Article

Functional ability is regularly monitored poststroke to assess
improvement and the efficacy of clinical trials.
The balance between
implementation times and sensitivity has led to multidomain tools that aim to
assess upper-limb function comprehensively.
This study implemented 3
common multidomain tools to investigate their suitability across a broad spectrum
of movement ability after stroke. METHODS: Forty-nine hemiparetic patients (18
females), aged 22 to 83 years and 24.7 +/- 39.2 months poststroke, were assessed
before and after a 14-day upper-limb rehabilitation program of Wii-based Movement
Therapy. Assessments included the upper-limb motor subscale of the Fugl-Meyer
Assessment (F-M), the Wolf Motor Function Test (WMFT), and the Motor Assessment
Scale (MAS) upper-limb sections 6 to 8. The MAS was analyzed both with and
without the hierarchical system. Patients were stratified with low, moderate, or
high motor-function. RESULTS: Upper-limb function improved significantly for the
pooled cohort for all assessments (P < .001), although ceiling effects were
evident for the F-M, floor effects for the WMFT, and both floor and ceiling
effects for MAS. When analyzed by stratified subgroup these improvements were
significant for all groups with the F-M, for the moderate and high motor-function
groups with both the WMFT and the MAS scored without hierarchical system, but
only for the high motor-function group with the hierarchically scored MAS.
CONCLUSION: These results suggest that no single test is suitable for measuring
function and improvement across the spectrum of poststroke upper-limb dysfunction
and that assessment tool selection should be based on the level of residual
motor-function of individual patients.
CI - (c) The Author(s) 2014.

Langue : ANGLAIS