Interventions for stroke rehabilitation: analysis of the research contained in the OTseeker evidence database

Hoffmann, Tammy, Bennett, Sally, McKenna, Kryss, Green-Hill, Julie, McCluskey, Annie and Tooth, Leigh (2008) Interventions for stroke rehabilitation: analysis of the research contained in the OTseeker evidence database. Topics in Stroke Rehabilitation, 15 4: 341-350. doi:10.1310/tsr1504-341

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Author Hoffmann, Tammy
Bennett, Sally
McKenna, Kryss
Green-Hill, Julie
McCluskey, Annie
Tooth, Leigh
Title Interventions for stroke rehabilitation: analysis of the research contained in the OTseeker evidence database
Journal name Topics in Stroke Rehabilitation   Check publisher's open access policy
ISSN 1074-9357
1945-5119
Publication date 2008-07-01
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1310/tsr1504-341
Open Access Status File (Publisher version)
Volume 15
Issue 4
Start page 341
End page 350
Total pages 10
Place of publication Leeds, W Yorks, United Kingdom
Publisher Maney Publishing
Collection year 2009
Language eng
Formatted abstract
Purpose:   To analyse the stroke content in OTseeker in terms of the quantity of the research evidence, the quality of the randomised controlled trials (RCTs), and the types of interventions and outcome measures used.

Method:  
A survey of stroke-related content in the OTseeker database was conducted in 2007. The year of publication and intervention categories used in each stroke-related RCT and systematic review (SR) were recorded. The internal validity of RCTs using the PEDro scale (partitioned) and the outcome measures used were also recorded.

Results:  Of the 4,369 articles indexed on OTseeker, 452 (10.3%) related to stroke were conducted between 1979 and 2006. The five most frequently studied intervention categories were movement training (43.2%), models of service delivery (31.2%), physical modalities/ orthotics/splinting (30.1%), exercise/stretching/strength training (19.5%), and skill acquisition/training (9.3%). Random allocation (96.1%) was the most frequently satisfied internal validity criterion and therapist blinding (3.1%) was least often satisfied. The five most frequently used outcome measurement categories were basic and extended activities of daily living (70.1%), hand and upper limb function (56.1%), walking/gait (44.1%), movement/motor function (32.7%), and quality of life/general overall health (27.9%).

Conclusion:  
The stroke-related content on OTseeker is useful for allied health professionals. This study highlights a need for better definitions of interventions and consensus about the best outcome measures. Few interventions or outcome measures were participation focused.
Keyword Evidence-based practice
Participation
Rehabilitation
Research
Stroke
Randomized controlled-trials
Occupational-therapy
Treatment allocation
Statistics notes
Quality
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Cover date: July-August 2008.

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: 2009 Higher Education Research Data Collection
School of Public Health Publications
School of Health and Rehabilitation Sciences Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 7 times in Thomson Reuters Web of Science Article | Citations
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Created: Wed, 05 Nov 2008, 01:29:20 EST