1 School of Medicine, University of Nottingham, Nottingham, UK.
2 Centre for Research in Evidence-Based Practice, Bond University, Queensland, Australia.
Neurorehabil Neural Repair. 2017 Oct-Nov;31(10-11):877-884. doi: 10.1177/1545968317732686.
Recent reviews have demonstrated that the quality of stroke rehabilitation research has continued to improve over the last four decades but despite this progress, there are still many barriers in moving the field forward. Rigorous development, monitoring and complete reporting of interventions in stroke trials are essential in providing rehabilitation evidence that is robust, meaningful and implementable. An international partnership of stroke rehabilitation experts committed to develop consensus-based core recommendations with a remit of addressing the issues identified as limiting stroke rehabilitation research in the areas of developing, monitoring and reporting stroke rehabilitation interventions. Work exploring each of the three areas took place via multiple teleconferences and a two-day meeting in Philadelphia in May 2016. A total of 15 recommendations were made. To validate the need for the recommendations, the group reviewed all stroke rehabilitation trials published in 2015 (n=182 papers). Our review highlighted that the majority of publications did not clearly describe how interventions were developed or monitored during the trial. In particular, under-reporting of the theoretical rationale for the intervention and the components of the intervention call into question many interventions that have been evaluated for efficacy. More trials were found to have addressed the reporting of interventions recommendations than those related to development or monitoring. Nonetheless, the majority of reporting recommendations were still not adequately described. To progress the field of stroke rehabilitation research and to ensure stroke patients receive optimal evidence-based clinical care, we urge the research community to endorse and adopt our recommendations.
最近的评论表明，在过去的四十年中，中风康复研究的质量一直在提高，但尽管取得了这一进展，在推动该领域前进方面仍然存在许多障碍。在中风试验中，严格开发、监测和完整报告干预措施对于提供稳健、有意义和可实施的康复证据至关重要。一个致力于制定基于共识的核心建议的中风康复专家国际合作组织，其职权范围是解决在中风康复干预措施的开发、监测和报告领域限制中风康复研究的问题。通过多次电话会议和 2016 年 5 月在费城举行的为期两天的会议，对这三个领域中的每一个领域进行了探讨。共提出了 15 项建议。为了验证这些建议的必要性，该小组审查了 2015 年发表的所有中风康复试验（n=182 篇论文）。我们的审查结果表明，大多数出版物没有清楚地描述干预措施在试验期间是如何开发或监测的。特别是，干预措施的理论依据和干预措施的组成部分报告不足，这使得许多已经评估了疗效的干预措施受到质疑。与开发或监测相关的建议相比，更多的试验解决了干预措施报告的建议。尽管如此，大多数报告建议仍未得到充分描述。为了推动中风康复研究领域的发展，并确保中风患者获得最佳的循证临床护理，我们敦促研究界认可并采用我们的建议。
