Systematic reviews identify important methodological flaws in stroke rehabilitation therapy primary studies: review of reviews

Santaguida, Pasqualina; Oremus, Mark; Walker, Kathryn; Wishart, Laurie; Siegel, Karen Lohmann; Raina, Parminder

doi:10.1016/j.jclinepi.2011.10.012

Cited by 16 publications

(10 citation statements)

References 63 publications

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“…An adaptation from Oxman and Guyatt [33] and Santaguida et al [46] were implemented for scoring these items. We introduced a full score of 100 points to cover this study which is discriminated as follows: 10, obligatory conditions to be assessed from the area under curve; 5, mandatory variables in the study of neural signals, and 0, no information on the items to be evaluated was provided.…”

Section: The Quasi Scorementioning

confidence: 99%

A new neurometric dissection of the area-under-curve-associated jiggle of the motor evoked potential induced by transcranial magnetic stimulation

León-Sarmiento

Rizzo-Sierra

León-Ariza

et al. 2015

Physiology & Behavior

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Section: The Quasi Scorementioning

confidence: 99%

A new neurometric dissection of the area-under-curve-associated jiggle of the motor evoked potential induced by transcranial magnetic stimulation

León-Sarmiento

Rizzo-Sierra

León-Ariza

et al. 2015

Physiology & Behavior

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“…The methodological flaws of the reviews, in particular non-Cochrane reviews, were identified. (16) The methodological quality of systematic reviews about acupuncture for stroke patients has not been evaluated so far.…”

Section: Introductionmentioning

confidence: 99%

Methological quality of systematic reviews and meta-analyses on acupuncture for stroke: A review of review

Chen

et al. 2017

Chin. J. Integr. Med.

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-T. (2017) Methological quality of systematic reviews and meta-analyses on acupuncture for stroke: a review of review. Chinese Journal of Integrative Medicine, 23(11), pp. 871-877.(doi:10.1007Medicine, 23(11), pp. 871-877.(doi:10. /s11655-017-2764 This is the author's final accepted version.There may be differences between this version and the published version. You are advised to consult the publisher's version if you wish to cite from it.http://eprints.gla.ac.uk/148733/ Database to identify systematic reviews and meta-analyses about acupuncture for stroke published from the inception to December 2016. Review characteristics and the criteria for assessing the primary studies within reviews were extracted. The methodological quality of the reviews was assessed using adapted Oxman and Guyatt Scale. The methodological quality of primary studies was also assessed.Results: Thirty-two eligible reviews were identified, 15 in English and 17 in Chinese.The English reviews were scored higher than the Chinese reviews (P=0.025), especially in criteria for avoiding bias and the scope of search. All reviews used the quality criteria to evaluate the methodological quality of primary studies, but some criteria were not comprehensive. The primary studies, in particular the Chinese reviews, had problems with randomization, allocation concealment, blinding, dropouts and withdrawals, intent to treat analysis and adverse events.Conclusions: Important methodological flaws were found in Chinese systematic reviews and primary studies. It was necessary to improve the methodological quality and reporting quality of both the systematic reviews published in China and primary studies on acupuncture for stroke. KEYWORDSsystematic review, meta-analyses, stroke, acupuncture, review of review, methodological quality 3

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“…An extensive review of the literature on FES clinical trials revealed that the majority of research groups used walking speed as the outcome measure to evaluate the efficacy of FES [2]. Additional outcomes used were the Modified Ashworth Scale, FugleMeyer Assessment score, and range of motion [3,4].…”

Section: Introductionmentioning

confidence: 99%

Therapeutic effects of functional electrical stimulation on gait, motor recovery, and motor cortex in stroke survivors

Shendkar¹,

Lenka²,

Biswas³

et al. 2015

Hong Kong Physiotherapy Journal

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KEYWORDS foot drop; functional electrical stimulation (FES); gait; physiotherapy; surface electromyography (sEMG)Abstract The purpose of this parallel group controlled clinical trial was to investigate the therapeutic effect of functional electrical stimulation (FES) on gait, motor recovery, and motor cortex activity. Adults experiencing foot drop <6 months poststroke were allocated to the FES group (physiotherapy and FES stimulation, n Z 14) or the control group (physiotherapy, n Z 14). Each group received their respective therapy 5 days/week for 12 weeks. Gait, surface electromyography (sEMG) of the tibialis anterior muscle in the affected leg, and electroencephalogram (EEG) signals from the foot motor area were assessed at baseline and again after the 12-week intervention. The results showed that the FES intervention induced significantly more changes in various gait swing parameters such as foot pulling acceleration (measured in unit of gravitational constant G; net between-group difference: 0.11 AE 0.02 G, p Z 0.021), swing power (0.11 AE 0.03 G, p Z 0.027) and ground impact (0.12 AE 0.04 G, p Z 0.046) than the control group. EEG analysis revealed that the FES group had significantly altered beta-3 mean (0.50 AE 0.09, p Z 0.021), beta-4 mean (0.60 AE 0.05, p Z 0.024) and alpha peak frequency (0.15 AE 0.02, p Z 0.035). Finally, analysis of sEMG data showed a significantly greater increase in amplitude (in root mean square; 13.2 AE 2.11 mV, p Z 0.033), mean power frequency (5.5 AE 0.80 Hz, p Z 0.024) and median power frequency (6.5 AE 0.90 Hz, p Z 0.021) of the tibialis anterior muscle on the affected side in the FES group. We concluded that the FES combined with physiotherapy induced better outcomes in the swing phase of the gait cycle, (M. Mahadevappa). + MODELPlease cite this article in press as: Shendkar CV, et al., Therapeutic effects of functional electrical stimulation on gait, motor recovery, and motor cortex in stroke survivors, Hong Kong Physiotherapy Journal (2014), http://dx.

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Systematic reviews identify important methodological flaws in stroke rehabilitation therapy primary studies: review of reviews

Cited by 16 publications

References 63 publications

A new neurometric dissection of the area-under-curve-associated jiggle of the motor evoked potential induced by transcranial magnetic stimulation

A new neurometric dissection of the area-under-curve-associated jiggle of the motor evoked potential induced by transcranial magnetic stimulation

Methological quality of systematic reviews and meta-analyses on acupuncture for stroke: A review of review

Therapeutic effects of functional electrical stimulation on gait, motor recovery, and motor cortex in stroke survivors

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