Occupational Therapy Neurorehabilitation Practice in Middle East and North Africa (MENA): A Scoping Review.

The authors did not search grey literature, so unpublished service data and local reports from the region are missing. The evidence is concentrated in three countries, so the review describes what has been documented in the literature rather than practice across the whole region. In many included studies the occupational therapist's specific contribution was not described, so the review could not say in detail what OTs actually did. Only 11 of the 67 studies were randomised trials; most were observational, so few of the described interventions have been tested against a control group. Only sources published in English, Arabic or French and only peer-reviewed publications were eligible, which excludes work in other languages and unpublished theses or reports. All patients in the included studies were recipients of hospital services, so community and private practice is not represented.

The authors declare no conflicts of interest. Open access publishing was facilitated by the University of Sydney as part of the Wiley-University of Sydney agreement via the Council of Australasian University Librarians.

Do not read this as evidence that occupational therapy neurorehabilitation works in the region. It is a map of what has been published, not a test of treatment. Most of the included studies were observational, only 11 were randomised trials, and almost all the evidence comes from three countries.