Evidence map›Paper›PMID 41826534›Full record

SynthesisNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2026

Efficacy of digital health technologies as adjunctive functional training in occupational therapy for stroke rehabilitation: a meta-analysis.

Yangzi Zhang, Chenshu Ge, Congwei Li, Fang Liu

Abstract readMeta-AnalysisReview
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In one paragraph

Synthesis in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Yangzi ZhangSouth Campus, Shaanxi University of Chinese Medicine, Chenyangzhai Street, Qindu District, Xianyang City, Shaanxi Province, China.
Chenshu GeXi'an Jiaotong University, Xi'an, Shaanxi Province, China.
Congwei LiSouth Campus, Shaanxi University of Chinese Medicine, Chenyangzhai Street, Qindu District, Xianyang City, Shaanxi Province, China.
Fang LiuSouth Campus, Shaanxi University of Chinese Medicine, Chenyangzhai Street, Qindu District, Xianyang City, Shaanxi Province, China. liufang816@126.com.ORCID http://orcid.org/0009-0009-5774-3861

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPost-stroke rehabilitation is essential for achieving functional recovery. Using digital health technologies as adjunctive functional training within occupational therapy offers a promising approach to improve training outcomes. However, a comprehensive and updated synthesis of the efficacy of this adjunctive approach is needed.

methodsUtilizing a systematic search strategy, we identified pertinent randomized controlled trials (RCTs) from eight databases. The emphasis was placed on stroke rehabilitation studies that incorporated both digital health technologies and occupational therapy (search date: May 27, 2025). The primary outcomes assessed included upper limb motor function and activities of daily living, while secondary outcomes encompassed hand function, balance, and cognitive function. Data were synthesized using Stata 18.0, accompanied by subgroup analyses to investigate heterogeneity.

resultsThis meta-analysis included 822 stroke survivors from 18 studies. The mean difference (MD) and its 95% confidence interval (CI) were used to assess the between-group comparison at post-intervention. The results showed that adjunctive DHT intervention led to significant improvements compared to controls in upper limb motor function (MD: 6.46; 95%CI [5.29, 7.63]; P < 0.001) and activities of daily living (MD: 9.52; 95%CI [5.63, 13.41]; P < 0.001). Additionally, benefits were noted in hand function and cognitive performance. However, no statistically significant difference was found between the groups for balance function.

conclusionCurrent evidence indicates that digital health technologies, when used as an adjunctive functional training tool alongside occupational therapy, enhance upper limb motor function and activities of daily living for stroke survivors.Additionally, benefits have been noted in hand function and cognitive performance. However, the impact of these technologies on balance function remains inconclusive.

Indexed as

Digital HealthOccupational TherapyStrokeStroke RehabilitationActivities of Daily LivingHumansRandomized Controlled Trials as TopicRecovery of FunctionDigital health technologiesMeta-analysisOccupational therapyStroke

Identifiers

PMID41826534

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.