7. Comparison 2: overview of results ordered by outcome; quality of care.
One implementation intervention vs another implementation intervention | |||||||
Quality of care | |||||||
Outcome (scale details) | Intervention A | Intervention B | Time point | Effect estimate (metric) | 95% CI | Statistical test | P value |
Pennington 2005 | Mean (SD), n | Mean (SD), n | |||||
Adherence to clinical practice guidelines (composite score of compliance with actions, e.g. assessment, discussion of rehabilitation plan) | 71.5 (10.1) (342) | 72.7 (10.4) (375) | 8–12 months | — | — | — | |
Salbach 2017 | Estimated % times implemented (n) | Estimated % times implemented (n) | Change in estimated % times implemented (unadjusted) (A) – (B) |
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Adherence to recommended treatment (% of times treatment implemented) Sit‐to‐stand |
39.1 (276) | 33.6 (265) | 16 months | 21.4 | 10.4 to 32.4 | 0.028 (adjusted) | |
LE ROM or stretching, or both | 10.5 (143) | 17.8 (135) | 16 months | –14.7 | –26.0 to 3.5 | ||
Use of LE external support (i.e. brace) | 8.7 (276) | 17.4 (265) | 16 months | –0.9 | –8.7 to 6.9 | ||
Task‐specific training (i.e. stairs) | 38.5 (143) | 37.8 (135) | 16 months | –4.8 | –20.6 to 11.0 | ||
Training for sitting balance | 17.5 (143) | 25.2 (135) | 16 months | –14.6 | –28.2 to –1.0 | 0.037 (adjusted) | |
Training for standing balance | 52.5 (143) | 60.0 (135) | 16 months | –22.8 | –39.4 to –6.2 | ||
FES for LE | 0.7 (143) | 0.7 (135) | 16 months | –0.7 | –3.1 to 1.7 | ||
Walking practice | 39.1 (276) | 32.8 (265) | 16 months | 22.0 | 11.2 to 32.8 | 0.043 (adjusted) | |
Treadmill walking practice | 1.4 (143) | 5.2 (135) | 16 months | 0.3 | –6.4 to 7.1 | ||
UE ROM or stretching, or both | 21.4 (276) | 25.3 (265) | 16 months | 5.2 | –4.4 to 14.7 | ||
Interventions to prevent shoulder pain | 25.7 (276) | 21.1 (265) | 16 months | 4.9 | –5.1 to 14.9 | ||
Task‐specific training | 40.9 (276) | 43.4 (265) | 16 months | 6.0 | –5.4 to 17.3 | ||
Techniques to reduce hand oedema | 5.6 (143) | 8.9 (135) | 16 months | 0 | –9.6 to 8.8 | ||
Ice/heat or soft tissue manage for shoulder | 2.8 (143) | 5.2 (135) | 16 months | 4.8 | –2.3 to 11.8 | ||
FES for wrist/arm/shoulder | 1.4 (143) | 1.5 (135) | 16 months | 0.5 | –4.1 to 5.1 | ||
Educate patient or carer on how to handle arm or shoulder | 9.4 (276) | 10.2 (265) | 16 months | 3.4 | –3.9 to 10.6 | ||
UE constraint‐induced therapy | 0.7 (143) | 4.4 (135) | 16 months | 1.8 | –5.6 to 9.2 | ||
Visual imagery to enhance arm recovery | 6.3 (143) | 5.2 (135) | 16 months | 3.5 | –3.7 to 10.8 |
CI: confidence interval; FES: functional electrical stimulation; LE: lower extremity; n: number of participants; ROM: range of movement; SD: standard deviation; UE: upper extremity.