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FältnamnIndikatorerMetadata
00004915naa a2200517 4500
001oai:gup.ub.gu.se/283096
003SwePub
008240528s2019 | |||||||||||000 ||eng|
024a https://gup.ub.gu.se/publication/2830962 URI
024a https://doi.org/10.3389/fneur.2019.005672 DOI
040 a (SwePub)gu
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Burridge, J.4 aut
2451 0a A systematic review of international clinical guidelines for rehabilitation of people with neurological conditions: What recommendations are made for upperlimb assessment?
264 c 2019-06-25
264 1b Frontiers Media SA,c 2019
520 a 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. © 2019 Burridge, Alt Murphy, Buurke, Feys, Keller, Klamroth-Marganska, Lamers, McNicholas, Prange, Tarkka, Timmermans and Hughes.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Neurologi0 (SwePub)302072 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Neurology0 (SwePub)302072 hsv//eng
653 a Activity
653 a Guidelines
653 a Impairment
653 a Neurological conditions
653 a Outcome and process assessment
653 a Practice guidelines
653 a Systematic review
653 a Upper limb
700a Alt Murphy, Margit,d 1970u Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience4 aut0 (Swepub:gu)xaltma
700a Buurke, J.4 aut
700a Feys, P.4 aut
700a Keller, T.4 aut
700a Klamroth-Marganska, V.4 aut
700a Lamers, I.4 aut
700a McNicholas, L.4 aut
700a Prange, G.4 aut
700a Tarkka, I.4 aut
700a Timmermans, A.4 aut
700a Hughes, A. M.4 aut
710a Göteborgs universitetb Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap4 org
773t Frontiers in Neurologyd : Frontiers Media SAg 10q 10x 1664-2295
856u https://doi.org/10.3389/fneur.2019.00567
8564 8u https://gup.ub.gu.se/publication/283096
8564 8u https://doi.org/10.3389/fneur.2019.00567

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