1
|
Elbers S, Wittink H, Kaiser U, Kleijnen J, Pool J, Köke A, Smeets R. Living systematic reviews in rehabilitation science can improve evidence-based healthcare. Syst Rev 2021; 10:309. [PMID: 34876231 PMCID: PMC8650945 DOI: 10.1186/s13643-021-01857-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/10/2021] [Accepted: 11/17/2021] [Indexed: 11/29/2022] Open
Abstract
Although systematic reviews are considered as central components in evidence-based practice, they currently face an important challenge to keep up with the exponential publication rate of clinical trials. After initial publication, only a minority of the systematic reviews are updated, and it often takes multiple years before these results become accessible. Consequently, many systematic reviews are not up to date, thereby increasing the time-gap between research findings and clinical practice. A potential solution is offered by a living systematic reviews approach. These types of studies are characterized by a workflow of continuous updates which decreases the time it takes to disseminate new findings. Although living systematic reviews are specifically designed to continuously synthesize new evidence in rapidly emerging topics, they have also considerable potential in slower developing domains, such as rehabilitation science. In this commentary, we outline the rationale and required steps to transition a regular systematic review into a living systematic review. We also propose a workflow that is designed for rehabilitation science.
Collapse
Affiliation(s)
- S Elbers
- Research group Lifestyle & Health, Research Centre Healthy and Sustainable Living, University of Applied Sciences Utrecht, P.O. Box 12011, 3508, AA, Utrecht, The Netherlands. .,Department of Rehabilitation Medicine, Research School CAPHRI, Faculty of Health, Life Sciences and Medicine, Maastricht University, Maastricht, The Netherlands.
| | - H Wittink
- Research group Lifestyle & Health, Research Centre Healthy and Sustainable Living, University of Applied Sciences Utrecht, P.O. Box 12011, 3508, AA, Utrecht, The Netherlands
| | - U Kaiser
- Comprehensive Pain Center, Medical Faculty Technical University Dresden, Dresden, Germany.,University Hospital Carl Gustav Carus Dresden, Dresden, Germany
| | - J Kleijnen
- Department of Family Medicine, Research School CAPHRI, Faculty of Health, Life Sciences and Medicine, Maastricht University, Maastricht, The Netherlands
| | - J Pool
- Research group Lifestyle & Health, Research Centre Healthy and Sustainable Living, University of Applied Sciences Utrecht, P.O. Box 12011, 3508, AA, Utrecht, The Netherlands
| | - A Köke
- Department of Rehabilitation Medicine, Research School CAPHRI, Faculty of Health, Life Sciences and Medicine, Maastricht University, Maastricht, The Netherlands.,Centre of Expertise in Pain and Rehabilitation, Adelante, Maastricht, The Netherlands.,South University of Applied Sciences Heerlen, Heerlen, The Netherlands
| | - R Smeets
- Department of Rehabilitation Medicine, Research School CAPHRI, Faculty of Health, Life Sciences and Medicine, Maastricht University, Maastricht, The Netherlands.,CIR Revalidatie, location Eindhoven, Eindhoven, The Netherlands.,Pain in Motion International Research Group (PiM)
| |
Collapse
|
2
|
Maas L, Bosscher R, Pont M, Köke A, Janssen T, Peters M. 1010 THE ADDITIONAL EFFECT OF PSYCHOMOTOR THERAPY IN TREATING CHRONIC MUSCULOSKELETAL PAIN: PRELIMINARY RESULTS. Eur J Pain 2009. [DOI: 10.1016/s1090-3801(09)61013-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- L. Maas
- Windesheim University of Applied Sciences, Zwolle, Netherlands
| | - R. Bosscher
- Windesheim University of Applied Sciences, Zwolle, Netherlands
| | - M. Pont
- Rehabilitation Centre Amsterdam, Amsterdam, Netherlands
| | - A. Köke
- Hoensbroeck Rehabilitation Centre, Hoensbroek, Netherlands
| | - T. Janssen
- Duyvensz‐Nagel Institute Rehabilitation Centre Amsterdam, Amsterdam, Netherlands
| | - M. Peters
- University of Maastricht, Maastricht, Netherlands
| |
Collapse
|
3
|
Lindeman E, Leffers P, Spaans F, Drukker J, Reulen J, Kerckhoffs M, Köke A. Strength training in patients with myotonic dystrophy and hereditary motor and sensory neuropathy: a randomized clinical trial. Arch Phys Med Rehabil 1995; 76:612-20. [PMID: 7605179 DOI: 10.1016/s0003-9993(95)80629-6] [Citation(s) in RCA: 133] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
A randomized clinical trial on the effects of strength training was performed in myotonic dystrophy (MyD) patients and patients with hereditary motor and sensory neuropathy (HMSN). Training and most measurement tools involved the proximal lower extremity muscles. The participants trained 3 times a week for 24 weeks with weights adapted to their force. Strength was evaluated by isokinetically measured knee torque. Fatiguability was assessed by the time an isometric contraction could be sustained. Functional performance was measured by timed motor performance and by questionnaires on functional performance. Serum myoglobin (Mb) levels were determined to detect changes in muscle fiber membrane permeability. The MyD group included 33 participants, and the HMSN group included 29 participants. Within each diagnostic group, patients were individually matched and subsequently randomized for treatment allocation. In the MyD patients, none of the measurement techniques showed any training effect. Neither were there signs of deterioration caused by the training. In the HMSN group, knee torques increased. Timed motor performance did not change, although the questionnaires showed an improvement on items related to upper-leg function. Mb levels did not change significantly as a result of the training. In conclusion, the MyD group showed neither positive nor negative effects of the training protocol, whereas the training produced a moderate increase in strength and leg-related functional performance in the HMSN group.
Collapse
Affiliation(s)
- E Lindeman
- Department of Rehabilitation, University Hospital Maastricht, The Netherlands
| | | | | | | | | | | | | |
Collapse
|