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Evaluating the impact of audits and feedback as methods for omplementation of evidence in stroke rehabilitation / Hanne KRISTENSEN in The British Journal of Occupational Therapy, Volume 77 numéro 5 (Mai 2014)
[article]
Titre : Evaluating the impact of audits and feedback as methods for omplementation of evidence in stroke rehabilitation Type de document : texte imprimé Auteurs : Hanne KRISTENSEN, Auteur ; Lise HOUNSGAARD, Auteur Année de publication : 2014 Article en page(s) : p.251 - p.259 Langues : Anglais (eng) Mots-clés : stroke rehabilitation evidence-based practice occupational therapy Résumé : Introduction
This paper evaluates audits and feedback as methods to increase implementation of evidence in stroke rehabilitation.
MEthod
The study used an action research approach and theories of knowledge translation. A sample of 22 occupational therapists participated from two Danish hospitals that admitted stroke patients. Data collection methods included audits collaborative discussions. Active feedback and discussions of the findings took place, at a group level in four local clinical audits. Data analysis of daily self-reported recordings and audits was descriptive. Audit data were analysed using descriptive statistics. A phonomenological hermeneutical interpretive methodology was used for analysing qualitative data.
Findings
Audits and feedback were based on clear standars and contextual developing action plans. Daily practice in both settings adapted to the clinical guidelines. Implementations of the standardized assessment tools seemed to be the most successful.
Conclusion
The effects of audit and feedback profited from the active participation of the therapists, as well as local gatekeepers having formal responsabilities for implementing change. The process was strengthened by providing the audits and feedback more than once. The effect of audits and feedback was positively influenced by being in line with current conceptual frameworks, local policies, and values.Permalink : ./index.php?lvl=notice_display&id=33890
in The British Journal of Occupational Therapy > Volume 77 numéro 5 (Mai 2014) . - p.251 - p.259[article] Evaluating the impact of audits and feedback as methods for omplementation of evidence in stroke rehabilitation [texte imprimé] / Hanne KRISTENSEN, Auteur ; Lise HOUNSGAARD, Auteur . - 2014 . - p.251 - p.259.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Volume 77 numéro 5 (Mai 2014) . - p.251 - p.259
Mots-clés : stroke rehabilitation evidence-based practice occupational therapy Résumé : Introduction
This paper evaluates audits and feedback as methods to increase implementation of evidence in stroke rehabilitation.
MEthod
The study used an action research approach and theories of knowledge translation. A sample of 22 occupational therapists participated from two Danish hospitals that admitted stroke patients. Data collection methods included audits collaborative discussions. Active feedback and discussions of the findings took place, at a group level in four local clinical audits. Data analysis of daily self-reported recordings and audits was descriptive. Audit data were analysed using descriptive statistics. A phonomenological hermeneutical interpretive methodology was used for analysing qualitative data.
Findings
Audits and feedback were based on clear standars and contextual developing action plans. Daily practice in both settings adapted to the clinical guidelines. Implementations of the standardized assessment tools seemed to be the most successful.
Conclusion
The effects of audit and feedback profited from the active participation of the therapists, as well as local gatekeepers having formal responsabilities for implementing change. The process was strengthened by providing the audits and feedback more than once. The effect of audits and feedback was positively influenced by being in line with current conceptual frameworks, local policies, and values.Permalink : ./index.php?lvl=notice_display&id=33890 Exemplaires (1)
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Exclu du prêtPost-stroke rehabilitation devices offered via the Internet: Based on randomized controlled evidence? / Luis G. Aguirre in Annals of physical and rehabilitation medicine, Vol. 61, n°1 (Janvier 2018)
[article]
Titre : Post-stroke rehabilitation devices offered via the Internet: Based on randomized controlled evidence? Type de document : texte imprimé Auteurs : Luis G. Aguirre ; Diego Urrunaga-Pastor ; Maria Lazo-Porras ; Alvaro Taype-Rondan Année de publication : 2018 Article en page(s) : p. 54-55 Note générale : Doi : 10.1016/j.rehab.2017.09.006 Langues : Anglais (eng) Mots-clés : Stroke Rehabilitation Stroke rehabilitation Neurological rehabilitation Physical and rehabilitation medicine Permalink : ./index.php?lvl=notice_display&id=80440
in Annals of physical and rehabilitation medicine > Vol. 61, n°1 (Janvier 2018) . - p. 54-55[article] Post-stroke rehabilitation devices offered via the Internet: Based on randomized controlled evidence? [texte imprimé] / Luis G. Aguirre ; Diego Urrunaga-Pastor ; Maria Lazo-Porras ; Alvaro Taype-Rondan . - 2018 . - p. 54-55.
Doi : 10.1016/j.rehab.2017.09.006
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 61, n°1 (Janvier 2018) . - p. 54-55
Mots-clés : Stroke Rehabilitation Stroke rehabilitation Neurological rehabilitation Physical and rehabilitation medicine Permalink : ./index.php?lvl=notice_display&id=80440 Exemplaires (1)
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Exclu du prêtUse of the Australian Therapy Outcome Measures for Occupational Therapy (AusTOMs-OT) in an early supported discharge programme for stroke patients in Singapore / Zhenzhen Chen in The British Journal of Occupational Therapy, Volume 78 numéro 9 (Septembre 2015)
[article]
Titre : Use of the Australian Therapy Outcome Measures for Occupational Therapy (AusTOMs-OT) in an early supported discharge programme for stroke patients in Singapore Titre original : British Journal of Occupational Therapy September 2015 78: 570-575 Type de document : texte imprimé Auteurs : Zhenzhen Chen, Auteur ; Jia Yen Eng, Auteur Année de publication : 2015 Langues : Anglais (eng) Mots-clés : Stroke rehabilitation occupational therapy Singapore Résumé : Introduction This short report describes the use of the Australian Therapy Outcome Measures for Occupational Therapy (AusTOMs-OT) in an early supported discharge programme for stroke patients in Singapore.
Method The Australian Therapy Outcome Measures for Occupational Therapy was assessed at the start and end of the early supported discharge programme and differences were statistically analysed.
Findings All Australian Therapy Outcome Measures for Occupational Therapy scales demonstrated statistically significant change over time. The most commonly used scales were ‘Upper limb use’, ‘Functional walking and mobility’ and ‘Community life, recreation, leisure and play’, reflecting the pertinent types of occupational therapy intervention used in stroke rehabilitation in the home setting.
Conclusion This study shows that the Australian Therapy Outcome Measures for Occupational Therapy is a useful outcome measure that can be used to articulate the administered occupational therapy interventions to members of the multi-disciplinary team and support the effectiveness of occupational therapy in stroke rehabilitation.Permalink : ./index.php?lvl=notice_display&id=40398
in The British Journal of Occupational Therapy > Volume 78 numéro 9 (Septembre 2015)[article] Use of the Australian Therapy Outcome Measures for Occupational Therapy (AusTOMs-OT) in an early supported discharge programme for stroke patients in Singapore = British Journal of Occupational Therapy September 2015 78: 570-575 [texte imprimé] / Zhenzhen Chen, Auteur ; Jia Yen Eng, Auteur . - 2015.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Volume 78 numéro 9 (Septembre 2015)
Mots-clés : Stroke rehabilitation occupational therapy Singapore Résumé : Introduction This short report describes the use of the Australian Therapy Outcome Measures for Occupational Therapy (AusTOMs-OT) in an early supported discharge programme for stroke patients in Singapore.
Method The Australian Therapy Outcome Measures for Occupational Therapy was assessed at the start and end of the early supported discharge programme and differences were statistically analysed.
Findings All Australian Therapy Outcome Measures for Occupational Therapy scales demonstrated statistically significant change over time. The most commonly used scales were ‘Upper limb use’, ‘Functional walking and mobility’ and ‘Community life, recreation, leisure and play’, reflecting the pertinent types of occupational therapy intervention used in stroke rehabilitation in the home setting.
Conclusion This study shows that the Australian Therapy Outcome Measures for Occupational Therapy is a useful outcome measure that can be used to articulate the administered occupational therapy interventions to members of the multi-disciplinary team and support the effectiveness of occupational therapy in stroke rehabilitation.Permalink : ./index.php?lvl=notice_display&id=40398 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêtClinical non-superiority of technology-assisted gait training with body weight support in patients with subacute stroke : A meta-analysis / Chih-Yang Hsu in Annals of physical and rehabilitation medicine, Vol. 63, n°6 (November 20)
[article]
Titre : Clinical non-superiority of technology-assisted gait training with body weight support in patients with subacute stroke : A meta-analysis Type de document : texte imprimé Auteurs : Chih-Yang Hsu ; Yu-Hsuan Cheng ; Chien-Hung Lai ; Yen-Nung Lin Année de publication : 2020 Article en page(s) : p. 535-542 Note générale : doi.org/10.1016/j.rehab.2019.09.009 Langues : Anglais (eng) Mots-clés : Stroke rehabilitation Robotics Body-weight-support Treadmill Gait Résumé : Background
Technology-assisted gait training (TAGT) with body weight support (BWS) has been designed to provide high numbers of repetitions during stepping practice, but its benefits have been inconclusive.
Objective
We evaluated the superiority of TAGT over conventional overground training (COT) to judge the clinical benefits.
Methods
We searched PubMed, Embase and Web of Science databases from their earliest record to July 1, 2019 and included randomized controlled trials of TAGT with BWS, such as robot-assisted gait training and body weight-supported treadmill training, for treating walking disability in patients within 6 months after stroke. We conducted a meta-analysis of the outcomes motor impairment, mobility capacity, walking speed, endurance and fitness, balance, and activities of daily living as well as subgroup analyses of initial ambulatory ability and stroke duration.
Results
Among 14 robotics and 10 body weight-supported treadmill studies included for review, 23 studies involving 1452 participants contributed to the meta-analysis. We found no significant standardized mean differences between TAGT and COT (P > 0.05) across all outcome categories in the robotics subgroup, the body weight-supported treadmill subgroup, or both subgroups combined, for both the short and long term. Further subgroup analyses also revealed non-significant standardized mean differences (P > 0.05) across all outcomes in the subgroups initially ambulatory, non-ambulatory, or stroke duration less than 3 months.
Conclusions
TAGT with BWS was not superior to COT in improving post-stroke recovery in patients with subacute stroke. Strategies other than simply increasing the repetitions by external assistance may be considered to augment the treatment effects of TAGT.Permalink : ./index.php?lvl=notice_display&id=91466
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 535-542[article] Clinical non-superiority of technology-assisted gait training with body weight support in patients with subacute stroke : A meta-analysis [texte imprimé] / Chih-Yang Hsu ; Yu-Hsuan Cheng ; Chien-Hung Lai ; Yen-Nung Lin . - 2020 . - p. 535-542.
doi.org/10.1016/j.rehab.2019.09.009
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°6 (November 20) . - p. 535-542
Mots-clés : Stroke rehabilitation Robotics Body-weight-support Treadmill Gait Résumé : Background
Technology-assisted gait training (TAGT) with body weight support (BWS) has been designed to provide high numbers of repetitions during stepping practice, but its benefits have been inconclusive.
Objective
We evaluated the superiority of TAGT over conventional overground training (COT) to judge the clinical benefits.
Methods
We searched PubMed, Embase and Web of Science databases from their earliest record to July 1, 2019 and included randomized controlled trials of TAGT with BWS, such as robot-assisted gait training and body weight-supported treadmill training, for treating walking disability in patients within 6 months after stroke. We conducted a meta-analysis of the outcomes motor impairment, mobility capacity, walking speed, endurance and fitness, balance, and activities of daily living as well as subgroup analyses of initial ambulatory ability and stroke duration.
Results
Among 14 robotics and 10 body weight-supported treadmill studies included for review, 23 studies involving 1452 participants contributed to the meta-analysis. We found no significant standardized mean differences between TAGT and COT (P > 0.05) across all outcome categories in the robotics subgroup, the body weight-supported treadmill subgroup, or both subgroups combined, for both the short and long term. Further subgroup analyses also revealed non-significant standardized mean differences (P > 0.05) across all outcomes in the subgroups initially ambulatory, non-ambulatory, or stroke duration less than 3 months.
Conclusions
TAGT with BWS was not superior to COT in improving post-stroke recovery in patients with subacute stroke. Strategies other than simply increasing the repetitions by external assistance may be considered to augment the treatment effects of TAGT.Permalink : ./index.php?lvl=notice_display&id=91466 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêtAn introduction to economic evaluation in occupational therapy: cost-effectiveness of pre-discharge home visits after stroke (HOVIS) / Christopher SAMPSON in The British Journal of Occupational Therapy, volume 77 numéro 7 (Juillet 2014)
[article]
Titre : An introduction to economic evaluation in occupational therapy: cost-effectiveness of pre-discharge home visits after stroke (HOVIS) Type de document : texte imprimé Auteurs : Christopher SAMPSON, Auteur Année de publication : 2014 Article en page(s) : p.330 - p.335 Langues : Anglais (eng) Mots-clés : costs stroke rehabilitation home assessment Permalink : ./index.php?lvl=notice_display&id=33899
in The British Journal of Occupational Therapy > volume 77 numéro 7 (Juillet 2014) . - p.330 - p.335[article] An introduction to economic evaluation in occupational therapy: cost-effectiveness of pre-discharge home visits after stroke (HOVIS) [texte imprimé] / Christopher SAMPSON, Auteur . - 2014 . - p.330 - p.335.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > volume 77 numéro 7 (Juillet 2014) . - p.330 - p.335
Mots-clés : costs stroke rehabilitation home assessment Permalink : ./index.php?lvl=notice_display&id=33899 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêtOccupational performance coaching for stroke survivors (OPC-Stroke): Understanding of mechanisms of actions / Dorothy E. Kessler in The British Journal of Occupational Therapy, Vol.81 Issue 6 (Juin 2018)
PermalinkWho should have a pre-discharge home assessment visit after a stroke? A qualitative study of occupational therapists' views / Philip WITHEHEAD in The British Journal of Occupational Therapy, volume 77 numéro 8 (Août 2014)
PermalinkInterlimb neural coupling: Implications for poststroke hemiparesis / K.N. ARYA in Annals of physical and rehabilitation medicine, Vol. 57, n°9-10 (Décembre 2014)
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