Clinical reality of measuring upper-limb ability in neurologic conditions: a systematic review
- Connell, L. A. and Tyson, S. F.
- OBJECTIVE: To review the psychometric properties and clinical utility of upper-limb measurement tools in people with neurologic conditions to provide recommendations for practice.
DATA SOURCES: MEDLINE, CINAHL, EMBASE, PEDro, and AMED.
STUDY SELECTION: Independent reviewers searched, selected, and extracted data from articles that assessed reliability, validity, ability to detect change, and clinical utility of measures of the upper limb in adult neurologic conditions.
DATA EXTRACTION: Measures with good psychometrics and 8 or higher (out of 10) clinical utility scores were recommended.
DATA SYNTHESIS: The searches identified 31 measures of the upper limb. However, only 2 measures fulfilled all of the psychometric and clinical utility criteria; the Box and Block Test and the Action Research Arm Test.
CONCLUSIONS: The Box and Block and the Action Research Arm Tests produce robust data and are feasible for use in clinical practice. Future development of new or existing measures should ensure the construct and content validity of the measure is clearly identified, standardized guidelines are easily available, and ensure that it is individualized and contemporary. Attention to measures of upper-limb activity for people who are unable to grip objects is also needed.
- Arch Phys Med Rehabil
- 1532-821X (Electronic)
- Publication year:
- Functional status:
- Physical functioning
- Adults (18-65)
- Diseases of and symptoms related to the nervous system
- PRO / non-PRO:
- Non-patient Reported Outcome
Patient Reported Outcome
- Type of measurement instrument:
- 4 - Performance-based tests
6 - Clinical rating scales
7 - Observations
9 - Laboratory tests
ARAT - Action Research Arm Test
BBT - Box and Block Test
Fitts Reaching test
MAL - Motor Activity Log
MSS - Motor Status Score
NHPT - Nine-Hole Peg Test
RMA - Rivermead Motor Assessment
SHT - Sollerman Hand Function Test
Simplified STREAM - simplified Stroke Rehabilitation Assessment of Movement [alias: S-STREAM]
STREAM - Stroke Rehabilitation Assessment of Movement