Critical Appraisals - Neurological Rehabilitation

Clinical Scenario Discipline
How effective is electrical stimulation with treating weak upper-limb in an aquired brain injury population?

Eraifej, J, Clark, W, France, B, Desando, S & Moore, D 2017, 'Effectiveness of upper limb functional electrical stimulation after stroke for the improvement of activities of daily living and motor function: a systematic review and meta-analysis', Systematic Reviews, vol. 6, no. 1, pp.40.

What is the effectiveness of cycling in subacute stroke rehabiliation?

Vanroy, C, Feys, H, Swinnen, A, Vanlandewijck, Y, Truijen, S, Vissers, D, Michielsen, M, Wouters, K & Cras, P 2017, ‘Effectiveness of active cycling in subacute stroke rehabilitation: a randomized controlled trial’, Archives of Physical Medicine and Rehabilitation, vol. 98, no. 8, pp. 1576-1585.

What evidence is there for the management of Post-Traumatic Amnesia?

Steel, J, Ferguson, A, Spencer, E & Togher, L 2017, ‘Language and cognitive communication disorder during post-traumatic amnesia: Profiles of recovery after TBI from three cases’, Brain Injury, vol. 31, no. 13-14, pp. 1889-1902.

What is the effect of Botulinum Toxin on patients with high tone in thier upper limbs post stroke?

Hara, T, Abo, M, Hara, H, Kobayashi, K, Shimamoto, Y, Samizo, Y, Sasaki, N, Yamada, N & Niimi, M 2017, 'Effects of botulinum toxin A therapy and multidisciplinary rehabilitation on upper and lower limb spasticity in post-stroke patients', International Journal of Neuroscience, vol. 3, no. 127, pp. 469-78.

What is the effectiveness of acupuncture on spasticity following stroke?


Min Lim, S, Yoo, J, Lee, E, Jung Kim, H, Shin, S, Han, G & Sik Ahn H 2015, ‘Acupuncture for Spasticity after Stroke: A Systematic Review and Meta-Analysis of Randomized Controlled Trials’, Evidence-Based Complementary and Alternative Medicine.


What is the effect of constraint induced movement therapy on upper limb function in patients with stroke?

Corbetta, D, Sirtori, V, Castellini, G, Moja, L & Gatti, R 2015, 'Constraint‐induced movement therapy for upper extremities in people with stroke', The Cochrane Library.

What are the best tools to use to assess coordination in adults with an acquired brain injury?

de Menezes, K, Scianni, A, Faria-Fortini, I, Avelino, P, Faria, C & Teixeira-Salmela, L 2015, 'Measurement properties of the lower extremity motor coordination test in individuals with stroke', Journal of Rehabilitation Medicine, vol, 5, no. 47, pp. 502-7.

What is the best therapeutic way to manage upper limb oedema post-CVA in adults?

Kuppens, S, Pijlman, H, Hitters, M & van Heugten, C 2014, 'Prevention and treatment of hand oedema after stroke', Disability and Rehabilitation, vol. 36, no. 11, pp. 900-906.

What are the best tools to use to assess coordination in adults with an acquired brain injury?

Pinheiro, M, Menezes, K & Teixeira-Salmela, L 2014, 'Review of the psychometric properties of lower limb motor coordination tests', Fisioterapia em Movimento, vol. 27, no. 4, pp. 541-53.

What measures can be used to measure fatigue in patients with traumatic/acquired brain injury?

Mollayeve, T, Kendzerska, T, Mollayeva, S, Shapiro, C, Colantonio, A & Cassidy, J, 2014, ‘A Systematic Review of Fatigue in Patients with Traumatic Brain Injury: The Course, Predictors and Consequences’, Neuroscience and Biobehavioral Reviews, vol. 47, pp. 684-716.

Is Semantic Feature Analysis the most effective therapy for improving "high level" word finding difficulties in adults with acquired brain injury?

van Hees, S., Angwin, A., McMahon, K & Copland, D 2013, 'A comparison of semantic feature analysis and phonological components analysis for the treatment of naming impairments in aphasia', Neuropsychological Rehabilitation, vol. 23, no. 1, pp.102-132.

Speech Pathology
How effective is the BNI fatigue scale at assessing fatigue in patients with traumatic/acquired brain injury?

Wäljas, M, Iverson, G, Hartikainen, K, Liimatainen, S, Dastidar, P, Soimakallio, S, Jehkonen, M & Öhman, J 2012, 'Reliability, validity and clinical usefulness of the BNI fatigue scale in mild traumatic brain injury', Brain injury, vol. 26, no, pp.972-978.

For adults with traumatic incomplete spinal cord injury, does the inclusion of Functional Electrical Stimulation (FES) is an upper limb program have an effect on hand function (O) compared to a stand-along upper limb program?

Popovic, MR, Kapadia, N, Zivanovic, V, Furlan, JC, Craven, BC, & McGillivray, C 2011, ‘Functional electrical stimulation therapy of voluntary grasping versus only conventional rehabilitation for patients with subacute incomplete tetraplegia: a randomized clinical trial’, Neurorehabilitation and Neural Repair., vol. 20, no. 10, pp. 1-10.

In adults with acquired brain injury, is the MOCA (Montreal Cognitive Assessment) a valid and sensitive tool for identifying cognitive deficits?

Toglia, J, Fitzgerald, K, O’Dell, M, et al. 2011, ‘The Mini-Mental State Examination and Montreal Cognitive Assessment in Persons with Mild Subacute Stroke: Relationship to Functional Outcome’, Arch Phys Med Rehabil, vol. 92, pp.792-798.

Is there evidence for the effectiveness of stretching for the treatment and prevention of contracture?

Katalinic, OM, Harvey, L, Herbert, RD, Moseley, A, Lannin, N, & Schurr, K 2010, ‘Stretch for the treatment and prevention of contractures’, Cochrane Database of Systematic Reviews, Issue 9. Art.: CD007455.

What is the effect of robot-assisted motor therapy on gait or upper/lower limb function in patients post-stroke?

Lo, A, Guarino, P, Richards, L, et al. 2010, ‘Robot-assisted therapy for long term upper limb impairment after stroke’, N Engl J Med, vol. 36, pp. 1772-1783.

In patients of any age with Parkinson's disease, is cycling an effective choice of treatment to management strength and balance by having an effect on muscle tone?

Ridgel, AL, Peacock, CA, Fickes, EJ, et al. 2012, ‘Active-assisted cycling improves tremor and bradykinesia in Parkinson’s disease’, Archives of Physical Medicine and Rehabilitation, [E-Pub-ahead of print]

In stroke patients does an exposure to mental imagery improve function?

Kumar, K, & Chakrapani, M 2011, ‘Integrated mental practice training improves functional mobility in chronic stroke: a pilot study’, International Journal of Neurology and Neurosurgery, vol. 3, no. 2, pp. 15-20.

What is the validity, reliability and predictive value of using the Occupational Therapy Adult Perceptual Screening Test (OT APST) in patients with perceptual deficits compared with other perceptual tests.

Brown, T, Mapleston, J, Nairn, A 2012, ‘Can cognitive and perceptual standardized test score predict functional performance in adults diagnosed with stroke’, Physical and Occupational Therapy in Geriatrics, vol. 30, no. 1, pp. 31-44.

What measures can be used to measure fatigue in patients with traumatic/acquired brain injury?

LaChapelle, D & Finlayson, M 1998, 'An evaluation of subjective and objective measures of fatigue in patients with brain injury and healthy controls', Brain injury, vol. 12, no. 8, pp. 649-659.


iCAHE will continually update this compendium of critically appraised research publications as a resource for health services interested in implementing journal clubs within their health services.

DOHSA Librarian Contact Details

The International Centre for Allied Health Evidence aims to make iCAHE Journal Club Critically Appraised articles available for review and consideration by South Australian Department of Health employees.

In order to access the articles South Australian Department of Health (DoHSA) employees will need to contact the DoHSA Librarian:

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PO Box 287 Rundle Mall Adelaide SA 5000 
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