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BACKGROUND AND PURPOSE Splints are commonly applied to the wrist and hand to prevent and treat contracture after stroke. However, there have been few randomized trials of this intervention. We sought to determine whether wearing a hand splint, which positions the wrist in either a neutral or an extended position, reduces wrist contracture in adults with(More)
BACKGROUND Many health professionals lack the skills to find and appraise published research. This lack of skills and associated knowledge needs to be addressed, and practice habits need to change, for evidence-based practice to occur. The aim of this before and after study was to evaluate the effect of a multifaceted intervention on the knowledge, skills,(More)
PURPOSE The Disabilities of Arm, Shoulder and Hand (DASH) questionnaire is a patient reported outcome measure for evaluating upper limb function in people with musculoskeletal conditions. While the DASH has good psychometric properties when used with people with musculoskeletal conditions, it has not been tested with adults after stroke. METHODS Data for(More)
OBJECTIVE To evaluate the effects of 4 weeks of hand splinting on the length of finger and wrist flexor muscles, hand function, and pain in people with acquired brain impairment. DESIGN Randomized, assessor-blinded trial. SETTING Rehabilitation center in Australia. PARTICIPANTS Twenty-eight adults with acquired brain impairment, all within 6 months of(More)
INTRODUCTION Health educators who teach professionals about evidence-based practice (EBP) need instruments to measure change in skills and knowledge. This study aimed to develop and evaluate the interrater reliability, internal consistency, and responsiveness of the Adapted Fresno Test (AFT) of competence in EBP. METHODS Reliability testing involved 2(More)
BACKGROUND Handwriting is an important activity for people of all ages. Handwriting is frequently affected after stroke and other neurological conditions. However, research on the handwriting of healthy adults is difficult to find. This review aims to advance the development of evidence-informed handwriting assessment and retraining. AIM The aim of this(More)
PURPOSE Power wheelchairs and scooters have the potential to increase community participation for people with mobility limitations. However, there are also challenges associated with use. The aims of this study were to investigate the characteristics of adults who use power wheelchairs and scooters, explore the process of power-mobility provision and(More)
RATIONALE AND AIMS 'OTseeker' is an online database of randomized controlled trials (RCTs) and systematic reviews relevant to occupational therapy. RCTs are critically appraised and rated for quality using the 'PEDro' scale. We aimed to investigate the inter-rater reliability of the PEDro scale before and after revising rating guidelines. METHODS In study(More)
This clinical scenario illustrates how OTseeker can be used by occupational therapists to locate research that may inform clinical decisions. Beyond the clinical arena, this database also has potential to greatly enhance the ability of researchers to perform systematic reviews of RCTs and eventually, development of clinical guidelines. In conclusion,(More)
RATIONALE Almost one-third of Australians need help to travel outdoors after a stroke. Ambulation training and escorted outings are recommended as best practice in Australian clinical guidelines for stroke. Yet fewer than 20% of people with stroke receive enough of these sessions in their local community to change outcomes. AIMS The Out-and-About trial(More)