부산대학교 도서관

The effectiveness of "hands-on" physiotherapy for stroke is unclear. The objective here is to analyze the effectiveness of suchinterventions on movement-related International Classifi cation of Functionality, Disability and Health (ICF) categories.A systematic review was undertaken of randomized controlled trials published since 1980, using the following criteria: stroke,humans, 18 years, outcomes related to ICF movement-related categories, physiotherapeutic handling techniques, control groupas placebo or no intervention, including experiments where both groups have the same intervention and the experimental grouphas one extra intervention. Nine studies were included and a best evidence synthesis is presented. Recommendations with limitedevidence favor slow-stroke back massage for shoulder pain, range-of-motion exercises for upper-limb and lower-limb structuresand functions of muscles and joints, proprioceptive neuromuscular facilitation (PNF) for gait step, walking backwards with hipfacilitation for gait parameters and performance, and conventional physiotherapy with facilitation techniques for gait parameters.Recommendations with indicative fi ndings favor PNF with trunk rhythmic stabilizations for function and mobility of upper limbs.Recommendations with limited evidence show the non-effi cacy of Bobath therapy for upper-limb function and activity andfacilitation of the step on body weight support treadmill training for gait parameters and performance. In conclusion, somehands-on interventions have limited evidence in stroke rehabilitation.