Article

OBJECTIVES: To identify measurement tools used for upper limb evaluation in
people with Parkinson disease (PD), to summarize the content of each tool using
the International Classification of Functioning, Disability and Health, and to
examine the reliability, validity, clinical utility, and responsiveness of the
measurement tools specific to this clinical group.
DATA SOURCES: Two systematic
searches of online databases included articles published from inception to
November 2013. STUDY SELECTION: Search 1 identified upper limb measures. Search 2
retrieved studies investigating the measurement properties of these tools in
people with PD. DATA EXTRACTION: Independent reviewers screened articles and
extracted data, classified measurement tool content on the basis of the
International Classification of Functioning, Disability and Health content
domains, and applied both the COnsensus-based Standards for the selection of
health status Measurement INstruments checklist to evaluate the study's
methodological quality and a second checklist by Terwee et al to assess the
measurement tool's quality. A third reviewer adjudicated differences between
reviewers. Information on clinical utility was also compiled.
DATA SYNTHESIS: The
18 identified measures included PD-specific scales, generic measures, and tools
developed for other clinical populations; most measures evaluated impairments
and/or activity limitations. Measurement properties of 10 of the 18 identified
measures were evaluated in people with PD. No high-quality studies investigated
validity or responsiveness. High-quality evidence supported the interrater
reliability of some Unified Parkinson's Disease Rating Scale subtests, and lower
quality studies provided limited evidence for the test-retest reliability of
measures evaluating fine hand function and bradykinesia. CONCLUSIONS: There are
relatively few high-quality studies to support the measurement properties,
particularly the validity and responsiveness, of tools currently used to evaluate
upper limb disability and function in people with PD. Further research is needed
to inform measurement tool selection and treatment evaluation in this clinical
group.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS