通过远程康复对神经疾病患者进行的平衡、活动能力和步态评估的识别与描述：一项范围综述的方案
Identification and Description of Balance, Mobility, and Gait Assessments Conducted via Telerehabilitation for Individuals With Neurological Conditions: Protocol for a Scoping Review.
作者信息
O'Neil Jennifer, Barnes Keely, Morgan Donnelly Erin, Sheehy Lisa, Sveistrup Heidi
机构信息
School of Rehabilitation Sciences, University of Ottawa, Ottawa, ON, Canada.
Bruyère Research Institute, Ottawa, ON, Canada.
出版信息
JMIR Res Protoc. 2021 Dec 9;10(12):e27186. doi: 10.2196/27186.
BACKGROUND
The COVID-19 global pandemic pushed many rehabilitation practitioners to pivot their in-person practice to adopt telerehabilitation as their main method of delivery. In addition to documenting information on interventions used with clients, it is best practice for therapists to use reliable and validated outcome measures to inform their interventions.
OBJECTIVE
Through this scoping review, we aim to identify (1) which outcomes are being used remotely to assess balance, mobility, and gait in patients with neurological conditions, and (2) what psychometric data (validity, reliability, etc.) for remotely administered outcomes are available.
METHODS
Three main concepts will be included in our search: (1) neurological conditions; (2) administration by telerehabilitation; and (3) outcome measures for balance, mobility, and gait. Studies reporting remote assessment of neurological conditions published since 1990 will be included. The database search will be completed in MEDLINE (Ovid), CINAHL, PubMed, PsycINFO, EMBASE, and Cochrane. Gray literature including dissertations, conference papers, and protocol papers will also be sourced. Two reviewers will independently screen each title and abstract using pre-established inclusion and exclusion criteria. Manuscripts that appear to meet the criteria will be subject to further review, and full-text extraction using a pre-piloted extraction sheet if all criteria are met. The data will be categorized by assessment types describing impairments (such as balance, strength, and mobility) or activity limitations or participation restriction (such as functional mobility, ambulatory functions, and activities of daily living).
RESULTS
This scoping review will document outcome measures currently used in the remote assessment of neurological conditions. To date, 235 titles and abstracts were screened. We are in the process of finalizing the full text screening for the inclusion of articles. We expect the full screening to be completed in November 2021 and data analysis in January 2022. Our results are expected to be published in early 2022.
CONCLUSIONS
The optimal use of telerehabilitation as a mode to deliver rehabilitation intervention should be coupled with the completion of validated outcome measures. Therefore, it is crucial to further our knowledge on remote outcome measures and therapeutic assessments.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/27186.
背景
新冠疫情全球大流行促使许多康复从业者将面对面服务模式转变为以远程康复作为主要服务方式。除了记录与客户相关的干预措施信息外，治疗师采用可靠且经过验证的结果测量方法来指导干预措施是最佳实践。
目的
通过本范围综述，我们旨在确定：（1）哪些结果测量方法正被用于远程评估神经系统疾病患者的平衡、移动性和步态；（2）可获得哪些关于远程管理结果测量方法的心理测量数据（效度、信度等）。
方法
我们的检索将纳入三个主要概念：（1）神经系统疾病；（2）通过远程康复进行管理；（3）平衡、移动性和步态的结果测量方法。将纳入自1990年以来发表的报告对神经系统疾病进行远程评估的研究。数据库检索将在MEDLINE（Ovid）、CINAHL、PubMed、PsycINFO、EMBASE和Cochrane中完成。还将收集包括学位论文、会议论文和方案论文在内的灰色文献。两名评审员将使用预先确定的纳入和排除标准独立筛选每个标题和摘要。看起来符合标准的手稿将接受进一步评审，如果所有标准都满足，则使用预先试点的提取表进行全文提取。数据将按描述损伤（如平衡、力量和移动性）或活动受限或参与受限（如功能移动性、步行功能和日常生活活动）的评估类型进行分类。
结果
本范围综述将记录目前在神经系统疾病远程评估中使用的结果测量方法。截至目前，已筛选了235个标题和摘要。我们正在完成对纳入文章的全文筛选。预计全文筛选将于2021年11月完成，数据分析将于2022年1月完成。我们的结果预计将于2022年初发表。
结论
将远程康复作为提供康复干预的一种模式进行优化使用，应与完成经过验证的结果测量方法相结合。因此，进一步了解远程结果测量方法和治疗评估至关重要。
国际注册报告识别码（IRRID）：PRR1-XX.2196/27186 （此处原文中IRRID的具体数字部分可能有误，根据格式推测应是PRR1-XX.2196/27186，XX部分未给出准确数字信息）
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