The development of a clinical practice stroke guideline for physiotherapists in The Netherlands: A systematic review of available evidence

Peppen, R.P.S. van; Hendriks, H. Jurgens; Meeteren, N.L.U. van; Helders, P. J. M.; Kwakkel, Gert

doi:10.1080/09638280600919764

Cited by 83 publications

(74 citation statements)

References 67 publications

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“…It was convincingly demonstrated and highlighted that exercise load is a highly important variable [27,51]. Exercise programmes would be more effective if they would be more intense, with a high frequency (twice weekly) and especially if the length of the programme would exceed 25 weeks.…”

Section: Discussionmentioning

confidence: 98%

Impact of physical activity and sedentary behaviour on fall risks in older people: a systematic review and meta-analysis of observational studies

Thibaud

Bloch

Tournoux-Facon

et al. 2011

Eur Rev Aging Phys Act

109

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Section: Discussionmentioning

confidence: 98%

Impact of physical activity and sedentary behaviour on fall risks in older people: a systematic review and meta-analysis of observational studies

Thibaud

Bloch

Tournoux-Facon

et al. 2011

Eur Rev Aging Phys Act

109

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“…Most studies suffered from low treatment contrast; a valid comparison between the treatment and control groups was prohibited because often no control was implemented for the amount of attention given to both groups. Based on previous systematic reviews, Kwakkel et al 6 and van Peppen et al 23,56,57 found that the overall sizes of treatment effects were relatively small ranging from 5% 6 to maximally 12% 23 in favor of the experimental treatment arm. These relatively small effects further increase the risk of Type II error.…”

Section: Methodological Considerationsmentioning

confidence: 99%

“…14.350.047) and facilitated over a 1-year course in which all instructors were also trained to select and apply the core set of measurement instruments recommended by the Dutch stroke rehabilitation guidelines and to predict individual functional outcome. 57 This systematic review has highlighted many methodological shortcomings in the studies reviewed. Future RCTs need to analyze the content of therapy and consider the intensity of intervention delivered in relation to the outcomes achieved.…”

Section: Moving Forwardmentioning

confidence: 99%

The Effectiveness of the Bobath Concept in Stroke Rehabilitation

Kollen

Lennon

Lyons

et al. 2009

Stroke

250

144

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Background and Purpose-In the Western world, the Bobath Concept or neurodevelopmental treatment is the most popular treatment approach used in stroke rehabilitation, yet the superiority of the Bobath Concept as the optimal type of treatment has not been established. This systematic review of randomized, controlled trials aimed to evaluate the available evidence for the effectiveness of the Bobath Concept in stroke rehabilitation. Method-A systematic literature search was conducted in the bibliographic databases MEDLINE and CENTRAL (March 2008) and by screening the references of selected publications (including reviews). Studies in which the effects of the Bobath Concept were investigated were classified into the following domains: sensorimotor control of upper and lower limb; sitting and standing, balance control, and dexterity; mobility; activities of daily living; health-related quality of life; and cost-effectiveness. Due to methodological heterogeneity within the selected studies, statistical pooling was not considered. Two independent researchers rated all retrieved literature according to the Physiotherapy Evidence Database (PEDro) scale from which a best evidence synthesis was derived to determine the strength of the evidence for both effectiveness of the Bobath Concept and for its superiority over other approaches. Results-The search strategy initially identified 2263 studies. After selection based on predetermined criteria, finally, 16 studies involving 813 patients with stroke were included for further analysis. There was no evidence of superiority of Bobath on sensorimotor control of upper and lower limb, dexterity, mobility, activities of daily living, health-related quality of life, and cost-effectiveness. Only limited evidence was found for balance control in favor of Bobath. Because of the limited evidence available, no best evidence synthesis was applied for the health-related quality-of-life domain and cost-effectiveness. Conclusions-This systematic review confirms that overall the Bobath Concept is not superior to other approaches. Based on best evidence synthesis, no evidence is available for the superiority of any approach. This review has highlighted many methodological shortcomings in the studies reviewed; further high-quality trials need to be published. Evidence-based guidelines rather than therapist preference should serve as a framework from which therapists should derive the most effective treatment. (Stroke. 2009;40:e89-e97.)

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“…17 Participants walked 10 metres quickly but safely, and the time was recorded from a standing start until participants had passed the 10-metre line with both feet. Two trials were performed, and the fastest time was recorded.…”

Section: Methodsmentioning

confidence: 99%

Validity and Reliability of the Swedish Version of the Activities-specific Balance Confidence Scale in People with Chronic Stroke

Forsberg

Nilsagård

2013

Physiotherapy Canada

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Purpose: To evaluate the validity and reliability of the Swedish version of the Activities-specific Balance Confidence (ABC) scale in people >1 year after stroke. Method: In a multi-centre study design, using initial cross-sectional data collection with follow-up, the timed up-and-go (TUG) test, 10 m timed walk (10TW), and 6-Minute Walk Test (6MWT) were performed; ABC scale and Short Form 36 Health Survey (SF-36) were completed; and falls history data were collected during one session. One week later, the ABC scale was sent to participants for a second rating. Spearman correlation coefficients were calculated, and reliability was assessed via the intra-class correlation coefficient (ICC) and Cronbach alpha. Results: A convenience sample of 67 people was included (mean age 68 y). The median score for the ABC scale changed from 57 at the first rating to 43 at the second; 19 participants (28%) reported falls during the previous 3 months. Scores on the ABC scale were moderately correlated with the TUG (r ¼ À0.48), 10TW (r ¼ À0.52), 6MWT (r ¼ 0.45), and SF-36 physical component summary score (r ¼ 0.43). Internal consistency was high for the ABC scale at test and retest (a ¼ 0.95-0.97). The ICC was 0.82 (95% CI, 0.72-0.88). Conclusions: The Swedish version of the ABC scale is a valid and reliable measure for investigating balance confidence in people >1 year after stroke.Key Words: postural balance; self-efficacy; stroke; validation studies; walking RÉ SUMÉObjectif : É valuer la validité et la fiabilité de la version sué doise de l'é chelle ABC (Activities-specific Balance Confidence scale) de confiance de la personne en son é quilibre associé à des gestes de la vie quotidienne chez les personnes >1 an aprè s un AVC. Concept : Collecte initiale de donné es transversales multicentres avec suivi à l'aide de l'é chelle ABC en Suè de. Mé thode : Un test de locomotion TUG (timed up-and-go), 10 mè tres de marche chronomé tré e (10MWT) et un test de marche de 6 minutes (6MWT) ont é té effectué s; une é valuation à l'é chelle ABC et le questionnaire Short Form 36 Health Survey (SF-36) ont é té ré alisé s; des donné es sur l'historique des chutes ont aussi é té recueillies au cours d'une sé ance. Une semaine plus tard, l'é chelle ABC a é té envoyé e aux participants pour une deuxiè me é valuation. Les coefficients de corré lation de Spearman ont é té calculé s, et la fiabilité a é té é valué e à l'aide du coefficient de corré lation intraclasse (CCI) et du coefficient alpha de Cronbach. Ré sultats : Un é chantillon de commodité de 67 personnes a é té inclus (â ge moyen: 68 ans). Le pointage moyen à l'é chelle ABC est passé de 57 à la premiè re é valuation à 43 lors de la seconde; 19 participants (28%) ont signalé des chutes au cours des trois mois pré cé dents. Les pointages à l'é chelle ABC affichaient une corré lation modé ré e avec le test TUG (r ¼ 0,48), le 10 MWT (r ¼ 0,52), avec le 6MWT (r ¼ 0,45) et avec le pointage sommaire de la composante physique du questionnaire SF-36 (r ¼ 0,43). La cohé rence interne é tai...

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The development of a clinical practice stroke guideline for physiotherapists in The Netherlands: A systematic review of available evidence

Cited by 83 publications

References 67 publications

Impact of physical activity and sedentary behaviour on fall risks in older people: a systematic review and meta-analysis of observational studies

Impact of physical activity and sedentary behaviour on fall risks in older people: a systematic review and meta-analysis of observational studies

The Effectiveness of the Bobath Concept in Stroke Rehabilitation

Validity and Reliability of the Swedish Version of the Activities-specific Balance Confidence Scale in People with Chronic Stroke

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