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The top ten research questions for occupational therapy in stroke rehabilitation

Presented by Lynn Legg at the 2003 NANOT annual conference.

Evidence based clinical practice is the explicit linking of evidence from clinical research to clinical decision-making. Therefore clinical research needs to be valid, reliable and relevant.

At the 2001 NANOT conference, Newcastle, delegates took part in an exercise to identify and rank burning questions related to stroke rehabilitation. Lynn Legg of the Stroke Therapy Evaluation Project (STEP), Glasgow, then rolled out this exercise to all NANOT members. The aim of this exercise was to set an occupational therapy / stroke rehabilitation research agenda that was relevant to clinician's needs.

Lynn Legg presented the results at the 2002 NANOT annual conference, London, in a paper entitled Evidence-based practice in stroke rehabilitation: listening to occupational therapists' research information needs.

Questionnaires had been sent to all NANOT members with the NANOT newsletter - 535 questionnaires were returned, giving a response rate of 63%.

The top ten research questions identified by Occupational Therapists in these questionnaires were:

10. How effective is therapeutic positioning in the promotion of functional recovery after stroke? 50.7%
9. What are the relative benefits of different treatment approaches? 53.5%
8. How effective is splinting in the promotion and/ or maintenance of hand function after stroke? 54.0%
7. What is the most effective way to manage inattention after stroke? 55.9%
6. What is the most effective way to manage cognitive problems after stroke? 59.4%
5. What is the most effective way to manage perceptual problems after stroke? 60.9%
=3. What is the optimum amount of occupational therapy to promote recovery in the stroke patient? 61.5%
=3. What are the advantages of offering longer-term rehab services following hospital discharge? 61.5%
2. Does early occupational therapy lead to improved physical and functional outcomes? 63.9%
1. How effective is occupational therapy? 67.9%

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