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Systematic review of outcome measures of walking training using electromechanical and robotic devices in patients with stroke

The aim of this systematic review was to identify appropriate
selection criteria of clinical scales for future trials, starting from those most
commonly reported in the literature, according to their psychometric properties
and International Classification of Functioning, Disability and Health (ICF)
domains. Data sources: A computerized literature research of articles was
conducted in MEDLINE, EMBASE, CINALH, PubMed, PsychINFO and Scopus databases.
Study selection: Clinical trials evaluating the effects of electromechanical and
robot-assisted gait training trials in stroke survivors. Data extraction: Fifteen
independent authors performed an extensive literature review. Data synthesis: A
total of 45 scales was identified from 27 studies involving 966 subjects. The
most commonly used outcome measures were: Functional Ambulation Category (18
studies), 10-Meter Walking Test (13 studies), Motricity Index (12 studies),
6-Minute Walking Test (11 studies), Rivermead Mobility Index (8 studies) and Berg
Balance Scale (8 studies). According to the ICF domains 1 outcome measure was
categorized into Body Function and Structure, 5 into Activity and none into
Participation. Conclusion: The most commonly used scales evaluated the basic
components of walking. Future studies should also include instrumental
evaluation. Criteria for scale selection should be based on the ICF framework,
psychometric properties and patient characteristics.

Langue : ANGLAIS

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