Category: Stroke; Clinical Practice (assessment, diagnosis, treatment, knowledge translation/EBP, implementation science, program development)
Objective(s) : The purpose of this study is to conduct systematic review and meta analysis of rehabilitation intervention for social participation of chronic stroke patients.
Data Sources : We using searches PubMed, MEDLINE and Cochran CENTRAL from January 2008 to October 2018. Included studies were analyzed based on the sample size, pre-post mean difference and standard deviation, with 95.0% confidence interval. The language was limited to theses written in English.
Study Selection : Among the research methods of this study, two authors independently searched and performed the subject words in the search strategy with inclusion criteria and exclusion criteria. In case of disagreement between the two authors, a discussion was reached.
Data Extraction : The study used a PEDro scale for each section in the evaluation of the quality. The collection of the study subject to analysis is systematic literature review Instructions (Preferred Reporting Items for Systematic Revlews and Meta-Analysis; According to the PRISMA method (Cochrane Collaboration, 2015) (Figure 1).
Data Synthesis : Total 8 studies included for meta-analysis. The number of subjects was 903, the effective scores for body function and structure was .70, which demonstrates medium effect size (p> 0.05) and the effect size of activity and participation were 2.27 , which demonstrates large effect size(p <.05)(Figure 2).
Conclusions : The result of this study showed that intervention focused on activity and participation is more effective than intervention focusing on body function and structure in social intervention of chronic stroke patients. It can be a useful basis for intervention to promote social participation based on this study.
EunJoo Kim– Professor, Sehan University, Yeongam-gun, Cholla-namdo