Review Article

Does Task-Oriented Practice Improve Upper Extremity Motor Recovery after Stroke? A Systematic Review

Table 3

Results for primary outcome measure.

First author, yearPrimary outcomeTiming of measurementStatisticResults: experimental (E) and control (C)P

Blennerhassett, 2004 [37]E: 5 hours/wk
C: no addl. deliberate u/e practice  
      

MAS upper limb/extremityBaselineMedian ( )5 (2–5)5 (1–6)NR
4 weeks after rand
(end of intervention)
Median ( )6 (5–6)6 (4–6)NR

Donaldson, 2009 [38]E: 4 hours/wk task
C1: 4 hours/wk exercise
C2: no addl. u/e practice

ARATBaselineMedian 27.0 (11.0)34.5 (26.0)28.0 (17.0)
6 weeks after rand
(end of intervention)
Median
( change)
19.50 (22.00)8.00 (13.25)11.50 (21.00)0.232

Han, 2013 [39]E: 15 hrs/week C1: 10 hours/week
C2: 5 hours/week

ARATBaselineMean (SD)1.10 (1.52)1.50 (1.58)0.80 (1.14)0.386
6 weeks after rand
(end of intervention)
Mean (SD)10.90 (3.60)8.70 (4.62)5.30 (3.40)0.008

Harris, 2009 [40]E: 3.75 hours/week
    C: 0.75 hours/week  
      

ARATBaselineMean31.1 31.0
4 weeks after rand
(end of intervention)
Mean (SD) 42.8 (9.20)38.0 (9.47)0.025

Kwakkel, 1999 [41]E: 2.5 hours/week
C1: no addl. U/E
C2: no addl. u/e extremity

ARATBaselineMedian ( )0 (0-1)0 (0–6)0 (0-0)
20 weeks after rand
(end of intervention)
Median ( )9 (0–39)2 (0–56)0 (0–2)0.01

Winstein, 2004 [42]E: 5 hours/week task
C1: 5 hours/week exercise 
C2: no addl. u/e practice

FTHUEBaselineMean (SD)4.30 (5.35)5.15 (5.97)5.40 (4.30)0.83
4 weeks after rand (end of intervention)Mean (SD)4.70 (4.27)4.25 (4.33)3.35 (3.63)0.61

Note that Ns provided in this section may differ from Table 1 as these are the numbers used for analysis; ARAT: higher score = better outcome; : sample size. MAS upper limb/extremity: motor assessment scale, upper limb/extremity section (score range of 0–18, high score indicating normal ability). : 1st quartile; : 3rd quartile; NR: not reported; ARAT: action research arm test (score range of 0–57, high score indicating normal ability); addl.: additional; SD: standard deviation; FTHUE: functional test of the hemiparetic upper extremity (score range of 0–17, high score indicating normal ability).