Article

OBJECTIVE: To provide an overview of applied upper limb outcome measures in
multiple sclerosis (MS) according to the International Classification of
Functioning, Disability and Health (ICF) levels and to review their psychometric
properties in MS. DATA SOURCES: PubMed and Web of Knowledge. STUDY SELECTION:
Articles published until June 2013 were selected when written in English,
published in the last 25 years, peer reviewed, including >5 persons with MS, and
including standardized clinical upper limb outcome measures. Included articles
were screened based on title/abstract and full text by 2 independent reviewers.
In case of doubt, feedback from a third independent reviewer was obtained.
Additionally, references lists were checked for relevant articles. Of the
articles, 109 met the selection criteria and were included for data extraction.
DATA EXTRACTION: All reported clinical upper limb outcome measures were extracted
from the included studies and classified according to the ICF levels by 2
independent reviewers. In addition, available psychometric properties
(reliability, validity, responsiveness) in MS were summarized and discussed.
DATA
SYNTHESIS: A diversity of outcome measures assessing impairments on the body
functions and structures level (n=33), upper limb capacity (n=11), and
performance (n=8) on the activity level were extracted from 109 articles. Hand
grip strength and the nine-hole peg test (NHPT) were the most frequently used
outcome measures. However, multiple outcome measures are necessary to encapsulate
the multidimensional character of the upper limb function. The psychometric
properties were insufficiently documented for most of the outcome measures, except for the NHPT. CONCLUSIONS: The results of this review may help with the
selection of appropriate outcome measures and may guide future research regarding
the psychometric properties in MS.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS