Zafar Umema, Habib Syed Hamid, Raza Syed Shahmeer
Umema Zafar, MBBS, MPhil, CHPE Department of Physiology, Rehman Medical College, Peshawar, Pakistan.
Syed Hamid Habib, MBBS, PhD, PGD, DHPE, CHR, CRSM, CME Department of Physiology. Institute of Basic Medical Sciences, Khyber Medical University, Peshawar, Pakistan.
Pak J Med Sci. 2023 Nov-Dec;39(6):1840-1846. doi: 10.12669/pjms.39.6.7489.
To identify the most appropriate tools to measure functions of the brain that can be utilized in the clinical setups of developing countries.
This qualitative research with a three-step approach was carried out from January 2022 to May 2022 at the Institute of Basic Medical Sciences, Khyber Medical University, Pakistan. Firstly, literature was searched to identify main brain faculties, then interviews were conducted with regional field experts to identify appropriate scales for the selected functions. Lastly a rubric was filled using interview transcripts and literature.
The identified functions were vision, hearing, cognition, motor and emotions. Based on the rubric the best tests were visual fields (17/24), pure tone audiometry (16/24), Mini-Mental State Exam (20/24), Trait Emotional Intelligence Questionnaire (18/24), Romberg's test (19/24) and Manual Muscle Testing (18/24).
The clinicians in developing countries can utilize the visual fields, pure tone audiometry, Mini-Mental State Exam, Trait Emotional Intelligence Questionnaire, Romberg's test and Manual Muscle Testing for most efficient, feasible, accurate and cost-effective measurement of brain functions.
确定可用于发展中国家临床环境中测量脑功能的最合适工具。
2022年1月至2022年5月在巴基斯坦开伯尔医科大学基础医学研究所开展了这项采用三步法的定性研究。首先，检索文献以确定主要脑功能，然后与区域领域专家进行访谈，以确定所选功能的合适量表。最后，使用访谈记录和文献填写一份评分标准。
确定的功能为视觉、听觉、认知、运动和情感。根据评分标准，最佳测试为视野检查（17/24）、纯音听力测定（16/24）、简易精神状态检查表（20/24）、特质情商问卷（18/24）、闭目直立试验（19/24）和徒手肌力测试（18/24）。
发展中国家的临床医生可利用视野检查、纯音听力测定、简易精神状态检查表、特质情商问卷、闭目直立试验和徒手肌力测试，对脑功能进行最有效、可行、准确且经济高效的测量。
