The Stroke Rehabilitation Evidence-Based Review (SREBR) is internationally recognized as the leading review of the stroke rehabilitation literature world-wide.  The SREBR, initiated in 2001 with funding from Heart and Stroke Foundation Ontario, has just completed its 16th edition (15th update) thanks to ongoing funding from the Canadian Stroke Network and now contains reviews of 1.433 RCTs and a large number of non-RCTs.

216 peer-reviewed publications with approximately 2,500 citations and a large number of highly influential monographs have been associated with the SREBR and it has provided a comprehensive and updated evidence base for a number of clinical practice guidelines including the Canadian Stroke Guidelines.  Translated now into a number of languages it has become a truly internationally recognized and utilized resource, winner of 17 recognition awards.  The 16th edition contains a new Stroke Rehabilitation Clinician Handbook and a major update of the Key Studies in Stroke Rehabilitation. The evidence-based modules, which are at the heart of the SREBR now have links of all key studies to their PubMed abstracts. The SREBR will continue to build on its ongoing success as an important platform linking research evidence and clinical practice.

The SREBR 16th edition 2014

The SREBR has just completed its 16th edition which is now up on the website.  There are a number of new additions to the 16th edition of the SREBR to further enhance its use:

  1. NEW Stroke Rehabilitation Clinician Handbook: This is a 200 page handbook for the busy clinician outlining key information needed to manage stroke patients.  It is particularly designed for physiatry residents and rehabilitation clinicians to easily access key information they need to master to manage stroke rehabilitation patients.  It consists of 8 chapters ranging from Clinical Consequences (largely tied to stroke anatomy) to Community Reintegration.  It is proving to be a big hit here at Parkwood and is built around a 24 lecture series we created; when we tested it with some of our international advisors and local clinicians the response was enthusiastic.
  2. NEW The Key Studies in Stroke Rehabilitation Update:  This was initiated in the 2007 edition and was 1-2 page summaries of the 50 most important studies in stroke rehabilitation.  It is now being expanded to 120 studies and this summer we added forest plots for key outcomes of over half of the individual studies.  It is designed more for the more academic clinician or young researcher.
  3. SREBR Update
    1. UPDATE We have now reviewed 1,433 RCTs in the SREBR.
    2. UPDATE Each chapter has been updated.
    3. NEW We have added links to Pubmed for all studies in our tables (this was a huge undertaking utilizing a number of student researchers and research staff).
    4. NEW We searched for and added all relevant Cochrane reviews.
  4. SREBR Update Work Underway
    1. Link to other online resources where applicable (e.g., Canadian Best Practice Recommendations, StrokEngine).
    2. Add links for measures included in the Outcomes chapter.
    3. Upgrade the look and feel of the website. 

The SREBR remains a unique and important resource, has been highly successful at a number of levels including related publications (to date 216 published abstracts and articles as well as 30 monographs) all of which are listed in the Appendices under Publications.  It continues to be the best known Canadian research group/resource for stroke rehabilitation world-wide (with web visits from over 155 countries over the past 2 years). The SREBR has proven to be an important foundational resource for a number of clinical guidelines from different countries. The SREBR has also been critical to a number of knowledge translation intiatives both nationally and internationally; it is so highly regarded several other countries have translated it into a number of languages. The SREBR group has received a remarkable 17 acheivement/recognition awards.

Dr. Antoine Hakim, Canadian Stroke Network Scientific Director, reported in BRAINwaves February 2011 that, “The SREBR has become an unparalleled resource for the development of stroke rehabilitation guidelines, recommendations and models of care.” Based on the SREBR’s success, similar evidence-based reviews have been set up in Acquired Brain Injury Rehabilitation (now in its 9th edition) and Spinal Cord Injury (now in its 4th edition) and continue to be funded into next year.