Neurosciences (Riyadh). 2020 Jul;25(3):163-168. doi: 10.17712/nsj.2020.3.20190592.
To find out new assessment tools for sitting, in patients with neurological and neuromuscular conditions, to be recommended for rehabilitation practice locally in Saudi Arabia and internationally.
Four databases were used: PubMed, Web of Science, Ovid Medline, and Cochrane. Inclusion criteria were articles published between the years 2009-2019; sitting, not standing or walking; assessment not intervention; published in English and studies on adults only. Exclusion criteria were any assessment that measures the standing/walking ability or has items for that, and studies that include pediatric or adolescent or both.
Ten articles met our criteria including 464 patients and divided into 3 main neurological conditions (stroke, SCI, and MS). One assessment (Function in Sitting Test) showed promising potential being implemented with both stroke and multiple sclerosis, Cronbach`s alpha, alpha were 0.91 and 0.98 indicating high internal consistency. It was used with SCI patients, however, no access was available to include this study in this review.
This review indicates an extension of what was carried out by previous systematic reviews with neurological conditions. It seems that Function in Sitting Test is the most frequent assessment in this review with multiple neurological conditions (stroke, MS and SCI) with high internal consistency and high quality studies according to available data. However, this review showed that there is an absence of evidence for individuals with brain injury and muscular dystrophy. Further work needs to be carried out to address such groups of patients to extend the choices that clinicians can use in rehabilitation sittings.
寻找适用于沙特阿拉伯和国际康复实践的新的神经和神经肌肉疾病患者坐姿评估工具。
使用了四个数据库：PubMed、Web of Science、Ovid Medline 和 Cochrane。纳入标准为 2009-2019 年发表的文章；坐姿，非站立或行走；评估而非干预；以英语发表且仅研究成年人。排除标准为任何评估站立/行走能力或包含该能力的评估以及包括儿科或青少年或两者的研究。
有 10 篇文章符合我们的标准，包括 464 名患者，并分为 3 种主要神经疾病（中风、SCI 和多发性硬化症）。一种评估工具（坐姿功能测试）显示出有潜力应用于中风和多发性硬化症，Cronbach`s alpha、alpha 分别为 0.91 和 0.98，表明具有较高的内部一致性。它也被用于 SCI 患者，但无法获得纳入本综述的这项研究的数据。
本综述表明，它扩展了先前针对神经疾病进行的系统综述。似乎坐姿功能测试是本次综述中最常见的评估工具，适用于多种神经疾病（中风、多发性硬化症和 SCI），具有较高的内部一致性和高质量研究，根据现有数据。然而，本综述表明，对于脑损伤和肌肉萎缩症患者，证据不足。需要进一步开展工作，以满足这些患者群体的需求，为临床医生在康复治疗中提供更多选择。
