Selecting relevant and feasible measurement instruments for the revised Dutch clinical practice guideline for physical therapy in patients after stroke

Otterman, N.M.; Veerbeek, Janne M.; Schiemanck, Sven K.; Wees, Philip van der; Nollet, Frans; Kwakkel, Gert

doi:10.1080/09638288.2016.1196399

Cited by 13 publications

(17 citation statements)

References 37 publications

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“…recommended specific measures of body function and structures, activity and participation (14, 15, 17, 18, 21, 22). Seven recommended global scales but gave no specific measures for the upper limb (23–28).…”

Section: Resultsmentioning

confidence: 99%

“…Nine publications referred to the importance of global or upper limb assessments being conducted by appropriately trained or qualified healthcare professionals (HCP) (22, 29–36). Protocols for and timing of assessment was only included in four records (17, 21, 22, 37). In total, reviews identified 47 different global and upper limb specific OMs, but only one referred to effectiveness, validity or reliability of the recommended measures (17).…”

Section: Resultsmentioning

confidence: 99%

“…The Dutch National guideline (17), provided very comprehensive recommendations on the diagnostic process and included recommendations for specific tools, within each ICF domain, that should be used for diagnosis—to allow informed clinical decision-making; to predict recovery and to assess progress. Recommendations are summarized as follows: Any patient with a stroke should be systematically assessed in terms of body functions, activities, and participation prior to the start of the physical therapy process, preferably using reliable, valid, and responsive measurement instruments.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

A Systematic Review of International Clinical Guidelines for Rehabilitation of People With Neurological Conditions: What Recommendations Are Made for Upper Limb Assessment?

et al. 2019

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Background: Upper limb impairment is a common problem for people with neurological disabilities, affecting activity, performance, quality of life, and independence. Accurate, timely assessments are required for effective rehabilitation, and development of novel interventions. International consensus on upper limb assessment is needed to make research findings more meaningful, provide a benchmark for quality in clinical practice, more cost-effective neurorehabilitation and improved outcomes for neurological patients undergoing rehabilitation. Aim: To conduct a systematic review, as part of the output of a European COST Action, to identify what recommendations are made for upper limb assessment. Methods: We systematically reviewed published guidance on measures and protocols for assessment of upper limb function in neurological rehabilitation via electronic databases from January 2007–December 2017. Additional records were then identified through other sources. Records were selected for inclusion based on scanning of titles, abstracts and full text by two authors working independently, and a third author if there was disagreement. Records were included if they referred to “rehabilitation” and “assessment” or “measurement”. Reasons for exclusion were documented. Results: From the initial 552 records identified (after duplicates were removed), 34 satisfied our criteria for inclusion, and only six recommended specific outcome measures and /or protocols. Records were divided into National Guidelines and other practice guidelines published in peer reviewed Journals. There was agreement that assessment is critical, should be conducted early and at regular intervals and that there is a need for standardized measures. Assessments should be conducted by a healthcare professional trained in using the measure and should encompass body function and structure, activity and participation. Conclusions: We present a comprehensive, critical, and original summary of current recommendations. Defining a core set of measures and agreed protocols requires international consensus between experts representing the diverse and multi-disciplinary field of neurorehabilitation including clinical researchers and practitioners, rehabilitation technology researchers, and commercial developers. Current lack of guidance may hold-back progress in understanding function and recovery. Together with a Delphi consensus study and an overview of systematic reviews of outcome measures it will contribute to the development of international guidelines for upper limb assessment in neurological conditions.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

A Systematic Review of International Clinical Guidelines for Rehabilitation of People With Neurological Conditions: What Recommendations Are Made for Upper Limb Assessment?

et al. 2019

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“…Surveys from Denmark (Maribo et al, 2016) and the United Kingdom (Burton et al, 2013) found that health care professionals used 89 and 81 different assessment tools in stroke rehabilitation, respectively. Occupational therapists may not use a core set of outcome measures in stroke rehabilitation because of a lack of time to administer and analyze data (Otterman et al, 2017) and resources (e.g., training) (Robertson & Blaga, 2013).…”

Section: Standardized Assessmentsmentioning

confidence: 99%

Use of Standardized Assessments and Online Resources in Stroke Rehabilitation

Lin¹,

Bosch²,

Rowe³

et al. 2019

The Open Journal of Occupational Therapy

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Background: The extent to which movement-related standardized assessments and online resources are used in stroke rehabilitation is unclear in the United States. Method: The researchers used a cross-sectional descriptive survey that examined (a) therapists use of movement-related standardized assessments, (b) factors influencing learning of new assessments, and (c) use of frequency of online resources by occupational therapists and physical therapists in the United States. Results: Of 151 respondents (46.4% occupational therapists, 53.6% physical therapists), the most frequently used movement-related assessments by occupational and physical therapists were the Berg and Fugl-Meyer Assessment, respectively. More physical therapists use motor-related standardized assessments regularly than occupational therapists, and physical therapists showed more consensus among standardized assessments. Both professions cited quality of patient care for motivating them to integrate outcome measures into practice. Most therapists in stroke rehabilitation used online resources to access movement-related standardized assessment content at least 25% of the time. The Rehabilitation Measures Database was the most frequently used website. Conclusion: Both occupational and physical therapists use online resources for movement-related standardized assessments on a regular basis. However, occupational therapists do not use standardized assessments as frequently as physical therapists. A systematic study of factors that impact the integration of standardized assessments is needed to further identify barriers and inform clinical practice change. Comments The authors report that they have no conflicts of interest to disclose.

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“…Use of standardized and scienti cally sound outcome measures is highly encouraged in clinical practice and research. A number of guidelines have been developed around use of upper extremity outcome measures in stroke [1,2]. However researchers have identi ed that with the development of newer rehabilitation therapies we need technology-supported upper extremity outcome measures that are easily accessible and can measure change consistently and reliably [3].…”

Section: Introductionmentioning

confidence: 99%

3-Dimensional Printing in Rehabilitation: Feasibility of Printing an Upper Extremity Gross Motor Function Assessment Tool

Kapadia

Myers

Musselman

et al. 2020

Preprint

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Background: Use of standardized and scientifically sound outcome measures is highly encouraged in clinical practice and research. Researchers have identified that with the development of newer rehabilitation therapies we need technology-supported upper extremity outcome measures that are easily accessible and can measure change consistently and reliably. 3‐dimensional printing (3D-printing) has recently seen a meteoric rise in interest within medicine including the field of Physical Medicine and Rehabilitation. The primary objective of the current study was to evaluate the feasibility of designing and constructing a 3D printed version of the Toronto Rehabilitation Institute-Hand Function Test (TRI-HFT). The secondary objective was to assess the preliminary psychometrics of the 3D TRI-HFT in individuals with stroke. Results: 3D design files were created using the measurements of the original TRI-HFT objects. The 3D printed objects were then compared to the original test objects to ensure that the original dimensions were preserved. All objects were successfully printed except the sponge and paper which required some modification. The error margin for weight of the objects was within 10% for the rest of the objects. Nine participants underwent the following assessments: the Chedoke Arm and Hand Activity Inventory (CAHAI), Fugl Meyer Assessment-Hand (FMA-Hand), Chedoke McMaster stages of recovery of the arm (CMSA-Arm) and Chedoke McMaster stages of recovery of the hand (CMSA-Hand) and the 3D TRI-HFT for assessment of psychometric properties of the test. The video recorded assessment of the 3D TRI-HFT was reviewed by two assessors for reliability testing. Construct validity was assessed by comparing the scores on 3D TRI-HFT with the scores on CAHAI, CMSA-Arm, CMSA-Hand and FMA-Hand. The 3D TRI-HFT had high inter-rater reliability (ICC of 0.99; P < 0.000), high intra-rater reliability (ICC of 0.99; P < 0.000) and moderate to strong correlation with the CMSA-Arm, CMSA-Hand and FMA-Hand scores. Conclusions: The TRI-HFT could be successfully 3D printed and initial testing indicates that the test is a reliable and valid measure of upper extremity motor function in individuals with stroke.

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Selecting relevant and feasible measurement instruments for the revised Dutch clinical practice guideline for physical therapy in patients after stroke

Cited by 13 publications

References 37 publications

A Systematic Review of International Clinical Guidelines for Rehabilitation of People With Neurological Conditions: What Recommendations Are Made for Upper Limb Assessment?

A Systematic Review of International Clinical Guidelines for Rehabilitation of People With Neurological Conditions: What Recommendations Are Made for Upper Limb Assessment?

Use of Standardized Assessments and Online Resources in Stroke Rehabilitation

3-Dimensional Printing in Rehabilitation: Feasibility of Printing an Upper Extremity Gross Motor Function Assessment Tool

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