Critical Appraisals - Neurological Rehabilitation

Clinical Scenario Discipline

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.

OT

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.

OT

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.

OT

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.

PT

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]

PT

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.

OT

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.

OT

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:

South Australian Department of Health 
Library & Information Services
Level 2 162 Grenfell Street Adelaide SA
PO Box 287 Rundle Mall Adelaide SA 5000 
Phone 08 8226 6070 Fax 08 8226 6677
Email health.library@health.sa.gov.au 
Department of Health, South Australia, Library website

Areas of study and research

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