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dc.contributor.authorOlver, John-
dc.contributor.otherPattuwage, Loyal-
dc.contributor.otherMartin, Caius-
dc.contributor.otherLai, Francis-
dc.contributor.otherPiccenna, Loretta-
dc.contributor.otherGruen, Russell-
dc.contributor.otherBragge, Peter-
dc.identifier.citationJ Head Trauma Rehabil. 2016 Apr 26en_US
dc.description.abstractINTRODUCTION: Moderate to severe traumatic brain injury (TBI) can result in development of spasticity, which adversely affects function and quality of life. Given the foundation of optimal clinical practice is use of the best available evidence, we aimed to identify, describe, and evaluate methodological quality of evidence-based spasticity clinical practice guidelines (CPGs). METHODS: A comprehensive search for CPGs encompassed electronic databases and online sources. Eligible CPGs were evaluated using the validated Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument. RESULTS: Five CPGs were eligible for review; 2 were specific to acquired brain injury and 1 to TBI. The 3 brain injury-specific CPGs contained 423 recommendations overall, but only 8 spasticity recommendations. On the basis of AGREE appraisals, all CPGs performed well in the areas of reporting scope and purpose; clearly presenting recommendations; including various stakeholders in the CPG development process; and reporting conflict of interest. However, only one CPG performed adequately on describing facilitators and barriers to implementation, advice, and tools on how to implement recommendations and provision of audit criteria. Intraclass correlation coefficient (ICC) for agreement between raters showed high agreement (ICC > 0.80) for most guidelines. CONCLUSION: Given the unique etiological features and treatment challenges associated with managing spasticity after TBI, more TBI-specific spasticity CPGs are required. These should incorporate information on the facilitators and barriers to implementation, advice on implementing recommendations, and audit criteria.en_US
dc.publisherWolters Kluweren_US
dc.subjectBrain Injuryen_US
dc.subjectTraumatic Brain Injuryen_US
dc.subjectQuality of Lifeen_US
dc.subjectClinical Practice Guidelinesen_US
dc.subjectAppraisal of Guidelines for Research and Evaluation IIen_US
dc.subjectAGREE IIen_US
dc.subjectMental Health and Chronic Pain Clinical Institute, Epworth HealthCare, Victoria, Australiaen_US
dc.titleManagement of spasticity in moderate and severe traumatic brain injury: evaluation of clinical practice guidelines.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleThe Journal of Head Trauma Rehabilitationen_US
dc.description.affiliatesNational Trauma Research Institute, Monash University, Alfred Hospital, Melbourne, Victoria, Australiaen_US
dc.description.affiliatesMonash Health, Melbourne, Victoria, Australiaen_US
dc.description.affiliatesSchool of Allied Health, La Trobe University, Melbourne, Victoria, Australiaen_US
dc.description.affiliatesNanyang Technological University, Singaporeen_US
dc.description.affiliatesMonash Sustainability Institute, Monash University, Melbourne, Victoria, Australiaen_US
Appears in Collections:Neurosciences

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