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ISSN: 2234-0866

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The Journal of Korean Society of Community-Based Occupational Therapy Vol.15 No.2 pp.16-30
A Meta-Analysis of the Effectiveness of Apraxia Interventions Programs in Individuals with Stroke
Min, Se-Ra 동서대학교 작업치료학과 겸임교수
Lee, Chun-Yeop 가야대학교 작업치료학과 조교수
Kim, Tae-Hoon 동서대학교 작업치료학과 교수
Key Words : Apraxia,Meta-analysis,Stroke

Abstract

Objective : This study aimed to investigate the effectiveness of interventions for apraxia in individuals with stroke through a meta-analysis. Methods : The analysis included domestic and international randomized controlled trials (RCTs) administering apraxia interventions to stroke patients, published between 1871 (the year of the first related study) and 2023. A comprehensive literature search was conducted using academic databases such as CINAHL Plus with Full Text, PubMed Central, EMBASE, Cochrane Library, Google Scholar, Korea Citation Index, KISS, RISS, KYOBO Scholar, DBpia, and e-article. The methodological quality of the included studies was assessed using the PEDro scale. The meta-analysis was performed using statistical data such as sample size, means, and standard deviations. Results : As a result of the search, five randomized controlled trials were ultimately included in the analysis. According to the PEDro scale, all studies demonstrated a methodological quality score of 6 or higher. A total of 307 participants were involved, with 155 in the experimental groups and 152 in the control groups. The effect size was calculated using Hedges'g with a random effects model, yielding an overall effect size of 0.489. The dependent variables of the apraxia intervention showed the following effect sizes: 0.670 (apraxia), 0.480 (quality of life), 0.361 (cognitive function), 0.332 (motor function), and 0.295 (activities of daily living). These results collectively indicate a medium-sized overall effect. Conclusion : This study demonstrated that apraxia interventions were effective not only in improving apraxia symptoms in individuals with stroke but also in enhancing their motor function and activities of daily living. Also, the study is meaningful in that it provides a comprehensive analysis of existing literature addressing the impact of apraxia interventions on these domains in stroke patients.
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