Article

OBJECTIVE: To classify and evaluate outcome measures currently used in
robot-assisted exercise trials (RAET) in stroke, and to determine selection
criteria for outcome measures in future trials. METHODS:
Outcome measures used in
RAET were identified from MEDLINE, EMBASE, CINAHL, PubMed and PsychINFO
databases. The scale items were categorized into International Classification of
Functioning Disability and Health (ICF) domains. The psychometric properties of
scale were rated using a standardized pro forma. RESULTS: Thirty outcome measures
were identified from 28 published RAET. Commonly used ICF body function scales
were: Fugl-Meyer (FM) (24 studies), Modified Ashworth Scale (13 studies), Medical
Research Council (11 studies), Kinematic measures (8 studies) and Motor Status
Score (6 studies); ICF activity scale was Functional Independence Measure (FIMTM)
(9 studies); ICF participation, personal and environmental factors scales were
rarely used. Standard-ized rating identified that FM, kinematic measures, Action
Research Arm Test, Wolf Motor Function Test, FIMTM, and ABILHAND have adequate
measurement properties for use in RAET. CONCLUSION:
Some of the currently used
outcome measures seem appropriate for RAET. The use of the ICF framework enables
selection of an appropriate combination of outcome measures depending on patient
characteristics, such as severity of weakness and chronicity of stroke
impairments.

Langue : ANGLAIS