PMID- 35639258
OWN - NLM
STAT- MEDLINE
DCOM- 20230224
LR  - 20230224
IS  - 2240-2993 (Electronic)
IS  - 0300-9009 (Linking)
VI  - 123
IP  - 1
DP  - 2023 Feb
TI  - Prioritization of neurologic rehabilitation interventions by ELECTRE-III analysis 
      in subacute stroke patients.
PG  - 181-189
LID - 10.1007/s13760-022-01982-5 [doi]
AB  - BACKGROUND: Elimination and Choice Translating Reality (ELECTRE) III is a 
      commonly used multicriteria decision-making (MCDM) method when alternatives are 
      being prioritized in health sciences. The selection of the rehabilitation 
      approach is the key factor to improve the upper extremity functions of stroke 
      patients. Thus, choosing a reasonably good treatment approach will directly 
      reduce the patient's cost to the government and caregivers, while also improving 
      quality of life. The aim of our study was to prioritize the six different methods 
      used in the rehabilitation of stroke patients with mild or moderate upper 
      extremity dysfunction, using one of the MCDM methods based on experts' opinions. 
      METHODS: A three-stage face-to-face interview across Turkey, based on the 
      ELECTRE-III method, was conducted with 18 physiotherapists specializing in the 
      rehabilitation of mild or moderate stroke-induced upper extremity disorders. 
      RESULTS: According to ELECTRE-III, Circuit Class Therapy (CCT) is the best choice 
      for treating upper extremity functional loss in general. It is also the best 
      alternative in both the ascending and descending distillation processes of 
      ELECTRE-III. On the other hand, Bobath neurodevelopmental treatment (NDT) has a 
      similar success level according to ascending distillation. Mirror therapy and 
      constraint-induced movement therapy are the third-best methods in the analysis. 
      However, robotic rehabilitation is the least preferable treatment method 
      according to the experts' judgments. CONCLUSIONS: The results showed that 
      rehabilitation interventions such as Bobath-NDT and proprioceptive neuromuscular 
      facilitation, which are frequently used in developing countries, are still 
      useful, and CCT is the most appropriate intervention for the transition from 
      conventional methods to innovative models in these countries.
CI  - (c) 2022. The Author(s) under exclusive licence to Belgian Neurological Society.
FAU - Turkmen, Ceyhun
AU  - Turkmen C
AUID- ORCID: 0000-0002-3125-4113
AD  - Faculty of Health Sciences, Cankiri Karatekin University, 18200 Sihhiye st, 
      Cankiri, Turkey. fztceyhunturkmen@gmail.com.
FAU - Konca, Murat
AU  - Konca M
AUID- ORCID: 0000-0002-6830-8090
AD  - Faculty of Health Sciences, Cankiri Karatekin University, 18200 Sihhiye st, 
      Cankiri, Turkey.
FAU - Yetim, Birol
AU  - Yetim B
AUID- ORCID: 0000-0002-1294-1874
AD  - Faculty of Economics and Administrative Sciences, Hacettepe University, Beytepe, 
      06800, Ankara, Turkey.
LA  - eng
PT  - Journal Article
DEP - 20220531
PL  - Italy
TA  - Acta Neurol Belg
JT  - Acta neurologica Belgica
JID - 0247035
SB  - IM
MH  - Humans
MH  - *Stroke Rehabilitation/methods
MH  - Quality of Life
MH  - *Stroke/therapy
MH  - *Neurological Rehabilitation
MH  - Upper Extremity
MH  - Recovery of Function
OTO - NOTNLM
OT  - Decision-making
OT  - Innovative therapies
OT  - Neurological rehabilitation
OT  - Stroke
OT  - Upper extremity
EDAT- 2022/06/01 06:00
MHDA- 2023/02/25 06:00
CRDT- 2022/05/31 15:44
PHST- 2022/04/04 00:00 [received]
PHST- 2022/05/12 00:00 [accepted]
PHST- 2022/06/01 06:00 [pubmed]
PHST- 2023/02/25 06:00 [medline]
PHST- 2022/05/31 15:44 [entrez]
AID - 10.1007/s13760-022-01982-5 [pii]
AID - 10.1007/s13760-022-01982-5 [doi]
PST - ppublish
SO  - Acta Neurol Belg. 2023 Feb;123(1):181-189. doi: 10.1007/s13760-022-01982-5. Epub 
      2022 May 31.