{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T22:31:00Z","timestamp":1792708260751,"version":"4.5.0"},"reference-count":38,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2023,5,7]],"date-time":"2023-05-07T00:00:00Z","timestamp":1683417600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The objectives of this systematic review were to describe the current dose and content of usual care upper limb motor intervention for inpatients following stroke and examine if context factors alter dose and content.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data sources<\/jats:title>\n                    <jats:p>A systematic search (EMBASE, MEDLINE) was completed from January 2015 to February 2023 (PROSPERO CRD42021281986).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Studies were eligible if they reported non-protocolised usual care upper limb motor intervention dose data for stroke inpatients. Studies were rated using the Johanna Briggs Institute critical appraisal tool. Data were descriptively reported for dose dimensions of time (on task or, in therapy) and intensity (repetitions, repetition\/minute), content (intervention type\/mode), and context (e.g., severity strata).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eight studies were included from four countries, largely reflecting inpatient rehabilitation. Time in therapy ranged from 23 to 121\u2005min\/day. Time on task ranged from 8 to 44\u2005min\/day. Repetitions ranged from 36 to 57\/session, and 15 to 282\/day. Time on task was lowest in the stratum of people with severe upper limb impairment (8\u2005min\/day), the upper limit for this stratum was 41.5\u2005min\/day. There was minimal reporting of usual care content across all studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Upper limb motor intervention dose appears to be increasing in usual care compared to prior reports (e.g., average 21\u2005min\/day and 23 to 32 repetitions\/session). Context variability suggests that doses are lowest in the stratum of patients with a severely impaired upper limb. Consistent reporting of the multiple dimensions of dose and content is necessary to better understand usual care offered during inpatient rehabilitation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692155231172295","type":"journal-article","created":{"date-parts":[[2023,5,8]],"date-time":"2023-05-08T02:30:36Z","timestamp":1683513036000},"page":"1437-1450","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":30,"title":["Dose, Content, and Context of Usual Care in Stroke Upper Limb Motor Interventions: A Systematic Review"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1108-1323","authenticated-orcid":false,"given":"Sarah P","family":"Newton","sequence":"first","affiliation":[{"name":"Melbourne School of Health Sciences, University of Melbourne, Melbourne, Australia"},{"name":"Department of Occupational Therapy, Austin Health, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3920-8530","authenticated-orcid":false,"given":"Emily J","family":"Dalton","sequence":"additional","affiliation":[{"name":"Melbourne School of Health Sciences, University of Melbourne, Melbourne, Australia"},{"name":"Department of Occupational Therapy, Austin Health, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jia Y","family":"Ang","sequence":"additional","affiliation":[{"name":"Melbourne School of Health Sciences, University of Melbourne, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marlena","family":"Klaic","sequence":"additional","affiliation":[{"name":"Melbourne School of Health Sciences, University of Melbourne, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Thijs","sequence":"additional","affiliation":[{"name":"Stroke Theme, Florey Institute of Neurosciences and Mental Health, Melbourne, Australia"},{"name":"Department of Neurology, Austin Health, Melbourne, Australia"},{"name":"Melbourne Medical School, University of Melbourne, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5240-3264","authenticated-orcid":false,"given":"Kathryn S","family":"Hayward","sequence":"additional","affiliation":[{"name":"Melbourne School of Health Sciences, University of Melbourne, Melbourne, Australia"},{"name":"Stroke Theme, Florey Institute of Neurosciences and Mental Health, Melbourne, Australia"},{"name":"Melbourne Medical School, University of Melbourne, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,5,7]]},"reference":[{"key":"bibr1-02692155231172295","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)61689-4"},{"key":"bibr2-02692155231172295","doi-asserted-by":"publisher","DOI":"10.1177\/15459683211028240"},{"key":"bibr3-02692155231172295","doi-asserted-by":"publisher","DOI":"10.1016\/S1836-9553(13)70183-8"},{"issue":"4","key":"bibr4-02692155231172295","first-page":"9","volume":"10","author":"Lannin N","year":"2012","journal-title":"The Internet Journal of Allied Health Sciences and Practice"},{"key":"bibr5-02692155231172295","doi-asserted-by":"publisher","DOI":"10.1111\/j.1747-4949.2012.00942.x"},{"key":"bibr6-02692155231172295","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.316.7127.285"},{"key":"bibr7-02692155231172295","doi-asserted-by":"publisher","DOI":"10.1513\/pats.200706-072JK"},{"key":"bibr8-02692155231172295","doi-asserted-by":"publisher","DOI":"10.23736\/S1973-9087.22.07413-5"},{"key":"bibr9-02692155231172295","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g1687"},{"key":"bibr10-02692155231172295","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2017.12.024"},{"key":"bibr11-02692155231172295","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(19)30415-6"},{"key":"bibr12-02692155231172295","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.120.032496"},{"key":"bibr13-02692155231172295","doi-asserted-by":"publisher","DOI":"10.1016\/j.jphys.2016.08.006"},{"key":"bibr14-02692155231172295","doi-asserted-by":"publisher","DOI":"10.1097\/WCO.0000000000000256"},{"key":"bibr15-02692155231172295","unstructured":"Stroke Foundation\n                      . 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