Evidence map›Paper›PMID 34652796›Full record

ReviewEuropean geriatric medicine2019

Non-pharmacological interventions for the improvement of post-stroke quality of life amongst older stroke survivors: a systematic review of systematic reviews (The SENATOR ONTOP series).

Carrie Stewart, Selvarani Subbarayan, Pamela Paton, Elliot Gemmell, Iosief Abraha, Phyo Kyaw Myint, Denis O'Mahony, Antonio Cherubini, Alfonso J Cruz-Jentoft, Roy L Soiza

Open access · greenAbstract readReview
PubMed Publisher
In one paragraph

Review in European geriatric medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 36% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 4 countries.

Carrie StewartDepartment of Old Age Medicine, Aberdeen Royal Infirmary, Aberdeen, UK. carrie.stewart@abdn.ac.uk.ORCID http://orcid.org/0000-0002-2325-3380
Selvarani SubbarayanInstitute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK.ORCID http://orcid.org/0000-0002-0322-9244
Pamela PatonDepartment of Old Age Medicine, Aberdeen Royal Infirmary, Aberdeen, UK.ORCID http://orcid.org/0000-0001-7723-4698
Elliot GemmellDepartment of Old Age Medicine, Aberdeen Royal Infirmary, Aberdeen, UK.ORCID http://orcid.org/0000-0003-4749-6704
Iosief AbrahaGeriatria, Accettazione geriatrica e Centro di ricerca per l'invecchiamento, IRCCS INRCA, Ancona, Italy.ORCID http://orcid.org/0000-0002-5440-775X
Phyo Kyaw MyintDepartment of Old Age Medicine, Aberdeen Royal Infirmary, Aberdeen, UK.ORCID http://orcid.org/0000-0003-3852-6158
Denis O'MahonyDepartment of Geriatric Medicine, University College Cork, Cork, Ireland.ORCID http://orcid.org/0000-0003-2236-5222
Antonio CherubiniGeriatria, Accettazione geriatrica e Centro di ricerca per l'invecchiamento, IRCCS INRCA, Ancona, Italy.ORCID http://orcid.org/0000-0003-0261-9897
Alfonso J Cruz-JentoftFundación para la Investigación Biomédica del Hospital Universitario Ramón y Cajal, Madrid, Spain.ORCID http://orcid.org/0000-0001-7628-4861
Roy L SoizaDepartment of Old Age Medicine, Aberdeen Royal Infirmary, Aberdeen, UK.ORCID http://orcid.org/0000-0002-1397-4272
University of Aberdeen · GBAberdeen Royal Infirmary · GBIstituti di Ricovero e Cura a Carattere Scientifico · ITHospital Universitario Ramón y Cajal · ESUniversity College Cork · IE

Funding

Seventh Framework Programme 305930
6 · The paper itself

Abstract

purposeThe efficacy of non-pharmacological stroke rehabilitation approaches for older stroke survivors is largely unknown, particularly in relation to psychosocial outcomes such as quality of life. This systematic review examined the evidence for such interventions as part of the Optimal Evidence-Based Non-Drug Therapies in Older Persons (ONTOP) project conducted under an European Union funded project called the Software Engine for the Assessment and Optimisation of Drug and Non-Drug Therapies in Older Persons (SENATOR) [ http://www.senator-project.eu ].

methodsThirteen experts in geriatric medicine, as part of a Delphi panel, agreed quality of life to be a critical outcome of stroke rehabilitation. A comprehensive search strategy was developed and databases were searched for eligible systematic reviews from which trials meeting our criteria were identified. Eligible papers were then double reviewed. Due to heterogeneity, narrative analysis was performed. Cochrane risk of bias and GRADE assessment tools were used to assess bias and quality of evidence.

resultsWe identified 28 trials, spanning ten types of intervention. Limited evidence supports the use of additional occupational therapy and physiotherapy, with very limited evidence supporting our recommendation to explore caregiver training, constraint-induced movement therapy, device-assisted physiotherapy, and self-management education further.

conclusionLimited evidence suggests a range of non-pharmacological interventions may improve the quality of life of older stroke survivors. However, evidence is limited by low study quality and the small number of studies targeting older stroke survivors. We recommend future studies explore such interventions exclusively in older adult populations and improve methodological and outcome reporting.

Indexed as

AgeingNon-pharmacological therapiesOlder adultsRehabilitationStroke

Identifiers

PMID34652796
OpenAlexW2926407701

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.