Article

OBJECTIVE: To identify psychometrically evaluated patient-reported outcome
measures reflective of 'real-life' function (active and passive) for application
following focal rehabilitation interventions in the lower limb after stroke or
brain injury. DATA SOURCES: A literature search conducted in MEDLINE, CINAHL,
Embase, Web of Science, PubMed, National Health Service National Research
Register, MRC Clinical Trials directory, Database of Abstracts of Reviews of
Effects (DARE), Google Scholar and the Cochrane Database of Systematic Reviews.
STUDY SELECTION: Interventional study designs using patient-reported outcome
measures for outcome evaluation meeting the review objective. DATA EXTRACTION:
Evaluation of the psychometric properties used the COnsensus-based Standards for
the selection of health Measurement Instruments (COSMIN) process, by two
independent reviewers reaching consensus, with adjudication by a third reviewer.
DATA SYNTHESIS: One-hundred and thirteen studies were identified following
initial review of the abstracts, yielding 12 outcome measures. Eight measures
were identified, which were relevant to real life functional performance. These
were the Brain Injury Community Rehabilitation Outcome, Climbing Stairs
Questionnaire, Human Activity Profile, Lower Extremity Functional Scale,
Nottingham Extended ADL Index, Rivermead Mobility Index (RMI), Sickness Impact
Profile, Stroke Impact Scale. CONCLUSIONS: All measures addressed active
function, with none evaluating passive function. The RMI met most psychometric
criteria, but may have a ceiling effect for high functioning patients.

Langue : ANGLAIS