Allied Health and Human Performance, Innovation, Implementation and Clinical Translation (IIMPACT) in Health, University of South Australia, City East Campus, Adelaide, SA, Australia.
Disabil Rehabil. 2023 Sep;45(19):3177-3198. doi: 10.1080/09638288.2022.2123053. Epub 2022 Oct 3.
To summarise body awareness assessment tools and interventions relevant for stroke rehabilitation using a framework that categorises key body awareness constructs, disorders and impairments.
Online electronic databases and trial registries were searched from inception until July 2021, in addition to hand searching reference lists of included studies and reviews. Study selection included any study design where the investigation involved assessing and/or intervening in body awareness following stroke. Data were extracted based on predefined criteria by two independent reviewers and mapped to the emergent framework.
The final analysis included 144 papers that reported 43 assessment tools and 8 types of interventions for body awareness. Consensus was reached on a synthesised body awareness framework. This comprised specific impairments and disorders, constructs, sub-categories and main categories leading to the overarching term of body awareness. Clinical and psychometric properties of the assessment tools were not reported or poorly evaluated, and the interventions lacked robust study designs and rigorous methods.
The framework produced will enable future research and clinical practice to be based on consistent concepts and definitions. Clinicians can also use this information to cautiously select assessment tools and/or interventions but are reminded of the limitations identified in this review.Implications for rehabilitationThere is limited understanding, compounded by inconsistent terminology and definitions regarding body awareness after stroke.A synthesized framework to define key constructs and definitions of body awareness is proposed.Assessment tools and interventions reported in the literature are mapped to the proposed framework.Psychometric properties of available tools are reported.Significant work remains to refine concepts of body awareness, develop and evaluate assessment tools and interventions.
使用一种分类关键身体意识结构、障碍和损伤的框架，总结与中风康复相关的身体意识评估工具和干预措施。
除了对纳入研究和综述的参考文献进行手工检索外，还从创建开始到 2021 年 7 月在在线电子数据库和试验注册处进行了搜索。研究选择包括任何研究设计，其中调查涉及中风后评估和/或干预身体意识。两名独立审查员根据预设标准提取数据，并将其映射到新兴框架。
最终分析包括 144 篇论文，报告了 43 种身体意识评估工具和 8 种干预类型。达成了关于综合身体意识框架的共识。这包括特定的损伤和障碍、结构、子类别和主要类别，导致身体意识的总称。评估工具的临床和心理测量特性没有得到报告或评估不佳，干预措施缺乏稳健的研究设计和严格的方法。
所产生的框架将使未来的研究和临床实践能够基于一致的概念和定义。临床医生也可以使用此信息谨慎选择评估工具和/或干预措施，但请注意本综述中确定的限制。
对中风后身体意识的理解有限，加上术语和定义不一致。
提出了一个综合的框架来定义身体意识的关键结构和定义。
文献中报道的评估工具和干预措施被映射到建议的框架。
报告了现有工具的心理测量特性。
仍需做大量工作来完善身体意识的概念，开发和评估评估工具和干预措施。
