Evidence map›Paper›PMID 36513762›Full record

ArticleSpinal cord2023

Developing spinal cord injury physiotherapy clinical practice guidelines: a qualitative study to determine how physiotherapists and people living with spinal cord injury use evidence.

Joanne L Nunnerley, Joanne V Glinsky, Jennifer A Dunn, Verna A Stavric, Amanda Haber, Sophie Denis, Marsha Ben, Lydia W Chen, Lisa A Harvey

Abstract read
In one paragraph

Article in Spinal cord, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Joanne L NunnerleyBurwood Academy, Christchurch, New Zealand. jo.nunnerley@otago.ac.nz.
Joanne V GlinskyKolling Institute, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
Jennifer A DunnUniversity of Otago, Christchurch, New Zealand.ORCID 0000-0002-2894-7533
Verna A StavricAuckland University of Technology, Auckland, New Zealand.
Amanda HaberRoyal Rehab, Sydney, NSW, Australia.
Sophie DenisPrince of Wales Hospital, Sydney, NSW, Australia.
Marsha BenRoyal Rehab, Sydney, NSW, Australia.
Lydia W ChenRoyal North Shore Hospital, Sydney, NSW, Australia.
Lisa A HarveyKolling Institute, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designGeneric qualitative design.

objectivesAustralian and New Zealand SCI physiotherapists are developing clinical practice guidelines for the physiotherapy management of people living with spinal cord injury. To guide the development of the guidelines it was important to understand how physiotherapists and people living with spinal cord injury use evidence to choose interventions and the potential barriers and facilitators to the uptake of the clinical practice guidelines.

settingSpinal Cord Injury Centres in Sydney, Australia and New Zealand.

methodsFocus groups and interviews with physiotherapists and people living with spinal cord injury were recorded, transcribed, and subjected to thematic analysis.

resultsA total of 75 participants took part in the study, 45 physiotherapists and 30 people living with spinal cord injury. Three main themes were identified from the data: (1) Types and sources of evidence that influence treatment choices, (2) the many factors determining treatment choices, and (3) ways in which clinical practice guidelines could influence treatment.

conclusionsClinical practice guidelines have the potential to reduce the barriers identified by physiotherapists in accessing and interpreting research evidence on interventions for people living with spinal cord injury. Supported implementation of guidelines is required to demonstrate their benefit and encourage physiotherapists to factor in evidence when balancing the multiple factors influencing choice of physiotherapy intervention.

Indexed as

Physical TherapistsSpinal Cord InjuriesAustraliaHumansPhysical Therapy ModalitiesQualitative Research

Identifiers

PMID36513762
PMCPMC9746570

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.