Implications of the review for practice and research
Practice: The authors stated that it is difficult to make definitive recommendations about the effectiveness of one intervention over another and the studies have limited generalisability. Therapists should proceed with caution when implementing the findings of the review if a patient does not fall within the parameters of the patients included in the review. Possible useful interventions are electrical stimulation in moderate to severe upper limb dysfunction, use of goal-directed reaching behaviours, reducing compensatory trunk movements when using reach-to-grasp movements, use of Arm BASIS training in addition to regular exercise therapy, and use of random and blocked practice in conjunction with active neuromuscular stimulation.