Highlights
- •We identified tools used for upper limb evaluation in Parkinson disease.
- •We examined studies of their measurement properties in this clinical group.
- •Evidence of the reliability of these measures in this population is limited.
- •No high-quality investigations of validity or responsiveness were identified.
- •Further investigation of these properties would inform clinical practice.
Abstract
Objectives
To identify measurement tools used for upper limb evaluation in people with Parkinson
disease (PD), to summarize the content of each tool using the International Classification
of Functioning, Disability and Health, and to examine the reliability, validity, clinical
utility, and responsiveness of the measurement tools specific to this clinical group.
Data Sources
Two systematic searches of online databases included articles published from inception
to November 2013.
Study Selection
Search 1 identified upper limb measures. Search 2 retrieved studies investigating
the measurement properties of these tools in people with PD.
Data Extraction
Independent reviewers screened articles and extracted data, classified measurement
tool content on the basis of the International Classification of Functioning, Disability
and Health content domains, and applied both the COnsensus-based Standards for the
selection of health status Measurement INstruments checklist to evaluate the study's
methodological quality and a second checklist by Terwee et al to assess the measurement
tool's quality. A third reviewer adjudicated differences between reviewers. Information
on clinical utility was also compiled.
Data Synthesis
The 18 identified measures included PD-specific scales, generic measures, and tools
developed for other clinical populations; most measures evaluated impairments and/or
activity limitations. Measurement properties of 10 of the 18 identified measures were
evaluated in people with PD. No high-quality studies investigated validity or responsiveness.
High-quality evidence supported the interrater reliability of some Unified Parkinson's
Disease Rating Scale subtests, and lower quality studies provided limited evidence
for the test-retest reliability of measures evaluating fine hand function and bradykinesia.
Conclusions
There are relatively few high-quality studies to support the measurement properties,
particularly the validity and responsiveness, of tools currently used to evaluate
upper limb disability and function in people with PD. Further research is needed to
inform measurement tool selection and treatment evaluation in this clinical group.
Keywords
List of abbreviations:
CAPIT (Core Assessment Program for Intracerebral Transplantations), COSMIN (COnsensus-based Standards for the selection of health status Measurement INstruments), DASH (Disabilities of the Arm, Shoulder and Hand), ICF (International Classification of Functioning, Disability and Health), PD (Parkinson disease), UPDRS (Unified Parkinson's Disease Rating Scale)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: October 06, 2014
Footnotes
Disclosures: none.
Identification
Copyright
© 2015 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
