Etoom Mohammad, Jahan Alhadi M, Alghwiri Alia, Lena Francesco, Modugno Nicola
Physical Therapy Department, Aqaba University of Technology, Aqaba 77110, Jordan.
School of Rehabilitation Sciences, University of Ottawa, Ottawa, ON K1Y 4W7, Canada.
Healthcare (Basel). 2022 Dec 5;10(12):2459. doi: 10.3390/healthcare10122459.
Ataxia management is mainly based on rehabilitation, symptomatic management, and functional improvement. Therefore, it is important to comprehensively assess ataxic symptoms and their impact on function. Recently, the movement disorders society recommended four generic ataxia rating scales: scale for assessment and rating of ataxia (SARA), international cooperative ataxia rating scales, Friedreich's ataxia rating scale (FARS), and unified multiple system atrophy rating scale (UMSARS). The aim of the study was to analyze and compare the content of the recommended ataxia rating scales by linking them to the international classification of functioning, disability and health (ICF). A total of 125 meaningful concepts from 93 items of the four included scales were linked to 57 different ICF categories. The ICF categories were distributed in body structure ( = 8), body function ( = 26), activity and participation ( = 20), and environmental factors ( = 3) components. UMSARS and FARS were the only ones that have addressed the body structure or environmental factors component. The content analysis of ataxia rating scales would help clinicians and researchers select the most appropriate scale and understand ataxic symptoms and their impact on function. It seems that SARA is the optimal scale for rapid assessment of ataxia or in busy clinical settings. UMSARS or FARS are more appropriate for the investigating the impact of ataxia on overall health, and monitoring ataxia progression and disability.
共济失调的管理主要基于康复、对症治疗和功能改善。因此，全面评估共济失调症状及其对功能的影响非常重要。最近，运动障碍协会推荐了四种通用的共济失调评定量表：共济失调评估与评定量表（SARA）、国际合作共济失调评定量表、弗里德赖希共济失调评定量表（FARS）和统一多系统萎缩评定量表（UMSARS）。本研究的目的是通过将推荐的共济失调评定量表与国际功能、残疾和健康分类（ICF）相联系，来分析和比较它们的内容。四个纳入量表的93个条目中共有125个有意义的概念与57个不同的ICF类别相联系。这些ICF类别分布在身体结构（=8）、身体功能（=26）、活动与参与（=20）和环境因素（=3）等组成部分中。UMSARS和FARS是仅涉及身体结构或环境因素组成部分的量表。共济失调评定量表的内容分析将有助于临床医生和研究人员选择最合适的量表，并了解共济失调症状及其对功能的影响。似乎SARA是快速评估共济失调或在繁忙临床环境中使用的最佳量表。UMSARS或FARS更适合于研究共济失调对整体健康的影响，以及监测共济失调的进展和残疾情况。
