Evidence-based medicine is considered as mandatory especially in the field of drugs evaluation but is expanding to other fields such as surgery and medical devices. There is a general perception that EBP is not well developed in rehabilitation professions. Although needed, little is known about clinical research in rehabilitation professions: Are they any publication? What kind of research is published? Are publications indexed in the main database? RECLIP study therefore proposed to answer these questions through a bibliometric overview for 6 rehabilitation professions. A literature search was performed in Pubmed, Cochrane, Pedro, Pascal, Web of Sciences and OTseeker by rehabilitation professionals. The inclusion criteria were the following: originating from Europe, reporting clinical research, in the field of one of the 6 rehabilitation professions (audiology, occupational therapy, physiotherapy, speech therapy, orthoptics, psychomotricity), and published between 2007 and 2011. When the search resulted in more than 300 references, a sample of 300 references was drawn. After verification of inclusion criteria, articles were assessed for the publication language, indexation on Pubmed, impact factor and methodology. Among the retrieved references, 25% truly reported European clinical research in the rehabilitation field. The 5 European countries that published the most in rehabilitation field were United Kingdom, Sweden, Netherlands, Germany and France. Concerning methodology, repartition between descriptive, analytic and interventional studies varied greatly according to professions (p value <0.0001). Speech therapy had the most interventional pattern with 89% of publication being interventional followed by physiotherapy and audiology, on the opposite orthoptics was at less than 20%. This first bibliometric overview highlights the fact that there might be a lack of comparative research and that bibliographic searches are not adapted for rehabilitation professions, meaning that practices might not always be based on evidence, but rather on experience. Efforts should be made on indexation, and rehabilitation schools should focus on highlighting research to their students.
Bibliometrics Paramedical Publications
This is a preview of subscription content, log in to check access
We would like to thank Pr Yves Matillon, director of the rehabilitation institute as well as all the heads of rehabilitation departments: Claudine Chambard, Bernard Devin, Dominique Dallevet, Stéphane Galego, Agnès Witko, Agnès Bo, Christophe Petitnicolas and Amanda Ryan. We also thank Florence Bouriot for her help in providing articles, and Sylvie Bin-Dorel and Laure Huot for reviewing the methodology of some cases. A special thanks to F Diviné, A Bon, J Paradis, M Ferschneider, B Morin, S Merlino, M Rodot, J Wable, C Guiraud for data extraction and coding.
This Project was funded by 2011 PHRIP, the French funding scheme dedicated to paramedical research.
RECLIP is a research program. The same methodology has been applied to the 6 rehabilitation professions. Therefore the writing of the articles gathering the results of the 6 professions and the 6 specific articles is similar.
ANAES (2000). Conférence de consensus. Prise en charge de la bronchiolite du nourrisson.Google Scholar
Bury, T. (1996). Evidence-based practice—survival of the fittest. Physiotherapy,82(2), 75–76.CrossRefGoogle Scholar
Gajdos, V., Katsahian, S., Beydon, N., Abadie, V., de Pontual, L., Larrar, S., et al. (2010). Effectiveness of chest physiotherapy in infants hospitalized with acute bronchiolitis: A multicenter, randomized, controlled trial. PLoS Medicine,7(9), e1000345. doi:10.1371/journal.pmed.1000345.CrossRefGoogle Scholar
Gustafsson, L., & Yates, K. (2009). Are we applying interventions with research evidence when targeting secondary complications of the stroke-affected upper limb. Australian Occupational Therapy Journal,56(6), 428–435. doi:10.1111/j.1440-1630.2008.00757.x.CrossRefGoogle Scholar
McCurtin, A., & Clifford, A. M. (2015). What are the primary influences on treatment decisions? How does this reflect on evidence-based practice? Indications from the discipline of speech and language therapy. Journal of Evaluation in Clinical Practice,21(6), 1178–1189. doi:10.1111/jep.12385.CrossRefGoogle Scholar
Moseley, A. M., Herbert, R. D., Maher, C. G., Sherrington, C., & Elkins, M. R. (2011). Reported quality of randomized controlled trials of physiotherapy interventions has improved over time. Journal of Clinical Epidemiology,64(6), 594–601. doi:10.1016/j.jclinepi.2010.08.009.CrossRefGoogle Scholar
Moseley, A. M., Herbert, R. D., Sherrington, C., & Maher, C. G. (2002). Evidence for physiotherapy practice: A survey of the Physiotherapy Evidence Database (PEDro). [Research Support, Non-US Governmentt]. The Australian Journal of Physiotherapy,48(1), 43–49.CrossRefGoogle Scholar
Moseley, A. M., Sherrington, C., Elkins, M. R., Herbert, R. D., & Maher, C. G. (2009). Indexing of randomised controlled trials of physiotherapy interventions: a comparison of AMED, CENTRAL, CINAHL, EMBASE, hooked on evidence, PEDro, PsycINFO and PubMed. Physiotherapy,95(3), 151–156. doi:10.1016/j.physio.2009.01.006.CrossRefGoogle Scholar
Paci, M., Cigna, C., Baccini, M., & Rinaldi, L. A. (2009). Types of article published in physiotherapy journals: A quantitative analysis. Physiotherapy Research International: The Journal For Researchers and Clinicians in Physical Therapy,14(4), 203–212. doi:10.1002/pri.447.CrossRefGoogle Scholar
Reynolds, J. (2010). Editorial. American Orthoptic Journal, 60.Google Scholar
Sherrington, C., Herbert, R. D., Maher, C. G., & Moseley, A. M. (2000). PEDro. A database of randomized trials and systematic reviews in physiotherapy. Manual Therapy,5(4), 223–226. doi:10.1054/math.2000.0372.CrossRefGoogle Scholar
Spek, B., Wieringa-de Waard, M., Lucas, C., & van Dijk, N. (2013). Teaching evidence-based practice (EBP) to speech-language therapy students: Are students competent and confident EBP users? International Journal of Language & Communication Disorders,48(4), 444–452. doi:10.1111/1460-6984.12020.CrossRefGoogle Scholar
Stuwe, L., Parent, M., & Louvet, O. (2015). [5 years after the creation of the Nursing and Paramedical Hospital Research Program of the French Ministry of Health: Issues and challenges]. Recherche en Soins Infirmiers (121), 64–71.Google Scholar