Abstract
I must confess I am more than a bit perplexed by DeJong et al’s spirited defense in their letter because I am in total agreement with their statement that “Observational studies should not be downgraded solely on philosophical grounds,” as even a cursory reading of my commentary 1 Jette A.M. The Post-Stroke Rehabilitation Outcomes Project. Arch Phys Med Rehabil. 2005; 86: S124-S125 Abstract Full Text Full Text PDF PubMed Scopus (14) Google Scholar would reveal. As I stated in my commentary, The PSROP [Post Stroke Rehabilitation Outcomes Project] provides an important example of the value of observational study designs in rehabilitation, and I applaud the investigators for their important accomplishment, one that I hope is replicated by others. The PSROP provides us with an important additional method to respond to calls for the rehabilitation field to demonstrate the effectiveness of the services it provides. 1 Jette A.M. The Post-Stroke Rehabilitation Outcomes Project. Arch Phys Med Rehabil. 2005; 86: S124-S125 Abstract Full Text Full Text PDF PubMed Scopus (14) Google Scholar (pS125) The Post-Stroke Rehabilitation Outcomes Project RevisitedArchives of Physical Medicine and RehabilitationVol. 87Issue 4PreviewIn December 2005, Archives published a supplement on the Post-Stroke Rehabilitation Outcomes Project (PSROP).1 This project was a prospective observational cohort study that examined rehabilitation outcomes among 1291 consecutively enrolled stroke rehabilitation patients from 7 rehabilitation centers. A strength of the study was its detailed and clinically relevant characterization of the stroke rehabilitation process and how it related to outcomes at discharge. One finding was that stroke patients who received earlier and more aggressive therapy did better on certain dimensions than those who received less aggressive therapy. Full-Text PDF The Post-Stroke Rehabilitation Outcomes ProjectArchives of Physical Medicine and RehabilitationVol. 86Issue 12PreviewOttenbacher KJ. The Post-Stroke Rehabilitation Outcomes Project. The Post-Stroke Rehabilitation Outcomes Project (PSROP) examined a large sample of patients from multiple facilities receiving inpatient stroke rehabilitation services. This commentary describes strengths and potential limitations of the investigation including selection bias, observation bias, confounds, and interpretation. The PSROP is an important study that will advance our understanding of effective treatment for persons with stroke. Full-Text PDF Applying the Clinical Practice Improvement Approach to Stroke Rehabilitation: Methods Used and Baseline ResultsArchives of Physical Medicine and RehabilitationVol. 86Issue 12PreviewGassaway J, Horn SD, DeJong G, Smout RJ, Clark C, James R. Applying the clinical practice improvement approach to stroke rehabilitation: methods used and baseline results. Full-Text PDF
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