Papers by Elizabeth Lynch
Archives of physical medicine and rehabilitation, Jan 3, 2015
The objective of this systematic review of qualitative studies was to report and synthesise the p... more The objective of this systematic review of qualitative studies was to report and synthesise the perspectives, experiences and preferences of stroke survivors undertaking inpatient physical rehabilitation. MEDLINE, CINAHL, Embase and PsycINFO were searched from database inception to 2014. Reference lists of relevant publications were searched. All languages were included. Qualitative studies reporting stroke survivors' experiences of inpatient stroke rehabilitation were selected independently by two reviewers. The search yielded 3039 records; 95 full text publications were assessed for eligibility and 32 documents (31 studies) were finally included. Comprehensiveness and explicit reporting were assessed independently by two reviewers using the COREQ framework. Discrepancies were resolved by consensus. Data regarding characteristics of the included studies were extracted by one reviewer, tabled, and checked for accuracy by another reviewer. All text reported in studies' result...
Archives of physical medicine and rehabilitation, Jan 3, 2015
The objective of this systematic review of qualitative studies was to report and synthesise the p... more The objective of this systematic review of qualitative studies was to report and synthesise the perspectives, experiences and preferences of stroke survivors undertaking inpatient physical rehabilitation. MEDLINE, CINAHL, Embase and PsycINFO were searched from database inception to 2014. Reference lists of relevant publications were searched. All languages were included. Qualitative studies reporting stroke survivors' experiences of inpatient stroke rehabilitation were selected independently by two reviewers. The search yielded 3039 records; 95 full text publications were assessed for eligibility and 32 documents (31 studies) were finally included. Comprehensiveness and explicit reporting were assessed independently by two reviewers using the COREQ framework. Discrepancies were resolved by consensus. Data regarding characteristics of the included studies were extracted by one reviewer, tabled, and checked for accuracy by another reviewer. All text reported in studies' result...
Archives of physical medicine and rehabilitation, Jan 30, 2014
To examine the frequency and factors associated with patients with stroke in Australian hospitals... more To examine the frequency and factors associated with patients with stroke in Australian hospitals receiving documented rehabilitation assessments; to examine the criteria used when rehabilitation was not recommended; and to examine whether being assessed for rehabilitation affected access to rehabilitation. Retrospective medical record audit of patients with a diagnosis of stroke who were discharged consecutively between 2013 and 2014. Acute care public hospitals. Adults with stroke (N=333) receiving care in participating hospitals. Not applicable. Documented assessment regarding patient suitability for rehabilitation during acute hospitalization. Data from 292 patients were included for analysis (60% men; mean age, 72y). Of the patients, 42% were assessed for rehabilitation by a health professional providing care in the hospital, 43% were assessed for rehabilitation by a representative from a rehabilitation service, and 37% did not receive any documented rehabilitation assessment. ...
Physical Therapy Perspectives in the 21st Century - Challenges and Possibilities, 2012
International journal of stroke : official journal of the International Stroke Society, 2015
International Journal of Stroke, 2014
Knowing when to commence physical rehabilitation after stroke is important to ensure optimal bene... more Knowing when to commence physical rehabilitation after stroke is important to ensure optimal benefit for stroke survivors and efficient health care. The aims of this review were to: determine the effects on mortality, function and complications when physical rehabilitation commences 'early' (within seven days of stroke); and describe the effects of early transfer to rehabilitation wards/hospitals when sustained rehabilitation is unavailable in acute stroke units. From 3751 potential articles we included 5 randomized controlled trials and 38 cohort studies. Meta-analysis was performed with 3 randomized controlled trials involving 159 people to investigate the effects of commencing physical rehabilitation within 24 h of stroke compared to 48 h. Commencing physical rehabilitation within 24 h trended towards greater mortality (Mantel-Haenszel odds ratio 2.58; 95% confidence interval 0.98 to 6.79, P = 0.06), with no differences in complications or health outcomes. The cohort studies provided evidence of benefits when physical rehabilitation was commenced on the day of admission (n = 1), within 3 days of stroke (n = 3), or 'sooner rather than later' (3 of 4 studies). The effect of earlier transfer to rehabilitation was reported in 32 cohort studies. In 23/26 (88%) cohort studies that accounted for age and stroke severity, results favored earlier transfer for improving post-stroke function, with no consensus on timeframes. In summary, the benefits of commencing physical rehabilitation within 24 h of stroke remain unclear from the current literature. Commencing physical rehabilitation or transferring to rehabilitation services 'early' may provide better functional outcomes.
Archives of Physical Medicine and Rehabilitation, 2007
Lynch EA, Hillier SL, Stiller K, Campanella RR, Fisher PH. Sensory retraining of the lower limb a... more Lynch EA, Hillier SL, Stiller K, Campanella RR, Fisher PH. Sensory retraining of the lower limb after acute stroke: a randomized controlled pilot trial. Arch Phys Med Rehabil 2007;88:1101-7.
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Papers by Elizabeth Lynch