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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/18613

Title: An overview of systematic reviews on upper extremity outcome measures after stroke.
Authors: Alt Murphy, Margit
Resteghini, Carol
FEYS, Peter
Issue Date: 2015
Citation: BMC Neurology, 15
Abstract: Background Although use of standardized and scientifically sound outcome measures is highly encouraged in clinical practice and research, there is still no clear recommendation on which tools should be preferred for upper extremity assessment after stroke. As the aims, objectives and methodology of the existing reviews of the upper extremity outcome measures can vary, there is a need to bring together the evidence from existing multiple reviews. The purpose of this review was to provide an overview of evidence of the psychometric properties and clinical utility of upper extremity outcome measures for use in stroke, by systematically evaluating and summarizing findings from systematic reviews. Methods A comprehensive systematic search was performed including systematic reviews from 2004 to February 2014. A methodological quality appraisal of the reviews was performed using the AMSTAR-tool. Results From 13 included systematic reviews, 53 measures were identified of which 13 met the standardized criteria set for the psychometric properties. The strongest level of measurement quality and clinical utility was demonstrated for Fugl-Meyer Assessment, Action Research Arm Test, Box and Block Test, Chedoke Arm and Hand Activity Inventory, Wolf Motor Function Test and ABILHAND. Conclusions This overview of systematic reviews provides a comprehensive systematic synthesis of evidence on which outcome measures demonstrate a high level of measurement quality and clinical utility and which can be considered as most suitable for upper extremity assessment after stroke. This overview can provide a valuable resource to assist clinicians, researchers and policy makers in selection of appropriate outcome measures.
Notes: Murphy, MA (reprint author), Univ Gothenburg, Sahlgrenska Acad, Inst Neurosci & Physiol, Rehabil Med, Dubbsgatan 14,3tr, S-41345 Gothenburg, Sweden margit.alt-murphy@neuro.gu.se
URI: http://hdl.handle.net/1942/18613
Link to publication: http://www.biomedcentral.com/1471-2377/15/29
DOI: 10.1186/s12883-015-0292-6
ISI #: 000350949800001
ISSN: 1471-2377
Category: A1
Type: Journal Contribution
Validation: ecoom, 2016
Appears in Collections: Research publications

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