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168 APPENDICES Physiotherapy KCE reports vol. B Table 11 Hemiplegia/hemiparesis: treatment modalities applied by Belgian ambulatory physiotherapists and evidence-based literature Treatment modality Frequency (proportion ± accuracy) Johnstone technique 03 ± 2% PeRFTtti technique 02 ± 2% EMG biofeedback 01 ± 1% Constraint-induced movement therapy 01 ± 1% Picard technique 00 ± 0% Type of evidence No evidence for nor against No evidence for nor against No evidence for nor against Evidence for (weak) but for a small subset of patients and difficult to implement No evidence for nor against Evidence available in the literature on physiotherapy of hemiplegia/hemiparesis due to stroke Adopted under the term specific movement therapies . No specific movement therapy should be assumed to be more efficacious than others. Comparisons of the Bobath concept with other approaches do not demonstrate superiority of one approach over the other at improving upper limb impairment, activity or participation. Adopted under the term specific movement therapies . No specific movement therapy should be assumed to be more efficacious than others. Comparisons of the Bobath concept with other approaches do not demonstrate superiority of one approach over the other at improving upper limb impairment, activity or participation. There is insufficient evidence to support the routine use of EMG biofeedback in the rehabilitation of movement and function after stroke. Constraint-induced movement therapy may prove beneficial for a small subset of stroke patients (weak evidence). Constraint-induced movement therapy is not recommended as the high intensity constraintinduced therapy delivered in research trials may be difficult to deliver in routine practice and has only been proven for the upper limb in certain well-defined situations. Adopted under the term specific movement therapies . No specific movement therapy should be assumed to be more efficacious than others. Comparisons of the Bobath concept with other approaches do not demonstrate superiority of one approach over the other at improving upper limb impairment, activity or participation.
KCE reports vol. 40 APPENDICES Physiotherapy 169 Table 11 Hemiplegia/hemiparesis: treatment modalities applied by Belgian ambulatory physiotherapists and evidence-based literature Treatment modality Frequency (proportion ± accuracy) Brunnström technique 00 ± 0% Type of evidence No evidence for nor against Evidence available in the literature on physiotherapy of hemiplegia/hemiparesis due to stroke Adopted under the term specific movement therapies . No specific movement therapy should be assumed to be more efficacious than others. Comparisons of the Bobath concept with other approaches do not demonstrate superiority of one approach over the other at improving upper limb impairment, activity or participation.
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