A systematic review of international clinical guidelines for rehabilitation of people with neurological conditions : what recommendations are made for upper limb assessment?

Burridge, Jane; Alt Murphy, Margit; Buurke, Jaap; Feys, Peter; Keller, Thierry; Klamroth-Marganska, Verena; Lamers, Ilse; McNicholas, Lauren; Prange, Gerdienke; Tarkka, Ina; Timmermans, Annick; Hughes, Ann-Marie

doi:10.3389/fneur.2019.00567

Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-26412

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	A systematic review of international clinical guidelines for rehabilitation of people with neurological conditions : what recommendations are made for upper limb assessment?
Authors:	Burridge, Jane Alt Murphy, Margit Buurke, Jaap Feys, Peter Keller, Thierry Klamroth-Marganska, Verena Lamers, Ilse McNicholas, Lauren Prange, Gerdienke Tarkka, Ina Timmermans, Annick Hughes, Ann-Marie
et. al:	No
DOI:	10.3389/fneur.2019.00567 10.21256/zhaw-26412
Published in:	Frontiers in Neurology
Volume(Issue):	10
Issue:	567
Issue Date:	2019
Publisher / Ed. Institution:	Frontiers Research Foundation
ISSN:	1664-2295
Language:	English
Subjects:	Activity; Guideline; Impairment; Neurological condition; Outcome and process assessment; Practice guideline; Systematic review; Upper limb
Subject (DDC):	616.8: Neurology, diseases of nervous system
Abstract:	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.
URI:	https://digitalcollection.zhaw.ch/handle/11475/26412
Fulltext version:	Published version
License (according to publishing contract):	CC BY 4.0: Attribution 4.0 International
Departement:	School of Health Sciences
Organisational Unit:	Institute of Occupational Therapy (IER)
Appears in collections:	Publikationen Gesundheit

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Burridge, J., Alt Murphy, M., Buurke, J., Feys, P., Keller, T., Klamroth-Marganska, V., Lamers, I., McNicholas, L., Prange, G., Tarkka, I., Timmermans, A., & Hughes, A.-M. (2019). A systematic review of international clinical guidelines for rehabilitation of people with neurological conditions : what recommendations are made for upper limb assessment? Frontiers in Neurology, 10(567). https://doi.org/10.3389/fneur.2019.00567

Burridge, J. et al. (2019) ‘A systematic review of international clinical guidelines for rehabilitation of people with neurological conditions : what recommendations are made for upper limb assessment?’, Frontiers in Neurology, 10(567). Available at: https://doi.org/10.3389/fneur.2019.00567.

J. Burridge et al., “A systematic review of international clinical guidelines for rehabilitation of people with neurological conditions : what recommendations are made for upper limb assessment?,” Frontiers in Neurology, vol. 10, no. 567, 2019, doi: 10.3389/fneur.2019.00567.

BURRIDGE, Jane, Margit ALT MURPHY, Jaap BUURKE, Peter FEYS, Thierry KELLER, Verena KLAMROTH-MARGANSKA, Ilse LAMERS, Lauren MCNICHOLAS, Gerdienke PRANGE, Ina TARKKA, Annick TIMMERMANS und Ann-Marie HUGHES, 2019. A systematic review of international clinical guidelines for rehabilitation of people with neurological conditions : what recommendations are made for upper limb assessment? Frontiers in Neurology. 2019. Bd. 10, Nr. 567. DOI 10.3389/fneur.2019.00567

Burridge, Jane, Margit Alt Murphy, Jaap Buurke, Peter Feys, Thierry Keller, Verena Klamroth-Marganska, Ilse Lamers, et al. 2019. “A Systematic Review of International Clinical Guidelines for Rehabilitation of People with Neurological Conditions : What Recommendations Are Made for Upper Limb Assessment?” Frontiers in Neurology 10 (567). https://doi.org/10.3389/fneur.2019.00567.

Burridge, Jane, et al. “A Systematic Review of International Clinical Guidelines for Rehabilitation of People with Neurological Conditions : What Recommendations Are Made for Upper Limb Assessment?” Frontiers in Neurology, vol. 10, no. 567, 2019, https://doi.org/10.3389/fneur.2019.00567.