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68 APPENDICES Physiotherapy KCE reports vol. 40 systematic review (38) Positive answer to all questions of the form. An evidence-based review of stroke Systematic review Review of 403 trials on stroke rehabilitation (272 Cochrane Va form for SRs rehabilitation (15) RCTs); period of search, 1968 to 2001) Overall medium to good-quality study that reviews a very large number of RCTs and physical therapy modalities. Literature search procedure and quality appraisal available in another previous paper by the same authors in the same journal (35). However, answers to questions 6 and 7 of the form are negative (the authors do not address statistical heterogeneity and do not pool the results of the studies on the same techniques). Hence, strength of Is there evidence that strength training Systematic review recommendations available in this reference must be implemented with caution. Unusual narrative review in which, starting from a Cochrane Va form for SRs could help improve muscle function case report, the author discusses the results of 4 Low-quality review that should be and other outcomes without reinforcing abnormal movement patterns or increasing reflex activity in a man who has had a stroke? (39) RCTs obtained through a well-described systematic search of the literature. considered more as a narrative review (no systematic critical appraisal of the selected studies, no statistical evaluation of the results ). The impact of physical therapy on Systematic review Review of 151 eligible studies (123 RCTs and 28 Cochrane Va form for SRs functional outcomes after stroke: CTs) that focused on 10 rehabilitation methods Very good quality study. what's the evidence? (21) applied in post stroke patients. Positive answer to all questions of the Methodological quality of all RCTs had a median of form. 5 points on the 10-point PEDro scale (range 2-8 points). Bobath or motor relearning RCT RCT comparing effectiveness of Bobath and Motor Cochrane II form for RCTs programme? A follow-up one and four Relearning Programme techniques in patients Methods of this RCT are described in years post stroke (40) (28+33). Outcome measures: 2 motor functioning indices, a previous paper by the same author (41). Barthel index, Nottingham Health Profile, and Medium-quality RCT as it is not sure balance. whether subjects, physiotherapists and evaluators were blinded to intervention.
KCE reports vol. 40 APPENDICES Physiotherapy 69 C. SEARCH PROCEDURES FOR GAIT REHABILITATION IN THE ELDERLY 1. MEDLINE (PUBMED; MAY 2006) Different associations of key word are realised to increase the possibility to find specific publications about the walking disorders in elderly people: Elderly people AND walking disorders / elderly people AND gait disorders / elderly people AND locomotion disorder / elderly people AND ambulation disorder. Search for elderly people walking disorders AND rehabilitation 690 references found. Selection of the references to be retrieved is made on basis of the title and the abstract. Only references focusing on gait rehabilitation in the elderly in general are retrieved. The following limitations have been applied to the search: - Limit previous search to practice guidelines : no reference found, - Limit to meta-analysis : 2 references found, not relevant, - Limit to reviews : 38 references found. Four are retrieved, - Limit to RCTs : 81 references were found. Only four are retrieved. Search for Elderly people gait disorders AND rehabilitation : 300 references found Search for Elderly people locomotion disorders AND rehabilitation : 209 references found Search for Elderly people ambulation disorders AND rehabilitation : 168 references found For the last three searchs, the same articles were selected than for walking disorders. 2. PEDRO (MAY 2006) Search for elderly people and walking disorders in the advanced search window: 10 records found: - no practice guidelines - 2 systematic reviews; only one relevant (48), - 8 clinical trials found; only two relevant and already found in Medline (54, 58). 3. COCHRANE REVIEWS (MAY 2006) Search for elderly people walking disorders in the search the abstracts window of the main Cochrane Reviews page: 2 records found. No one relevant. 4. CENTRE FOR REVIEWS AND DISSEMINATION (MAY 2006) Search for elderly people AND Rehabilitation in all CRD databases (in title and abstracts). 24 records found. Only 1 new relevant reference was kept (53). 5. ANAES, SSMG, WVVH, KNGF (MAY 2006) ANAES: Physiotherapy clinical practice guidelines: 1 reference was found: Prescribing motor function in frail elderly people living at home. April 2005. SSMG, WVVH, KNGF: No new reference found 6. ADDITIONAL SEARCH IN EMBASE (JUNE 2006) The 2 new following relevant references were found and retrieved:
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