Assignment Task:
Task:
Title: Emerging Physiotherapy Interventions in the Treatment of Stroke Patients:
Are they effective?
- Choose one of the intervention strategies evolving in the management of stroke patients listed below:
- UL robotics (mechanical assisted therapy)
- LL robotics (either with or without treadmill)
- Acupuncture
- UL Virtual reality training
- LL Virtual reality training (e.g.Wii fit)
- Repetitive Transcranial Magnetic Brain Stimulation (rTMS)
- Direct Current Brain Stimulation (tDCS)
- This assignment will be completed in pairs. You may choose your own partner.
- Perform a literature search of the topic, seeking to answer whether your chosen treatment
- strategy is effective. You may find Pubmed, Medline and CINAHL useful search engines. In
- your report you must critically analyse 4 studies. Do not include systematic reviews or
- meta-analyses in your assignment. Do not cite abstracts. In order to answer the question
- you will need to obtain the full text articles.
- Below is a description of what you should include in your answer:
- Title: name of the review
- Authors: names and student numbers
- Background: [approx. 250 words]
- Describe the intervention and how it is proposed to work in this population
- Research Question:
- State the research question you want to answer in PICO format. For example, “Do lower limb robotics improve cardiovascular fitness in adults with chronic stroke”
- P= population = adults with chronic stroke
- I = intervention = lower limb robotic devices
- C= control = no intervention or different intervention
- O= outcome of interest = fitness
- Included Studies: [Table 1]
- Include a table with the 4 selected studies, a description of the research design, and the NHMRC level of evidence
- Methodological Quality: [approx. 200 words]
- Describe the tool you used to assess quality and highlight the main sources of bias.
- Summary of Quality: [Figure 1]
- Summarise the methodological quality of the included studies using one of many validated tools which are available online. For example: PeDRO, CASP, Downs and Black, Joanna Briggs Critical Appraisal tools, Newcastle-Ottawa scale, Cochrane risk of bias tool etc. Please make sure the tool you use is suitable for the research design of the studies you are evaluating.
- Summary of Evidence: [Table 2]
- Summarise a description of the included studies and the results in a table. Include any information you think is relevant. Some suggestions include: sample size, age of participants (mean ±SD), stroke type and/or severity, description of intervention, description of control, outcome measures, follow-up, drop-outs, adverse events, main findings, and other reported outcomes. You may choose to include this information in 2 separate tables: 1: description of studies and 2: description of outcomes.
- Discussion of Main Findings: [approx. 300 words]
- Comment on the consistency of the studies (sample, study design, results etc)
- State possible reasons for inconsistent findings. Comment on the effect of the intervention ( effect size, variability, clinical merit)
- Clinical Implications: [approx. 250 words]Make conclusions about whether the intervention should be used – if so how and with whom (chronic/acute, mild/severe strokes etc.) Is the intervention feasible in a clinical setting and is it worthwhile?
- What are the gaps in the evidence – directions of future research to answer what we still do not know
- References:
- You are responsible for accurate and complete reporting of references and for correct text citation.
- References should begin on a new page at the end of the written assignment.
- JAMA reference guidelines are to be followed precisely, including punctuation, capitalisation, and formatting. Note: Journal references should include the issue number in parentheses after the volume number.
- Number references in the order they appear in the text; do not alphabetize.
- In the text, identify references with superscript Arabic numerals.
- When listing references, abbreviate names of journals according to the journal list in PubMed.
- List all authors and/or editors up to 6; if more than 6, list the first 3 followed by “et al.”
- Examples of reference style:
- Garbutt JM, Banister C, Spitznagel E, Piccirillo JF. Amoxicillin for acute rhinosinusitis: a randomized controlled trial. JAMA. 2012;307(7):685-692.
- Centers for Medicare & Medicaid Services. CMS proposals to implement certain disclosure provisions of the Affordable Care Act. http://www.cms.gov/apps/media/press/factsheet.asp?Counter=4221. Accessed January 30, 2012.
- McPhee SJ, Winker MA, Rabow MW, Pantilat SZ, Markowitz AJ, eds. Care at the Close of Life: Evidence and Experience. New York, NY: McGraw Hill Medical; 2011.
- Submission and Penalties:
- Attach the Assessment Coversheet (available on BB) to your hard copy and submit in the assignment box outside of the school office (outside HE07). This box will be labelled with the course code: PHTY2030. The assignment must be submitted no later than 12.00pm on Friday 20th August.
- Make sure all pages are firmly attached – we prefer that folders/plastic sleeves are not used.
- Late submissions will be penalised 10% per day overdue. An electronic copy must also be submitted to Turnitin by this time to test for plagiarism according to University policy. Draft versions can be submitted to Turnitin and then resubmitted. For help with Turnitin please refer to the following link: http://www.newcastle.edu.au/service/turnitin/students/guides.htmlOnly one person in your group needs to submit the assignment through turnitin. Only one hard copy is to be submitted in the school office.
- There is a word limit of 1000 words (excluding the reference list and any words included in tables or figures). A penalty of 5% for every 100 words over the word limit will apply.
- An example assignment will be available on Blackboard.
- The marking proforma is on the following page.
- -521970-7048500
- ASSESSMENT FEEDBACK
- PHTY2030: Neurological Physiotherapy
- Written Assignment: Critical Appraisal (20%) Word limit 1000
- Students Names:
- Assignment Grade: /20
- Key Components Advanced Proficient Functional Poor
- Content :Introduces topic and justifies project Topic covered accurately and in depth Focuses on question Presents clear arguments Summarises the key findings clearly, coherently
- and persuasively Critique:
- Accurate analyses of the literature Clear understanding of critical appraisal Logically presented argument Effective synthesis of information Writing Style:
- Fluent, Succinct, Scientific Correct spelling, grammar, and punctuation Correct use of critical appraisal terms Presentation:
- Format follows guidelines Appropriate length Effective use of figures and tables Sources:
- Adequate acknowledgement of sources Correct citation of references using JAMA style Correct listing in reference list Penalties:
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