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Upper Limb Outcome Measures Used in Stroke Rehabilitation Studies: A Systematic Literature Review
BACKGROUND: Establishing which upper limb outcome measures are most commonly used in stroke studies may help in improving consensus among scientists and clinicians. OBJECTIVE: In this study we aimed to identify the most commonly used upper limb outcome measures in intervention studies after stroke a...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4859525/ https://www.ncbi.nlm.nih.gov/pubmed/27152853 http://dx.doi.org/10.1371/journal.pone.0154792 |
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author | Santisteban, Leire Térémetz, Maxime Bleton, Jean-Pierre Baron, Jean-Claude Maier, Marc A. Lindberg, Påvel G. |
author_facet | Santisteban, Leire Térémetz, Maxime Bleton, Jean-Pierre Baron, Jean-Claude Maier, Marc A. Lindberg, Påvel G. |
author_sort | Santisteban, Leire |
collection | PubMed |
description | BACKGROUND: Establishing which upper limb outcome measures are most commonly used in stroke studies may help in improving consensus among scientists and clinicians. OBJECTIVE: In this study we aimed to identify the most commonly used upper limb outcome measures in intervention studies after stroke and to describe domains covered according to ICF, how measures are combined, and how their use varies geographically and over time. METHODS: Pubmed, CinHAL, and PeDRO databases were searched for upper limb intervention studies in stroke according to PRISMA guidelines and477 studies were included. RESULTS: In studies 48different outcome measures were found. Only 15 of these outcome measures were used in more than 5% of the studies. The Fugl-Meyer Test (FMT)was the most commonly used measure (in 36% of studies). Commonly used measures covered ICF domains of body function and activity to varying extents. Most studies (72%) combined multiple outcome measures: the FMT was often combined with the Motor Activity Log (MAL), the Wolf Motor Function Test and the Action Research Arm Test, but infrequently combined with the Motor Assessment Scale or the Nine Hole Peg Test. Key components of manual dexterity such as selective finger movements were rarely measured. Frequency of use increased over a twelve-year period for the FMT and for assessments of kinematics, whereas other measures, such as the MAL and the Jebsen Taylor Hand Test showed decreased use over time. Use varied largely between countries showing low international consensus. CONCLUSIONS: The results showed a large diversity of outcome measures used across studies. However, a growing number of studies used the FMT, a neurological test with good psychometric properties. For thorough assessment the FMT needs to be combined with functional measures. These findings illustrate the need for strategies to build international consensus on appropriate outcome measures for upper limb function after stroke. |
format | Online Article Text |
id | pubmed-4859525 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-48595252016-05-13 Upper Limb Outcome Measures Used in Stroke Rehabilitation Studies: A Systematic Literature Review Santisteban, Leire Térémetz, Maxime Bleton, Jean-Pierre Baron, Jean-Claude Maier, Marc A. Lindberg, Påvel G. PLoS One Research Article BACKGROUND: Establishing which upper limb outcome measures are most commonly used in stroke studies may help in improving consensus among scientists and clinicians. OBJECTIVE: In this study we aimed to identify the most commonly used upper limb outcome measures in intervention studies after stroke and to describe domains covered according to ICF, how measures are combined, and how their use varies geographically and over time. METHODS: Pubmed, CinHAL, and PeDRO databases were searched for upper limb intervention studies in stroke according to PRISMA guidelines and477 studies were included. RESULTS: In studies 48different outcome measures were found. Only 15 of these outcome measures were used in more than 5% of the studies. The Fugl-Meyer Test (FMT)was the most commonly used measure (in 36% of studies). Commonly used measures covered ICF domains of body function and activity to varying extents. Most studies (72%) combined multiple outcome measures: the FMT was often combined with the Motor Activity Log (MAL), the Wolf Motor Function Test and the Action Research Arm Test, but infrequently combined with the Motor Assessment Scale or the Nine Hole Peg Test. Key components of manual dexterity such as selective finger movements were rarely measured. Frequency of use increased over a twelve-year period for the FMT and for assessments of kinematics, whereas other measures, such as the MAL and the Jebsen Taylor Hand Test showed decreased use over time. Use varied largely between countries showing low international consensus. CONCLUSIONS: The results showed a large diversity of outcome measures used across studies. However, a growing number of studies used the FMT, a neurological test with good psychometric properties. For thorough assessment the FMT needs to be combined with functional measures. These findings illustrate the need for strategies to build international consensus on appropriate outcome measures for upper limb function after stroke. Public Library of Science 2016-05-06 /pmc/articles/PMC4859525/ /pubmed/27152853 http://dx.doi.org/10.1371/journal.pone.0154792 Text en © 2016 Santisteban et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Santisteban, Leire Térémetz, Maxime Bleton, Jean-Pierre Baron, Jean-Claude Maier, Marc A. Lindberg, Påvel G. Upper Limb Outcome Measures Used in Stroke Rehabilitation Studies: A Systematic Literature Review |
title | Upper Limb Outcome Measures Used in Stroke Rehabilitation Studies: A Systematic Literature Review |
title_full | Upper Limb Outcome Measures Used in Stroke Rehabilitation Studies: A Systematic Literature Review |
title_fullStr | Upper Limb Outcome Measures Used in Stroke Rehabilitation Studies: A Systematic Literature Review |
title_full_unstemmed | Upper Limb Outcome Measures Used in Stroke Rehabilitation Studies: A Systematic Literature Review |
title_short | Upper Limb Outcome Measures Used in Stroke Rehabilitation Studies: A Systematic Literature Review |
title_sort | upper limb outcome measures used in stroke rehabilitation studies: a systematic literature review |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4859525/ https://www.ncbi.nlm.nih.gov/pubmed/27152853 http://dx.doi.org/10.1371/journal.pone.0154792 |
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