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Review
Opening the black box of stroke rehabilitation with clinical practice improvement methodology.
- Brendan E Conroy, Brooke Hatfield, and Diane Nichols.
- Stroke Recovery Program, National Rehabilitation Hospital, Washington, DC, USA.
- Top Stroke Rehabil. 2005 Jan 1; 12 (2): 36-48.
AbstractAlthough stroke survivors are the largest consumer group for postacute rehabilitation services, there has been little quantification of the details of poststroke rehabilitation (PSR), with the major exception of the AHCPR Clinical Practice Guidelines #16 of 1995. The gold standard research methodology of a randomized controlled trial cannot practically encompass PSR. Using clinical practice improvement (CPI), a statistically based, validated research methodology, a mathematical representation of the inpatient stroke rehabilitation experience has been constructed. This article examines the principle aspects of CPI methodology and how it was adapted to a multicenter study of inpatient PSR.
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