A Systematic Review of International Clinical Guidelines for Rehabilitation of People With Neurological Conditions : What Recommendations Are Made for Upper Limb Assessment?
Burridge, J., Alt Murphy, M., Buurke, J., Feys, P., Keller, T., Klamroth-Marganska, V., Lamers, I., McNicholas, L., Prange, G., Tarkka, I., Timmermans, A., & Hughes, A.-M. (2019). A Systematic Review of International Clinical Guidelines for Rehabilitation of People With Neurological Conditions : What Recommendations Are Made for Upper Limb Assessment?. Frontiers in Neurology, 10, Article 567. https://doi.org/10.3389/fneur.2019.00567
Published in
Frontiers in NeurologyAuthors
Date
2019Copyright
© The Authors, 2019.
Background: Upper limb impairment is a common problem for people with neurological disabilities, affecting activity, performance, quality of life, and independence. Accurate, timely assessments are required for effective rehabilitation, and development of novel interventions. International consensus on upper limb assessment is needed to make research findings more meaningful, provide a benchmark for quality in clinical practice, more cost-effective neurorehabilitation and improved outcomes for neurological patients undergoing rehabilitation.
Aim: To conduct a systematic review, as part of the output of a European COST Action, to identify what recommendations are made for upper limb assessment.
Methods: We systematically reviewed published guidance on measures and protocols for assessment of upper limb function in neurological rehabilitation via electronic databases from January 2007-December 2017. Additional records were then identified through other sources. Records were selected for inclusion based on scanning of titles, abstracts and full text by two authors working independently, and a third author if there was disagreement. Records were included if they referred to "rehabilitation" and "assessment" or "measurement". Reasons for exclusion were documented.
Results: From the initial 552 records identified (after duplicates were removed), 34 satisfied our criteria for inclusion, and only six recommended specific outcome measures and /or protocols. Records were divided into National Guidelines and other practice guidelines published in peer reviewed Journals. There was agreement that assessment is critical, should be conducted early and at regular intervals and that there is a need for standardized measures. Assessments should be conducted by a healthcare professional trained in using the measure and should encompass body function and structure, activity and participation.
Conclusions: We present a comprehensive, critical, and original summary of current recommendations. Defining a core set of measures and agreed protocols requires international consensus between experts representing the diverse and multi-disciplinary field of neurorehabilitation including clinical researchers and practitioners, rehabilitation technology researchers, and commercial developers. Current lack of guidance may hold-back progress in understanding function and recovery. Together with a Delphi consensus study and an overview of systematic reviews of outcome measures it will contribute to the development of international guidelines for upper limb assessment in neurological conditions.
...


Publisher
Frontiers MediaISSN Search the Publication Forum
1664-2295Keywords
Publication in research information system
https://converis.jyu.fi/converis/portal/detail/Publication/32146663
Metadata
Show full item recordCollections
- Liikuntatieteiden tiedekunta [2095]
Additional information about funding
This work was supported by the European Cooperation in Science and Technology (COST) TD 1006.License
Related items
Showing items with similar title or keywords.
-
European evidence-based recommendations for clinical assessment of upper limb in neurorehabilitation (CAULIN) : data synthesis from systematic reviews, clinical practice guidelines and expert consensus
Prange-Lasonder, Gerdienke B.; Alt Murphy, Margit; Lamers, Ilse; Hughes, Ann-Marie; Buurke, Jaap H.; Feys, Peter; Keller, Thierry; Klamroth-Marganska, Verena; Tarkka, Ina M.; Timmermans, Annick; Burridge, Jane H. (Biomed Central, 2021)Background: Technology-supported rehabilitation can help alleviate the increasing need for cost-effective rehabilitation of neurological conditions, but use in clinical practice remains limited. Agreement on a core set of ... -
Etic and emic data production methods in the study of journalistic work practices : A systematic literature review
Haapanen, Lauri; Manninen, Ville JE (SAGE Publications, 2021)This methodological paper discusses the application of etic and emic perspectives in producing data sets for the study of journalistic praxis. The concepts refer to the researcher-analyst’s and the practitioner-informant’s ... -
Effectiveness of child protection practice models : a systematic review
Isokuortti, Nanne; Aaltio, Elina; Laajasalo, Taina; Barlow, Jane (Elsevier BV, 2020)Background Attempts to improve child protection outcomes by implementing social work practice models embedded in a particular theory and practice approach, have increased internationally over the past decade. Objective To ... -
Association between developmental coordination disorder or low motor competence, and risk of impaired bone health across the lifespan : protocol for a systematic review and meta-analysis
Tan, Jocelyn; Hart, Nicolas H.; Rantalainen, Timo; Chivers, Paola (JBI, 2021)Objective: This systematic review will assess the association between developmental coordination disorder and low motor competence, and impairments in bone health across the lifespan. Introduction: Individuals with ... -
On research work in information systems: Guidelines, recommendations and examples
Järvinen, Pertti (2021)The most positive aspect of science is that the participants (researchers, reviewers and editors) control and evaluate their work themselves. Therefore they must be supported in one way or another. Fortunately, guidelines ...