Article

OBJECTIVE: To provide information regarding the (1) responsiveness and
reliability of different outcome measures used with persons who have impairments
in upper extremity function and (2) their content validity based on the
International Classification of Functioning, Disability, and Health (ICF). DATA
SOURCES: MEDLINE, CINAHL, PsycINFO, and EMBASE databases were systematically
searched for studies on outcome measures used to evaluate upper extremity
function; only studies written in English and published between July 1997 and
July 2010 were considered. STUDY SELECTION: One investigator reviewed titles and
abstracts of the identified studies to determine whether the studies met
predefined eligibility criteria (eg, study design, age <18 years). Another
investigator did the same for 70% of the studies. DATA EXTRACTION: All types of
outcome measures in the included studies were extracted, and the information
retrieved from these outcome measures was linked to the ICF by 2 independent
investigators who used standardized linking rules. In addition, studies reporting
the clinical responsiveness, interrater reliability, and test-retest reliability
of the outcome measures were identified. DATA SYNTHESIS: From among the 894
studies that were included in this review, 17 most frequently used outcome
measures in the different study populations were identified. Five were
patient-reported outcome measures and 12 were clinical outcome measures. The
outcome measures show large variability with regard to the areas of functioning
and disability addressed. Reliability and responsiveness data are missing for a
few outcome measures or for certain populations for which they have been used.
CONCLUSION: This systematic review provides an overview of the outcome measures
used to address functioning and disability as they are related to the upper
extremity. The results of this study may help clinicians and researchers select
the most appropriate outcome measure for their clinical population or research
question according to ICF-based content validity, and additional information on
the reliability and responsiveness of the measures is provided. Our findings also
can provide directions for further research.
CI - Copyright (c) 2011 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS