Article

OBJECTIVE: To review the psychometric properties and clinical utility of
upper-limb measurement tools in people with neurologic conditions to provide
recommendations for practice. DATA SOURCES: MEDLINE, CINAHL, EMBASE, PEDro, and
AMED. STUDY SELECTION: Independent reviewers searched, selected, and extracted
data from articles that assessed reliability, validity, ability to detect change,
and clinical utility of measures of the upper limb in adult neurologic
conditions. DATA EXTRACTION: Measures with good psychometrics and 8 or higher
(out of 10) clinical utility scores were recommended.
DATA SYNTHESIS: The
searches identified 31 measures of the upper limb. However, only 2 measures
fulfilled all of the psychometric and clinical utility criteria; the Box and
Block Test and the Action Research Arm Test. CONCLUSIONS: The Box and Block and
the Action Research Arm Tests produce robust data and are feasible for use in
clinical practice. Future development of new or existing measures should ensure
the construct and content validity of the measure is clearly identified,
standardized guidelines are easily available, and ensure that it is
individualized and contemporary. Attention to measures of upper-limb activity for
people who are unable to grip objects is also needed.
CI - Copyright (c) 2012 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS