ATRAS Work Package 2 Published Evidence

AT Definition An AT is a mechanical or electrical device used in a functional task orientated training process which will have a systemic or rehabilitative effect on the person.

North o’ the Border GlasgowGlasgow –Peter Langhorne –Fiona Coupar –Phil Rowe –Alex Pollack EdinburghEdinburgh –Peter Sandercock –Sarah Keir –Malcolm MacLeod –Charles Warlow –et al

Searches TermsTerms StrategyStrategy DatabasesDatabases Cochrane reviewsCochrane reviews

Searching MeSH : Stroke or stroke (text) MeSH : Upper extremity or ‘upper extremity’(Text) Upper limb* Arm* Hand* Shoulder* Elbow* Wrist* Finger* Thumb*

Assistive Technologies Cast* Orthot* Orthos* Splint* Dynamic devices “Contracture Correction Device” OR CCD Electric* Stimulat* FES or ‘Functional Electrical Stimulation’ ES ENS or ‘electrical neuromuscular stimulation’ IFT or “Inferential Therapy” “Cortical Stim*” “Transcranial Magnetic Stimulation” or TMS Electro* Mech* Robo* CIMT mitt “Constraint induced” OR “Forced Use” CPM or ‘continuous passive movement’ or ‘continuous passive motion’ Biofeedback or Bio feedback “Virtual Reality” or VR or “Wii”

Databases AMED,CINAHL,Cochrane CSA Illumina, EMBASE,MEDLINEPsycINFO, Web of Science, PEDRo RECAL Legacy CIRRIE, REHABDATA COMPENDEX INSPEC National Research Register (clinical trials) Reports from professional bodies (RCP Guidelines, CSP) Dissertation Abstracts, Conference proceedings.

Further searches Check search terms against Cochrane terms especially for StrokeCheck search terms against Cochrane terms especially for Stroke Check additional databasesCheck additional databases – trials.gov –

Cochrane Stroke Group Topic termsTopic terms RegisteredRegistered –Titles –Protocols –Reviews

Data Extraction Initial ScreeningInitial Screening Van Tulder CriteriaVan Tulder Criteria Clinical RelevanceClinical Relevance Data ExtractionData Extraction Review papersReview papers

Focussing Data Extraction Reduce data to be extractedReduce data to be extracted Create form for data entryCreate form for data entry Paper copyPaper copy

Not only but also Scientific rationale Scientific rationale Pathophysiology and Treatment RecoveryorCompensation Outcome measures Impairment Activity Limitation Participation Functional Threshold

Inter-rater Agreement

Timetabling WP2 - Literature review 09 Q1Q2Q3Q4 10 Q1Q2Q3Q4 11 Q1Q2Q3Q4 Planning the review Conducting the searches Selection of articles Review process Peer review by management team Audit of article selection Audit of reviewed articles Updating of reviews Publication of systematic reviews Reports 20/11 / /11 / /03 / /11 /2010

Revised Plan Initial ScreeningInitial Screening –Project Coordinator and WP2 Lead Van Tulder SheetVan Tulder Sheet –All reviewers Selection of Review PapersSelection of Review Papers –Project Coordinator and WP2 Lead Data extractionData extraction –Project Coordinator and WP2 Lead

Auditing our Process

Planning for WP4 Review findingsReview findings Conference proceedings (delegate this PG/UG student)Conference proceedings (delegate this PG/UG student) Ongoing Trials (from clinical trials register)Ongoing Trials (from clinical trials register)

Matrix to help with WP4 Can have the following layers... Levels of evidenceLevels of evidence ICF (aims of treatment)ICF (aims of treatment) Ongoing Trials (from clinical trials register) + ConferenceOngoing Trials (from clinical trials register) + Conference Severity of strokeSeverity of stroke Time post strokeTime post stroke JointJoint ATAT

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