Assessing Motor Deficits in Neurological Rehabilitation: Patterns of Instrument Usage

Authors: Van Wijck, F.M.J., Pandyan, A.D., Johnson, G.R. and Barnes, M.P.

Journal: Neurorehabilitation and Neural Repair

Volume: 15

Issue: 1

Pages: 23-30

ISSN: 1545-9683

DOI: 10.1177/154596830101500104

Abstract:

To describe current patterns in the use of clinical scales and measurement tech nology for the assessment of motor deficits in neurological rehabilitation. Question naire, sent to the 2,556 members of the World Forum for Neurological Rehabilita tion, distributed over 75 countries. Sixty-eight questionnaires were returned. Generally, participants indicated that the centres where they were based used a num ber of different clinical assessment scales (median, three), most frequently with a small proportion of patients. The (Modified) Ashworth Scale, the FIM, and the Fugl-Meyer were used most frequently. Only 35 respondents stated that their centre used one or more scales in >75% of their patients, but the choice of such routinely applied in struments varied between centres. The application of measurement technology was re stricted, with video and goniometry being used most frequently. The main barriers to more frequent use of assessment tools were perceived to be a lack of resources, infor mation, and training. The (albeit limited) results from this survey suggest that the assessment of motor deficits in neurological rehabilitation is currently mostly qualita tive and lacks standardisation. More resources and education are required to support a more routine application of assessment tools and to integrate measurement tech nology further in neurological rehabilitation to assist in the process of quantification of outcomes. © 2001, Sage Publications. All rights reserved.

Source: Scopus

Assessing motor deficits in neurological rehabilitation: patterns of instrument usage.

Authors: van Wijck, F.M., Pandyan, A.D., Johnson, G.R. and Barnes, M.P.

Journal: Neurorehabil Neural Repair

Volume: 15

Issue: 1

Pages: 23-30

ISSN: 1545-9683

DOI: 10.1177/154596830101500104

Abstract:

To describe current patterns in the use of clinical scales and measurement technology for the assessment of motor deficits in neurological rehabilitation. Questionnaire, sent to the 2,556 members of the World Forum for Neurological Rehabilitation, distributed over 75 countries. Sixty-eight questionnaires were returned. Generally, participants indicated that the centres where they were based used a number of different clinical assessment scales (median, three), most frequently with a small proportion of patients. The (Modified) Ashworth Scale, the FIM, and the Fugl-Meyer were used most frequently. Only 35 respondents stated that their centre used one or more scales in >75% of their patients, but the choice of such routinely applied instruments varied between centres. The application of measurement technology was restricted, with video and goniometry being used most frequently. The main barriers to more frequent use of assessment tools were perceived to be a lack of resources, information, and training. The (albeit limited) results from this survey suggest that the assessment of motor deficits in neurological rehabilitation is currently mostly qualitative and lacks standardisation. More resources and education are required to support a more routine application of assessment tools and to integrate measurement technology further in neurological rehabilitation to assist in the process of quantification of outcomes.

Source: PubMed

Assessing motor deficits in neurological rehabilitation: Patterns of instrument usage

Authors: van Wijck, F.M.J., Pandyan, A.D., Johnson, G.R. and Barnes, M.P.

Journal: NEUROREHABILITATION AND NEURAL REPAIR

Volume: 15

Issue: 1

Pages: 23-30

ISSN: 0888-4390

DOI: 10.1177/154596830101500104

Source: Web of Science (Lite)

Assessing motor deficits in neurological rehabilitation: patterns of instrument usage.

Authors: van Wijck, F.M., Pandyan, A.D., Johnson, G.R. and Barnes, M.P.

Journal: Neurorehabilitation and neural repair

Volume: 15

Issue: 1

Pages: 23-30

eISSN: 1552-6844

ISSN: 1545-9683

DOI: 10.1177/154596830101500104

Abstract:

To describe current patterns in the use of clinical scales and measurement technology for the assessment of motor deficits in neurological rehabilitation. Questionnaire, sent to the 2,556 members of the World Forum for Neurological Rehabilitation, distributed over 75 countries. Sixty-eight questionnaires were returned. Generally, participants indicated that the centres where they were based used a number of different clinical assessment scales (median, three), most frequently with a small proportion of patients. The (Modified) Ashworth Scale, the FIM, and the Fugl-Meyer were used most frequently. Only 35 respondents stated that their centre used one or more scales in >75% of their patients, but the choice of such routinely applied instruments varied between centres. The application of measurement technology was restricted, with video and goniometry being used most frequently. The main barriers to more frequent use of assessment tools were perceived to be a lack of resources, information, and training. The (albeit limited) results from this survey suggest that the assessment of motor deficits in neurological rehabilitation is currently mostly qualitative and lacks standardisation. More resources and education are required to support a more routine application of assessment tools and to integrate measurement technology further in neurological rehabilitation to assist in the process of quantification of outcomes.

Source: Europe PubMed Central