Welcome to the PEDro World-Wide Journal Club.
The purpose of the PEDro World-Wide Journal Club is to encourage the global physiotherapy community to read trials, reviews and guidelines that have important implications for clinical practice. We hope that facilitating discussion of this research will help physiotherapists to implement the results into their clinical practice.
Journal clubs are a great way to translate research into practice. In March 2020 PEDro published a blog that outlined some key features of running a successful journal club. We are going to use this framework to run three or four journal clubs during 2020. The idea is for physiotherapists to use resources provided by PEDro as the basis for running a local journal club with their peers. The resources provided by PEDro will include: a research article that addresses an important evidence-practice gap; a video summary of the article; a panel discussion about the article that explores applying the results into practice; and, links to resources to support ongoing discussion and implementation.
The first club is about constraint induced movement therapy for people with neurological conditions (particularly stroke). We will announce the other topics over coming months.
Constraint induced movement therapy after stroke
This first PEDro World-Wide Journal Club is about constraint induced movement therapy for people with neurological conditions (particularly stroke). If you are interested in being involved, please follow these five steps.
1. invite your colleagues to be involved
2. read the article
Wolf SL, Winstein CJ, Miller JP, Taub E, Uswatte G, Morris D, Giuliani C, Light KE, Nichols-Larsen D, for the EXCITE Investigators. Effect of constraint-induced movement therapy on upper extremity function 3 to 9 months after stroke: the EXCITE randomized clinical trial. JAMA 2006;296(17):2095-104
3. watch (or listen to) the video summarising the EXCITE trial (3 minutes)
4. watch (or listen to) the video of the panel discussing the EXCITE trial (41.5 minutes)
5. meet with your colleagues to have your own discussion about the EXCITE trial
This discussion should focus on the implications of the results, including exploring possible barriers and facilitators to implementation. Devising strategies to implement the evidence into practice in your clinical environment is critical. For example, making plans for audit and feedback to quantify current and future practice.
Resources and articles mentioned in the video discussion about the EXCITE trial:
- To find other trials evaluating the effects of constraint induced movement therapy after stroke we suggest you look at the Cochrane review on this treatment:
Corbetta D, et al. Constraint-induced movement therapy for upper extremities in people with stroke. Cochrane Database Systematic Reviews 2015;Issue 10.
- The Taub Therapy Clinic
- The ACTIveARM project evaluates a multimodal implementation package to change clinician behaviour and increase the delivery of constraint induced movement therapy programs to stroke survivors and people with traumatic brain injury. The protocol for the project has been registered. Links to project results and resources will be added when they are available.
- Lauren Christie has made six videos about contraint induced movement therapy for the ACTIveARM project:
– An introduction to constraint induced movement therapy (CIMT)
– CIMT: an introduction to shaping 1
– CIMT: an introduction to shaping 2
– An introduction to the Motor Activity Log (MAL)
– Constraint induced movement therapy from a person with traumatic brain injury: Wassim
– Stroke survivor experience of a constraint induced movement therapy program: Khee
- Systematic review led by Ted Stevenson from Canada that compared constraint induced movement therapy to dose-matched interventions after stroke:
Stevenson T, et al. Constraint-induced movement therapy compared to dose-matched interventions for upper-limb dysfunction in adult survivors of stroke: a systematic review with meta-analysis. Physiother Can 2012;64(4):397-413
- Publication from the EXCITE trial that compared early (3-9 months post-stroke) to late (15-21 months post-stroke) delivery of constraint induced movement therapy:
Lang KC, et al. The EXCITE trial: reacquiring upper-extremity task performance with early versus late delivery of constraint therapy. Neurorehabil Neural Repair 2013;27(7):654-63.
- StrokeEd resource book on constraint induced movement therapy
If you have run a local journal club on constraint induced movement therapy using this material, please let PEDro know. We’d like to know what your local journal club experience was like and any feedback you may have about the materials provided by PEDro.
PEDro acknowledges Simone Dorsch and Leanne Hassett for coordinating this journal club. We would also like to thank Lauren Christie, Reem Rendell, Scott Wade, Emma Fanayan, Roland Qiu, and Jenny Yun Jia Qian for participating in the panel discussion video.