Article

Standardized assessments are critical for advancing clinical rehabilitation, yet
assessment scores often provide little information for rehabilitation treatment
planning. A keyform recovery map is an innovative way for a therapist to record
patient responses to standardized assessment items. The form enables a therapist
to view the specific items that a patient can or cannot perform. This information
can assist a therapist in tailoring treatments to a patient's individual ability
level. We demonstrate how a keyform recovery map can be used to inform clinical
treatment planning for individuals with stroke-related upper-limb motor
impairment. A keyform map of poststroke upper-limb recovery defined by items of
the Fugl-Meyer Assessment-Upper Extremity (FMA-UE) was generated by a previously
published Rasch analysis. Three individuals with stroke enrolled in a separate
research study were randomly selected from each of the three impairment strata of
the FMA-UE. Their performance on each item was displayed on the FMA-UE keyform.
The forms directly connected qualitative descriptions of patients' motor ability
to assessment measures, thereby suggesting appropriate shorter and longer term
rehabilitation goals. This study demonstrates how measurement theory can be used
to translate a standardized assessment into a useful, evidence-based tool for
making clinical practice decisions.

Langue : ANGLAIS