Article

OBJECTIVE: To identify a set of clinically useful outcome measures for assessment
of adults receiving treatment for spasticity. DESIGN: A modified Delphi process
was conducted. In round 1, key areas of spasticity assessment and associated
outcome measures were identified. In round 2, participants were presented with
reviews of eligible outcome measures and were asked to select the tool they
believed to be the "best" in each area. Consensus was achieved if there was at
least 70% agreement among participants. In round 3, participants rated measures
based on feasibility, ability to capture change, and usefulness of information
gained for areas where consensus was not achieved in round 2. SETTING: The
Modified Delphi process was conducted online using survey software. PARTICIPANTS:
Clinicians (N=32) from centers across Canada participated in this study.
INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Not applicable. RESULTS: Of
51 tools identified initially, 8 were selected. Tools related to body structure
and function included the visual analog scale, manual muscle testing, Penn Spasm
Frequency Scale, and goniometry. Activity level measures included the Berg
Balance Scale, Goal Attainment Scaling (GAS), and the FIM. The Modified Caregiver
Strain Index was selected for the assessment of caregiver burden, while GAS was
selected for participation level outcomes. CONCLUSIONS: A standardized set of
outcome measures will assist with better documentation and standardization of
assessment practices of clinicians who manage spasticity.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS