التفاصيل البيبلوغرافية
| العنوان: |
Predictive Value of Upper Extremity Outcome Measures After Stroke—A Systematic Review and Metaregression Analysis |
| المؤلفون: |
Silke Wolf, Christian Gerloff, Winifried Backhaus |
| المصدر: |
Frontiers in Neurology, Vol 12 (2021) |
| بيانات النشر: |
Frontiers Media S.A., 2021. |
| سنة النشر: |
2021 |
| المجموعة: |
LCC:Neurology. Diseases of the nervous system |
| مصطلحات موضوعية: |
stroke, motor rehabilitation, motor recovery, upper limb, motor assessments, motor function, Neurology. Diseases of the nervous system, RC346-429 |
| الوصف: |
A better understanding of motor recovery after stroke requires large-scale, longitudinal trials applying suitable assessments. Currently, there is an abundance of upper limb assessments used to quantify recovery. How well various assessments can describe upper limb function change over 1 year remains uncertain. A uniform and feasible standard would be beneficial to increase future studies' comparability on stroke recovery. This review describes which assessments are common in large-scale, longitudinal stroke trials and how these quantify the change in upper limb function from stroke onset up to 1 year. A systematic search for well-powered stroke studies identified upper limb assessments classifying motor recovery during the initial year after a stroke. A metaregression investigated the association between assessments and motor recovery within 1 year after stroke. Scores from nine common assessments and 4,433 patients were combined and transformed into a standardized recovery score. A mixed-effects model on recovery scores over time confirmed significant differences between assessments (P < 0.001), with improvement following the weeks after stroke present when measuring recovery using the Action Research Arm Test (β = 0.013), Box and Block test (β = 0.011), Fugl–Meyer Assessment (β = 0.007), or grip force test (β = 0.023). A last-observation-carried-forward analysis also highlighted the peg test (β = 0.017) and Rivermead Assessment (β = 0.011) as additional, valuable long-term outcome measures. Recovery patterns and, thus, trial outcomes are dependent on the assessment implemented. Future research should include multiple common assessments and continue data collection for a full year after stroke to facilitate the consensus process on assessments measuring upper limb recovery. |
| نوع الوثيقة: |
article |
| وصف الملف: |
electronic resource |
| اللغة: |
English |
| تدمد: |
1664-2295 |
| Relation: |
https://www.frontiersin.org/articles/10.3389/fneur.2021.675255/full; https://doaj.org/toc/1664-2295 |
| DOI: |
10.3389/fneur.2021.675255 |
| URL الوصول: |
https://doaj.org/article/1a23506f024d41b5b08a592910260884 |
| رقم الانضمام: |
edsdoj.1a23506f024d41b5b08a592910260884 |
| قاعدة البيانات: |
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