Content and Effectiveness of Community-Based Rehabilitation on Quality of Life in People Post Stroke: a Systematic Review with Meta-Analysis

Sènadé Inès Noukpo; Oyéné Kossi; Lisa Tedesco Triccas; Thierry Adoukonou; Peter Feys

doi:10.47985/dcidj.571

Sènadé Inès Noukpo ⁽¹⁾, Oyéné Kossi ⁽²⁾, Lisa Tedesco Triccas ⁽³⁾, Thierry Adoukonou ⁽⁴⁾, Peter Feys ⁽⁵⁾

(1) Unité de NeuroRehabilitation, Service de Neurologie, Hopital Universitaire de Parakou, Parakou, Benin; and REVAL, Rehabilitation Research Centre, Hasselt University, Belgium, Benin,

(2) Unité de NeuroRehabilitation, Service de Neurologie, Hopital Universitaire de Parakou, Parakou, Benin; REVAL, Rehabilitation Research Centre, Hasselt University, Belgium; ENATSE (Ecole Nationale de Santé Publique et de Surveillance Epidémiologique), Université de Parakou, Parakou, Benin; and Département de Neurologie, Faculté de Medicine, Université de Parakou, Parakou, Benin., Benin,

(3) REVAL, Faculty of Rehabilitation Sciences, Agoralaan, Gebouw A, Universiteit Hasselt, B-3590 Diepenbeek Belgium, Belgium,

(4) Unité de NeuroRehabilitation, Service de Neurologie, Hopital Universitaire de Parakou, Parakou, Benin; ENATSE (Ecole Nationale de Santé Publique et de Surveillance Epidémiologique), Université de Parakou, Parakou, Benin; and Département de Neurologie, Faculté de Medicine, Université de Parakou, Parakou, Benin, Benin,

(5) REVAL, Faculty of Rehabilitation Sciences, Agoralaan, Gebouw A, Universiteit Hasselt, B-3590 Diepenbeek Belgium, Belgium

https://doi.org/10.47985/dcidj.571

Issue
Vol. 33 No. 2: (Summer) - 2022

Submitted
January 10, 2022

Published
August 5, 2022

Keywords:

Balance, community based rehabilitation, quality of life, stroke, walking capacity

PDF

Abstract

Purpose: The study aimed to review the content and evaluate the effects of CBR on quality of life (QoL), balance, and walking capacity for people post stroke, compared to other rehabilitation protocols or no care.

Methods: A systematic search and meta-analysis of clinical trials of CBR interventions for stroke survivors was conducted. Five online electronic databases (MEDLINE/PubMed, Web of sciences, Scopus, Hinari, and Pedro) were searched for articles published in English and French languages, from inception up to December 2021. Sixteen studies were included that reported on QoL outcomes from CBR interventions involving 1755 adults post stroke.

Results: The different CBR interventions that were selected were grouped into three clusters: a) exercise programmes, b) task-oriented training, and c) educational and taking-charge programmes. CBR interventions were more effective than other rehabilitation protocols (SMD=0.16[0.02, 0.30], P=0.03, I²=40%) on QoL for people with chronic stroke. The effects of interventions on walking capacity and balance demonstrated non-significant difference (SMD=0.31[-0.02, 0.64], P=0.06, I²=88%, and SMD= 0.20[-0.12, 0.53], P=0.22, I²=68%, respectively).

Conclusion: Current data indicates that CBR can be used in many forms or in combinations to benefit people with chronic stroke. Also, CBR is as effective as other rehabilitative protocols on walking capacity and balance, while being more effective than institution-based rehabilitation or no care, in improving quality of life which is a well-recognised goal in the rehabilitation of people with chronic stroke.

Full text article

Generated from XML file

Authors

Sènadé Inès Noukpo

Unité de NeuroRehabilitation, Service de Neurologie, Hopital Universitaire de Parakou, Parakou, Benin; and REVAL, Rehabilitation Research Centre, Hasselt University, Belgium

https://orcid.org/0000-0002-7628-2644

Oyéné Kossi

Unité de NeuroRehabilitation, Service de Neurologie, Hopital Universitaire de Parakou, Parakou, Benin; REVAL, Rehabilitation Research Centre, Hasselt University, Belgium; ENATSE (Ecole Nationale de Santé Publique et de Surveillance Epidémiologique), Université de Parakou, Parakou, Benin; and Département de Neurologie, Faculté de Medicine, Université de Parakou, Parakou, Benin.

https://orcid.org/0000-0001-9117-7191

oyene.kossi@gmail.com (Primary Contact)

Lisa Tedesco Triccas

REVAL, Faculty of Rehabilitation Sciences, Agoralaan, Gebouw A, Universiteit Hasselt, B-3590 Diepenbeek Belgium

https://orcid.org/0000-0001-9097-9352

Thierry Adoukonou

Unité de NeuroRehabilitation, Service de Neurologie, Hopital Universitaire de Parakou, Parakou, Benin; ENATSE (Ecole Nationale de Santé Publique et de Surveillance Epidémiologique), Université de Parakou, Parakou, Benin; and Département de Neurologie, Faculté de Medicine, Université de Parakou, Parakou, Benin

https://orcid.org/0000-0002-3236-3063

Peter Feys

REVAL, Faculty of Rehabilitation Sciences, Agoralaan, Gebouw A, Universiteit Hasselt, B-3590 Diepenbeek Belgium

https://orcid.org/0000-0002-5680-5495

Author Biographies

Sènadé Inès Noukpo, Unité de NeuroRehabilitation, Service de Neurologie, Hopital Universitaire de Parakou, Parakou, Benin; and REVAL, Rehabilitation Research Centre, Hasselt University, Belgium

Inès Sènadé Noukpo is Ph.D. student in Rehabilitation Sciences at University of Hasselt (Belgium). She graduated from the Faculty of Health Sciences at the University of Abomey-Calavi (Benin) and worked as a Physiotherapist in the Neuro-rehabilitation domain for the last few years. She has also worked with a research group on neurological rehabilitation (Departmental Hospital and University Center of Parakou, Benin) and is skilled in community-based physical activities for stroke survivors.

Oyéné Kossi, Unité de NeuroRehabilitation, Service de Neurologie, Hopital Universitaire de Parakou, Parakou, Benin; REVAL, Rehabilitation Research Centre, Hasselt University, Belgium; ENATSE (Ecole Nationale de Santé Publique et de Surveillance Epidémiologique), Université de Parakou, Parakou, Benin; and Département de Neurologie, Faculté de Medicine, Université de Parakou, Parakou, Benin.

Dr. Oyéné Kossi is a PT, Ph.D., specialist in Neuro-rehabilitation with extensive research, educational, and clinical experience. He currently works as an Assistant Professor at the National School of Epidemiology and Public Health, University of Parakou, Benin. He has vast experience in teaching and supervising at undergraduate, advanced and doctoral level.

Lisa Tedesco Triccas, REVAL, Faculty of Rehabilitation Sciences, Agoralaan, Gebouw A, Universiteit Hasselt, B-3590 Diepenbeek Belgium

Dr. Lisa Tedesco Triccas is a Post-doctoral fellow at UHasselt and also at the University College London. Her passion and motivation is to promote sensorymotor recovery of people with stroke, therefore, her research integrates the investigation of different doses of rehabilitation programmes with behavioural and neurophysiological assessments in people with acute and chronic stroke.

Thierry Adoukonou, Unité de NeuroRehabilitation, Service de Neurologie, Hopital Universitaire de Parakou, Parakou, Benin; ENATSE (Ecole Nationale de Santé Publique et de Surveillance Epidémiologique), Université de Parakou, Parakou, Benin; and Département de Neurologie, Faculté de Medicine, Université de Parakou, Parakou, Benin

Prof. Dr. Thierry Armel Adoukonou is a Neurologist, Epidemiologist, Specialist of Stroke, Neurophysiologist, Clinical Neurology. He is the Head of Department of Neurology and Head of School of Epidemiology and Public Health at the University of Parakou. His research is in the field of neurology and epidemiology, particularly in stroke, headache, dementia and epidemiology of non-communicable diseases. He is a member of several scientific societies (Africa Stroke Organization, World Stroke Organization, International Headache Society, French Stroke Society) and has authored more than 80 scientific papers with impact factor.

Peter Feys, REVAL, Faculty of Rehabilitation Sciences, Agoralaan, Gebouw A, Universiteit Hasselt, B-3590 Diepenbeek Belgium

Peter Feys is a Professor in Neuro-rehabilitation and Dean of the Faculty of Rehabilitation Sciences at UHasselt. His research is focused on rehabilitation for gait and upper limb function predominantly in persons with neurological conditions. It comprises investigations of walking motor fatigability, music-based entrainment and sonification, cognitive-motor interference, technology-supported training, upper limb functioning and community self-directed training. The research is mainly related to persons with multiple sclerosis, stroke and CP.

1.

Noukpo SI, Kossi O, Tedesco Triccas L, Adoukonou T, Feys P. Content and Effectiveness of Community-Based Rehabilitation on Quality of Life in People Post Stroke: a Systematic Review with Meta-Analysis. DCIDJ [Internet]. 2022 Aug. 5 [cited 2025 Mar. 13];33(2):75-107. Available from: https://dcidj.uog.edu.et/index.php/up-j-dcbrid/article/view/571

Download Citation

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish with this journal agree to the following terms:

Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License By-NC-ND 4.0 that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).

Article Sidebar