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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)
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)
BACKGROUND Transferring knowledge from research into practice can be challenging, partly because the process involves a change in attitudes, roles and behaviour by individuals and teams. Helping teams to identify then target potential barriers may aid the knowledge transfer process. The aim of this study was to identify barriers and enablers, as perceived(More)
BACKGROUND Pre-discharge home visits aim to maximise independence in the community. These visits involve assessment of a person in their own home prior to discharge from hospital, typically by an occupational therapist. The therapist may provide equipment, adapt the home environment and/or provide education. The aims of this study were to investigate the(More)
BACKGROUND Translating evidence into practice is an important final step in the process of evidence-based practice. Medical record audits can be used to examine how well practice compares with published evidence, and identify evidence-practice gaps. After providing audit feedback to professionals, local barriers to practice change can be identified and(More)
BACKGROUND Handwriting is an important activity that is commonly affected by neurological and orthopaedic conditions. Handwriting research has predominantly involved children. Little is known about handwriting behaviour in healthy older adults. AIM This study aims to describe the handwriting practices of 30 unimpaired adults aged 65 years and over. (More)
OBJECTIVE The objective of this study was to develop, pilot, and evaluate the interrater reliability of a new Handwriting Assessment Battery for adults. DESIGN Test development included item selection and interrater reliability involving two raters. METHOD The test assessed pen control and manipulation, writing speed, and writing legibility. Ten people(More)
BACKGROUND Contrary to recommendations in a national clinical guideline, baseline audits from five community-based stroke rehabilitation teams demonstrated an evidence-practice gap; only 17% of eligible people with stroke were receiving targeted rehabilitation by occupational therapists and physiotherapists to increase outdoor journeys. The primary aim of(More)
AIM Normative adult handwriting speed data were last collected in Australia in 1982 using the Jebsen writing speed test. Updated norms are required by clinicians who measure and retrain handwriting. This study aimed to obtain and describe the range of normative scores for handwriting speed in healthy adults aged 60-99 years. METHODS A descriptive cohort(More)
BACKGROUND Up to 42% of all stroke patients do not get out of the house as much as they would like. This can impede a person's quality of life. This study is testing the clinical effectiveness and cost effectiveness of a new outdoor mobility rehabilitation intervention by comparing it to usual care. METHODS/DESIGN This is a multi-centre parallel group(More)