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ISSN: 2234-0866

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The Journal of Korean Society of Community-Based Occupational Therapy Vol.16 No.1 pp.1-18
A Systematic Review of the Effects of Task-Oriented Intervention on Upper Limb Function in Stroke : Comparison between Hospital and Community Settings
Han, Jung-Min 아주대학교 요양병원 재활치료부 작업치료사
Kim, Young-Hoon 아주대학교 요양병원 재활치료부 작업치료사
Key Words : Community,Hospital,Stroke,Task-oriented intervention,Upper limb function

Abstract

Objective : This study aimed to review systematically task-oriented interventions targeting upper limb function in stroke patients and to compare and analyze the differences between interventions conducted in hospital and community settings. Methods : Literature researches were performed using the PubMed, Embase, and Web of Science databases with the following key words: ("stroke" OR "brain attack") AND ("upper limb" OR "upper extremity") AND (“task oriented” OR “task related” OR “task-oriented”) AND ("intervention" OR "program" OR "rehabilitation" OR "therapy"). A total of 33 studies was included. Results : In hospital settings, task-oriented interventions were primarily conducted with acute and subacute stroke, most frequently as stand-alone interventions, followed by interventions combined with other therapies. In community settings, interventions were mainly conducted with electrical stimulation. Among the included studies, those reporting significant improvements in both pre-post comparisons and comparisons between experimental and control groups were predominantly task-oriented interventions combined with other therapies, regardless of the setting. Conclusion : This study reviewed systematically that task-oriented interventions improved upper limb function in stroke patients. Task-oriented interventions, especially with other therapies, are effective in both hospital and community settings.
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