Aloraini Saleh M, Gäverth Johan, Yeung Ellen, MacKay-Lyons Marilyn
a School of Physiotherapy, Dalhousie University , Halifax , Nova Scotia , Canada .
b College of Applied Medical Sciences, Qassim University , Saudi Arabia , and.
Disabil Rehabil. 2015;37(25):2313-23. doi: 10.3109/09638288.2015.1014933. Epub 2015 Feb 18.
To identify and appraise the literature on clinical measures of spasticity that has been investigated in people after stroke.
The literature search involved four databases (PubMed, CINAHL, Embase and The Cochrane Library) up to February 2014. The selected studies included those that aimed to measure spasticity using a clinical assessment tool among adult patients post-stroke. Two independent raters reviewed the included articles using a critical appraisal scale and a structured data extraction form.
A total of 40 studies examining 15 spasticity assessment tools in patients post-stroke were reviewed. None of the reviewed measurement tools demonstrated satisfactory results for all psychometric properties evaluated, and the majority lacked evidence concerning validity and absolute reliability.
This systematic review found limited evidence to support the use of most of clinical measures of spasticity for people post-stroke. Future research examining the application and psychometric properties of these measures is warranted. Implications for Rehabilitation There is a need for objective clinical tools for measuring spasticity that are clinically feasible and easily interpreted by clinicians. This review identified various clinical measures of spasticity that have been investigated in people after stroke. Insufficient evidence of psychometric properties precludes recommending one tool over the others. Future research should focus on investigating the psychometric properties of clinical measures of spasticity.
识别并评估有关中风后患者痉挛临床测量方法的文献。
检索截至2014年2月的四个数据库（PubMed、CINAHL、Embase和Cochrane图书馆）。入选研究包括那些旨在使用临床评估工具测量成年中风后患者痉挛情况的研究。两名独立评估者使用批判性评估量表和结构化数据提取表对纳入的文章进行评审。
共评审了40项研究，这些研究考察了中风后患者的15种痉挛评估工具。在所评审的测量工具中，没有一种在所有评估的心理测量特性方面都显示出令人满意的结果，并且大多数缺乏有效性和绝对可靠性的证据。
本系统评价发现，支持将大多数痉挛临床测量方法用于中风后患者的证据有限。有必要对这些测量方法的应用和心理测量特性进行进一步研究。对康复的启示 需要客观的临床工具来测量痉挛，这些工具在临床上应可行且易于临床医生解读。本综述确定了在中风后患者中研究过的各种痉挛临床测量方法。心理测量特性的证据不足，无法推荐一种工具优于其他工具。未来的研究应侧重于调查痉挛临床测量方法的心理测量特性。
