Academic Department of Rehabilitation Medicine, University of Leeds, D Floor, Martin Wing, Leeds General Infirmary, Leeds LS1 3EX, United Kingdom.
J Rehabil Med. 2011 Feb;43(3):181-9. doi: 10.2340/16501977-0674.
To classify and evaluate outcome measures currently used in robot-assisted exercise trials (RAET) in stroke, and to determine selection criteria for outcome measures in future trials.
Outcome measures used in RAET were identified from MEDLINE, EMBASE, CINAHL, PubMed and PsychINFO databases. The scale items were categorized into International Classification of Functioning Disability and Health (ICF) domains. The psychometric properties of scale were rated using a standardized pro forma.
Thirty outcome measures were identified from 28 published RAET. Commonly used ICF body function scales were: Fugl-Meyer (FM) (24 studies), Modified Ashworth Scale (13 studies), Medical Research Council (11 studies), Kinematic measures (8 studies) and Motor Status Score (6 studies); ICF activity scale was Functional Independence Measure (FIMTM) (9 studies); ICF participation, personal and environmental factors scales were rarely used. Standard-ized rating identified that FM, kinematic measures, Action Research Arm Test, Wolf Motor Function Test, FIMTM, and ABILHAND have adequate measurement properties for use in RAET.
Some of the currently used outcome measures seem appropriate for RAET. The use of the ICF framework enables selection of an appropriate combination of outcome measures depending on patient characteristics, such as severity of weakness and chronicity of stroke impairments.
对目前用于脑卒中机器人辅助运动试验（RAET）的结局测量进行分类和评估，并确定未来试验中结局测量的选择标准。
从 MEDLINE、EMBASE、CINAHL、PubMed 和 PsychINFO 数据库中确定 RAET 中使用的结局测量。将量表项目分为国际功能、残疾和健康分类（ICF）领域。使用标准化表格评估量表的心理测量特性。
从 28 项已发表的 RAET 中确定了 30 项结局测量。常用的 ICF 身体功能量表包括：Fugl-Meyer（FM）（24 项研究）、改良 Ashworth 量表（13 项研究）、医学研究委员会（11 项研究）、运动学测量（8 项研究）和运动状态评分（6 项研究）；ICF 活动量表是功能性独立性测量（FIMTM）（9 项研究）；ICF 参与、个人和环境因素量表很少使用。标准化评分表明，FM、运动学测量、动作研究上肢测试、Wolf 运动功能测试、FIMTM 和 ABILHAND 具有足够的测量特性，可用于 RAET。
目前使用的一些结局测量似乎适用于 RAET。ICF 框架的使用可以根据患者的特点，如虚弱的严重程度和中风损伤的慢性程度，选择适当的结局测量组合。
