TY - JOUR
T1 - Narrative Review of Clinical Practice Guidelines for Rehabilitation of People With Spinal Cord Injury
T2 - 2010-2020
AU - Gerber, Lynn H.
AU - Deshpande, Rati
AU - Prabhakar, Shruthi
AU - Cai, Cindy
AU - Garfinkel, Steven
AU - Morse, Leslie
AU - Harrington, Amanda L.
N1 - Publisher Copyright:
© Wolters Kluwer Health, Inc. All rights reserved.
PY - 2020/11/6
Y1 - 2020/11/6
N2 - Clinical practice guidelines provide reliable, vetted, and critical information to bring research to practice. Some medical specialties (e.g., physical medicine and rehabilitation) provide multidomain treatment for various conditions. This presents challenges because physical medicine and rehabilitation is a small specialty, a diverse patient base in terms sociodemographics and diagnosis, treatments are difficult to standardize, and rehabilitation research is underfunded. We wished to identify quality and applicability of clinical practice guidelines and searched "Spinal Cord Injury AND Clinical Practice Guidelines AND Rehabilitation"and vetting process. Three hundred fifty-nine articles were identified of which 58 met all criteria for full-text review of which 13 were included in the final selection. Additional publications were accessed from a nondatabase search. Five articles addressed postacute care, community treatment. Nine articles had no recorded vetting process but addressed rehabilitation as an outcome and were included separately. Many of the clinical practice guidelines were developed without evidence from randomized controlled trials, one had input from stakeholders, and some are out of date and do not address important aspects of changes in demographics of the affected population and the use of newer technologies such as sensors and robotics and devices. Identification of these gaps may help stimulate treatment that is clinically relevant, accessible, and current.
AB - Clinical practice guidelines provide reliable, vetted, and critical information to bring research to practice. Some medical specialties (e.g., physical medicine and rehabilitation) provide multidomain treatment for various conditions. This presents challenges because physical medicine and rehabilitation is a small specialty, a diverse patient base in terms sociodemographics and diagnosis, treatments are difficult to standardize, and rehabilitation research is underfunded. We wished to identify quality and applicability of clinical practice guidelines and searched "Spinal Cord Injury AND Clinical Practice Guidelines AND Rehabilitation"and vetting process. Three hundred fifty-nine articles were identified of which 58 met all criteria for full-text review of which 13 were included in the final selection. Additional publications were accessed from a nondatabase search. Five articles addressed postacute care, community treatment. Nine articles had no recorded vetting process but addressed rehabilitation as an outcome and were included separately. Many of the clinical practice guidelines were developed without evidence from randomized controlled trials, one had input from stakeholders, and some are out of date and do not address important aspects of changes in demographics of the affected population and the use of newer technologies such as sensors and robotics and devices. Identification of these gaps may help stimulate treatment that is clinically relevant, accessible, and current.
KW - Clinical Practice Guidelines
KW - Function
KW - Rehabilitation
KW - Spinal Cord Injury
UR - http://www.scopus.com/inward/record.url?scp=85103993857&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85103993857&partnerID=8YFLogxK
U2 - 10.1097/PHM.0000000000001637
DO - 10.1097/PHM.0000000000001637
M3 - Article
C2 - 33164995
AN - SCOPUS:85103993857
SN - 0894-9115
VL - 100
SP - 501
EP - 512
JO - American Journal of Physical Medicine and Rehabilitation
JF - American Journal of Physical Medicine and Rehabilitation
IS - 5
ER -