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Title: | Current Technology Developments Can Improve the Quality of Research and Level of Evidence for Rehabilitation Interventions | Authors: | BONNECHERE, Bruno TIMMERMANS, Annick MICHIELS, Sarah |
Issue Date: | 2023 | Publisher: | MDPI | Source: | SENSORS, 23 (2) (Art N° 875) | Series/Report: | Sensor-Based Telerehabilitation and Telemonitoring Technologies) | Abstract: | The current important limitations to the implementation of Evidence-Based Practice (EBP) in the rehabilitation field are related to the validation process of interventions. Indeed, most of the strict guidelines that have been developed for the validation of new drugs (i.e., double or triple blinded, strict control of the doses and intensity) cannot-or can only partially-be applied in rehabilitation. Well-powered, high-quality randomized controlled trials are more difficult to organize in rehabilitation (e.g., longer duration of the intervention in rehabilitation, more difficult to standardize the intervention compared to drug validation studies, limited funding since not sponsored by big pharma companies), which reduces the possibility of conducting systematic reviews and meta-analyses, as currently high levels of evidence are sparse. The current limitations of EBP in rehabilitation are presented in this narrative review, and innovative solutions are suggested, such as technology-supported rehabilitation systems, continuous assessment, pragmatic trials, rehabilitation treatment specification systems, and advanced statistical methods, to tackle the current limitations. The development and implementation of new technologies can increase the quality of research and the level of evidence supporting rehabilitation, provided some adaptations are made to our research methodology. | Keywords: | rehabilitation;new technology;validation;study design;methods | Document URI: | http://hdl.handle.net/1942/39268 | e-ISSN: | 1424-8220 | DOI: | 10.3390/s23020875 | ISI #: | 000916278600001 | Rights: | 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). | Category: | A1 | Type: | Journal Contribution |
Appears in Collections: | Research publications |
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