalence of Stroke—Behavioral Risk Factor Surveillance System, United States, 2011–2022. MMWR. Morbidity and Mortality Weekly Report, 73(20), 449–455. https://doi.org/10.15585/mmwr.mm7320a1
Lee, K. E., Choi, M., & Jeoung, B. (2022). Effectiveness of Rehabilitation Exercise in Improving Physical Function of Stroke Patients: A Systematic Review. International Journal of Environmental Research and Public Health, 19(19), 12739. https://doi.org/10.3390/ijerph191912739
Mahmood, W., Ahmed Burq, H. S. I., Ehsan, S., Sagheer, B., & Mahmood, T. (2022). Effect of core stabilization exercises in addition to conventional therapy in improving trunk mobility, function, ambulation and quality of life in stroke patients: A randomized controlled trial. BMC Sports Science, Medicine and Rehabilitation, 14(1), 62. https://doi.org/10.1186/s13102-022-00452-y
Nascimento, L. R., Rocha, R. J., Boening, A., Ferreira, G. P., & Perovano, M. C. (2022). Home- based exercises are as effective as equivalent doses of centre-based exercises for improving walking speed and balance after stroke: A systematic review. Journal of Physiotherapy, 68(3), 174–181. https://doi.org/10.1016/j.jphys.2022.05.018
Perez-Dominguez, B., Casan˜a-Granell, J., Garcia-Maset, R., Garcia-Testal, A., Melendez- Oliva, E., & Segura-Orti, E. (2021). Effects of exercise programs on physical function and activity levels in patients undergoing hemodialysis: A randomized controlled trial. European Journal of Physical and Rehabilitation Medicine, 57(6). https://doi.org/10.23736/S1973-9087.21.06694-6
Purwati, K., Christina, Y., & Harlyanti, R. A. (2022). Pengaruh Program Rehabilitasi Medik pada Kemandirian Penderita Stroke Iskemik di Rumah Sakit Santa Elisabeth Batam Kota. Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam, 12(2), 146–153. https://doi.org/10.37776/zked.v12i2.1020
Septianingrum, Y., Yusuf, A., Widyawati, I. Y., Sari, R. Y., Wardani, E. M., Musfirah, N. R., & Lestari, E. P. (2024). Factors associated with family caregiver readiness to care for post-stroke patients after hospital discharge. Discover Social Science and Health,
4(1). https://doi.org/10.1007/s44155-024-00064-6
Sidek, N. N., Kamalakannan, S., Tengku Ismail, T. A., Musa, K. I., Ibrahim, K. A., Abdul Aziz, Z., & Papachristou Nadal, I. (2022). Experiences and needs of the caregivers of stroke survivors in Malaysia-A phenomenological exploration. Frontiers in Neurology, 13, 996620. https://doi.org/10.3389/fneur.2022.996620
Song, R., Park, M., Jang, T., Oh, J., & Sohn, M. K. (2021). Effects of a Tai Chi-Based Stroke Rehabilitation Program on Symptom Clusters, Physical and Cognitive Functions, and Quality of Life: A Randomized Feasibility Study. International Journal of Environmental Research and Public Health, 18(10), 5453. https://doi.org/10.3390/ijerph18105453
Swanson, V. A., Johnson, C., Zondervan, D. K., Bayus, N., McCoy, P., Ng, Y. F. J., Schindele, Bs, J., Reinkensmeyer, D. J., & Shaw, S. (2023). Optimized Home Rehabilitation Technology Reduces Upper Extremity Impairment Compared to a Conventional Home Exercise Program: A Randomized, Controlled, Single-Blind Trial in Subacute Stroke. Neurorehabilitation and Neural Repair, 37(1), 53–65. https://doi.org/10.1177/15459683221146995
Tyagi, S., Luo, N., Tan, C. S., Tan, K. B., Tan, B. Y., Menon, E., Venketasubramanian, N., Loh,
W. C., Fan, S. H., Yang, K. L. T., Chan, A. S. L., Farwin, A., Lukman, Z. B., & Koh, G. C.-H.
(2021). Seeking healthcare services post-stroke: A qualitative descriptive study exploring family caregiver and stroke survivor perspectives in an asian setting. BMC Neurology, 21(1), 429. https://doi.org/10.1186/s12883-021-02463-7
WHO. (2022). World Stroke Day 2022. World Health Organization.
Winstein, C. J., Stein, J., Arena, R., Bates, B., Cherney, L. R., Cramer, S. C., Deruyter, F., Eng, J.
J., Fisher, B., Harvey, R. L., Lang, C. E., MacKay-Lyons, M., Ottenbacher, K. J., Pugh, S., Reeves, M. J., Richards, L. G., Stiers, W., & Zorowitz, R. D. (2016). Guidelines for Adult Stroke Rehabilitation and Recovery: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke, 47(6). https://doi.org/10.1161/STR.0000000000000098
Yang, C., Zhao, F., Xie, C., Zhang, Y., Dou, Z., & Wei, X. (2023). Community-based group rehabilitation program for stroke patients with dysphagia on quality of life, depression symptoms, and swallowing function: A randomized controlled trial. BMC Geriatrics, 23(1), 876. https://doi.org/10.1186/s12877-023-04555-0
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