SynthesisFrontiers in neurology
Summary of the best evidence for physical therapy in patients with post-stroke shoulder hand syndrome.
Synthesis in Frontiers in neurology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 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
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Shoulder-hand syndrome (SHS) is a common complication after stroke, characterized by shoulder pain, hand swelling, and limited mobility, which severely impacts patient rehabilitation and quality of life. Physical therapy is central to its comprehensive management, yet clinical intervention approaches vary and lack standardization. Objective: To systematically retrieve, evaluate, and integrate the best evidence on physical therapy and nursing for post-stroke SHS, providing a basis for clinical practitioners to develop standardized management protocols. Methods: Following evidence summary methodology and the "6S" pyramid model, we systematically searched domestic and international databases, guideline repositories, and professional association websites. The search period covered from database inception to 1 December 2025. Two researchers independently assessed the quality of the literature using the AGREE II instrument for guidelines and the relevant Joanna Briggs Institute (JBI) critical appraisal tools for other study types. Evidence was subsequently extracted and summarized. Results: The initial search identified 734 records. After screening, 22 articles were included, comprising 4 guidelines, 1 clinical decision, 14 systematic reviews, 1 evidence summary, and 2 expert consensus. Ultimately, 18 best practice recommendations were synthesized across 6 themes: early prevention and protection, comprehensive assessment, symptom management, transfers and mobility, posture management, and health education and follow-up. Conclusion: This study summarizes the best available evidence for the physical therapy and nursing management of post-stroke SHS, forming a comprehensive strategy covering prevention, assessment, intervention, and health education. It provides an evidence-based foundation for standardizing clinical practice and enhancing patient recovery. Systematic review registration: This study was based on the evidence summary reporting specifications of the Fudan University Center for the Evidence-based Nursing, the register name is "Summary of the best evidence for physical therapy in patients with post-stroke shoulder hand syndrome", the registration number is "ES20258280".
Indexed as
Identifiers
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.