Abstract
Objective
To assess the clinical and psychometric properties of stroke motor assessment scales.
Data Sources
The databases consulted for the literature research were MEDLINE, PEDro, ISI Web of
Knowledge, and Cumulative Index to Nursing and Allied Health (CINAHL). The search
was carried out between March 2011 and January 2014.
Study Selection
Studies that describe and validate a measurement scale designed to assess gross motor
function in stroke. The articles were classified according to the levels of evidence
and grades of recommendation for diagnosis studies of the Oxford Center for Evidence-Based
Medicine.
Data Extraction
General characteristics of the studies, including number of patients, motor function
assessment scales analyzed, and their psychometric properties, were collected.
Data Synthesis
After the literature search, 19 articles were included in this review; 32 articles
were excluded for not meeting the inclusion criteria. Four of the 19 articles studied
the Motor Assessment Scale, 5 the Fugl-Meyer Assessment, 3 investigated the Sodring
Motor Evaluation for Stroke Patients, 4 the Stroke Rehabilitation Assessment of Movement,
2 were about the Motricity Index, and 2 about the Rivermead Motor Assessment. All
of them were classified as level 2b according to the levels of evidence and grades
of recommendation.
Conclusions
All the scales compiled in this review have been shown to be useful both in clinical
practice and in terms of research. The most suitable scales to be used in the clinical
field would be the short versions of the Fugl-Meyer Assessment and the Stroke Rehabilitation
Assessment of Movement. A real consensus about the measurement of gross motor function
in patients with stroke is not available in the recent literature.
Keywords
List of abbreviations:
BI (Barthel Index), FAI (Franchay Activity Index), FMA (Fugl-Meyer Assessment), ICC (intraclass correlation coefficient), MAS (Motor Assessment Scale), MI (Motricity Index), MMAS (modified MAS), RMA (Rivermead Motor Assessment), S-FM (short version of the FMA), SMES (Sodring Motor Evaluation for Stroke Patients), SRM (standardized response mean), STREAM (Stroke Rehabilitation Assessment of Movement), S-STREAM (15-item simplified version of STREAM)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: March 03, 2014
Footnotes
This study was carried out as part of the research project Hybrid NeuroProsthetic and NeuroRobotic Devices for Functional Compensation and Rehabilitation of Motor Disorders (HYPER) within the program CONSOLIDER-Ingenio 2010 and the 6th Spanish National Plan for Scientific Research, Development and Technological Innovation 2008-2011.
No commercial party having a direct financial interest in the results of the research supporting this article has conferred or will confer a benefit on the authors or on any organization with which the authors are associated.
Identification
Copyright
© 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
