Bonanno Mirjam, De Luca Rosaria, Torregrossa William, Tonin Paolo, Calabrò Rocco Salvatore
Neurorehabilitation Unit, IRCCS Centro Neurolesi "Bonino-Pulejo", 98121 Messina, Italy.
Sant'Anna Institute, 88900 Crotone, Italy.
Healthcare (Basel). 2022 Jun 15;10(6):1115. doi: 10.3390/healthcare10061115.
Severe acquired brain injury (SABI) is among the leading causes of death and disability worldwide. Patients following SABI may develop motor, sensory and cognitive disorders, alone or in combination. This review aims to point out the most used scales to assess motor function in SABI patients, also attempting to give some indications on their applicability in clinical practice. Studies were identified by searching on PubMed, Web of Science, PeDro and Cochrane databases between January and March 2022. We found that motor assessment tools are currently used by researchers/clinicians either in the acute/post-acute phase (for prognosis and rehabilitation purposes) or in the chronic phase (when functional items may also be considered). Moreover, specific scales exist only for patients with disorders of consciousness, whereas regarding motor function, SABI is mainly assessed by adapting the tools commonly used for stroke. Although some doubts remain about the validity of some of these assessment tools in SABI, to investigate motor outcomes is fundamental to establish a correct prognosis and plan a tailored rehabilitation training in these very frail and vulnerable patients.
严重获得性脑损伤（SABI）是全球范围内死亡和残疾的主要原因之一。SABI患者可能单独或合并出现运动、感觉和认知障碍。本综述旨在指出评估SABI患者运动功能最常用的量表，并尝试就其在临床实践中的适用性给出一些提示。通过在2022年1月至3月期间搜索PubMed、科学网、PeDro和Cochrane数据库来确定相关研究。我们发现，研究人员/临床医生目前在急性/急性后期（用于预后和康复目的）或慢性期（当也可考虑功能项目时）使用运动评估工具。此外，仅存在针对意识障碍患者的特定量表，而关于运动功能，SABI主要通过改编常用于中风的工具进行评估。尽管对于其中一些评估工具在SABI中的有效性仍存在一些疑问，但对于这些极其脆弱的患者来说，调查运动结果对于建立正确的预后和制定量身定制的康复训练计划至关重要。
