Cochrane Db Syst Rev
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Cochrane Db Syst Rev · Sep 2018
ReviewElectromechanical and robot-assisted arm training for improving activities of daily living, arm function, and arm muscle strength after stroke.
Electromechanical and robot-assisted arm training devices are used in rehabilitation, and may help to improve arm function after stroke. ⋯ People who receive electromechanical and robot-assisted arm training after stroke might improve their activities of daily living, arm function, and arm muscle strength. However, the results must be interpreted with caution although the quality of the evidence was high, because there were variations between the trials in: the intensity, duration, and amount of training; type of treatment; participant characteristics; and measurements used.
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Cochrane Db Syst Rev · Sep 2018
ReviewProtease activity as a prognostic factor for wound healing in venous leg ulcers.
Venous leg ulcers (VLUs) are a common type of complex wound that have a negative impact on people's lives and incur high costs for health services and society. It has been suggested that prolonged high levels of protease activity in the later stages of the healing of chronic wounds may be associated with delayed healing. Protease modulating treatments have been developed which seek to modulate protease activity and thereby promote healing in chronic wounds. ⋯ This review identified very low validity evidence regarding any association between protease activity and VLU healing and there is complete uncertainty regarding the relationship. The review offers information for both future research and systematic review methodology.