SynthesisBMJ (Clinical research ed.)2007
Occupational therapy for patients with problems in personal activities of daily living after stroke: systematic review of randomised trials.
Synthesis in BMJ (Clinical research ed.), 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
45 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic review of hospital-based interventions to improve post-stroke independence in activities of daily living.Australian occupational therapy journal · 2026Pooled it
- Trial
- Functional and Cognitive Occupational Therapy (FaCInternational journal of environmental research and public health · 2023Trial
- Trial
- An occupational therapy intervention for residents with stroke related disabilities in UK care homes (OTCH): cluster randomised controlled trial.BMJ (Clinical research ed.) · 2015Trial
- A client-centred ADL intervention: three-month follow-up of a randomized controlled trial.Scandinavian journal of occupational therapy · 2014Trial
- Evaluation of a complex intervention to improve activities of daily living of disabled cancer patients: protocol for a randomised controlled study and feasibility of recruitment and intervention.BMC health services research · 2014Trial
- A cluster randomised controlled trial of an occupational therapy intervention for residents with stroke living in UK care homes (OTCH): study protocol.BMC neurology · 2012Trial
- Effects of a physiotherapy and occupational therapy intervention on mobility and activity in care home residents: a cluster randomised controlled trial.BMJ (Clinical research ed.) · 2009Trial
- ADL-Focused Occupation-Based Neurobehavioral Evaluation Software: Addition of a Rasch-Based Stroke Subscale to Measure Outcomes.Brain sciences · 2025Article
- Activity-Based Interventions to Increase Independence After Stroke In the Hospital Setting: Protocol for a Systematic Review.JMIR research protocols · 2025Article
- Implementing and Evaluating a Mobile Phone-Supported and Family-Centered Rehabilitation Program for People With Stroke in Uganda (F@ce 2.0): Protocol for a Randomized Controlled Trial.JMIR research protocols · 2024Article
- Differences in rehabilitation evaluation access for rural and socially disadvantaged stroke survivors.Topics in stroke rehabilitation · 2024Article
- 'It is never-ending work': Colombian occupational therapists' experiences of working in stroke rehabilitation.The British journal of occupational therapy · 2023Article
- Impact of stroke on people that receive rehabilitation and are living in Ankara, Turkey.Journal of public health research · 2023Article
- Struck by stroke - experiences of living with stroke in a rural area in Uganda.BMC public health · 2023Article
- Contralateral seventh cervical nerve transfer for central spastic arm paralysis: a systematic review and meta-analysis.Frontiers in neurology · 2023Review
- The Impact of Depression on the Functional Outcome of the Elderly Stroke Victim from a Gender Perspective: A Systematic Review.Healthcare (Basel, Switzerland) · 2022Review
- Article
- Visualization-Driven Time-Series Extraction from Wearable Systems Can Facilitate Differentiation of Passive ADL Characteristics among Stroke and Healthy Older Adults.Sensors (Basel, Switzerland) · 2022Article
Corrections and comments
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine whether occupational therapy focused specifically on personal activities of daily living improves recovery for patients after stroke.
designSystematic review and meta-analysis. DATA SOURCES: The Cochrane stroke group trials register, the Cochrane central register of controlled trials, Medline, Embase, CINAHL, PsycLIT, AMED, Wilson Social Sciences Abstracts, Science Citation Index, Social Science Citation, Arts and Humanities Citation Index, Dissertations Abstracts register, Occupational Therapy Research Index, scanning reference lists, personal communication with authors, and hand searching. REVIEW
methodsTrials were included if they evaluated the effect of occupational therapy focused on practice of personal activities of daily living or where performance in such activities was the target of the occupational therapy intervention in a stroke population. Original data were sought from trialists. Two reviewers independently reviewed each trial for methodological quality. Disagreements were resolved by consensus.
resultsNine randomised controlled trials including 1258 participants met the inclusion criteria. Occupational therapy delivered to patients after stroke and targeted towards personal activities of daily living increased performance scores (standardised mean difference 0.18, 95% confidence interval 0.04 to 0.32, P=0.01) and reduced the risk of poor outcome (death, deterioration or dependency in personal activities of daily living) (odds ratio 0.67, 95% confidence interval 0.51 to 0.87, P=0.003). For every 100 people who received occupational therapy focused on personal activities of daily living, 11 (95% confidence interval 7 to 30) would be spared a poor outcome.
conclusionsOccupational therapy focused on improving personal activities of daily living after stroke can improve performance and reduce the risk of deterioration in these abilities. Focused occupational therapy should be available to everyone who has had a stroke.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.