A Systematic Review on Efficacy of Patient Controlled Static Stretching Device in Reducing Upper Extremity Dysfunction in Hemiplegic Stroke Patients

Abstract

Introduction: Stroke is a health problem and leading cause of disability worldwide. Upper extremity dysfunction due to spasticity, weakness and non-use are most common factors affecting quality of life. Many different stretching techniques are used in treatment of spasticity, patient controlled stretching device were developed to reduce effort and time of therapist and patient.

Objective: To conduct a systematic review on effectiveness of Stretching device in reducing spasticity and improving upper extremity function.

Method: A systematic review of the English language literatures was undertaken for articles published between January 2005 to December 2023. MEDLINE and PUBMED were searched for the use of stretching device in upper extremity dysfunction. Studies were selected on based on inclusion criteria. Two independent reviewers screened and identified suitable studies. Methodological quality and risk of bias was assessed using a modified PEDro scale.

Result : Very less number of studies are available on effectiveness of patient controlled stretching device in stroke patient and sample size in studies are also smaller but in most of studies it is found to be effective.

Conclusion : Low quality of evidence is there on effectiveness of patient controlled stretching device in reducing spasticity and improving upper extremity hand function. Further studies with larger sample size and better study design are needed to draw proper conclusion.