European evidence-based recommendations for clinical assessment of upper limb in neurorehabilitation (CAULIN): data synthesis from systematic reviews, clinical practice guidelines and expert consensus

Abstract Background Technology-supported rehabilitation can help alleviate the increasing need for cost-effective rehabilitation of neurological conditions, but use in clinical practice remains limited. Agreement on a core set of reliable, valid and accessible outcome measures to assess rehabilitati...

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Autores principales:	Gerdienke B. Prange-Lasonder, Margit Alt Murphy, Ilse Lamers, Ann-Marie Hughes, Jaap H. Buurke, Peter Feys, Thierry Keller, Verena Klamroth-Marganska, Ina M. Tarkka, Annick Timmermans, Jane H. Burridge
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Upper limb Upper extremity Assessment Rehabilitation Therapy Outcome measures Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
Acceso en línea:	https://doaj.org/article/d4ec2f5492b84ec6a9ff4d3f497eb745
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spelling	oai:doaj.org-article:d4ec2f5492b84ec6a9ff4d3f497eb7452021-11-14T12:39:22ZEuropean evidence-based recommendations for clinical assessment of upper limb in neurorehabilitation (CAULIN): data synthesis from systematic reviews, clinical practice guidelines and expert consensus10.1186/s12984-021-00951-y1743-0003https://doaj.org/article/d4ec2f5492b84ec6a9ff4d3f497eb7452021-11-01T00:00:00Zhttps://doi.org/10.1186/s12984-021-00951-yhttps://doaj.org/toc/1743-0003Abstract Background Technology-supported rehabilitation can help alleviate the increasing need for cost-effective rehabilitation of neurological conditions, but use in clinical practice remains limited. Agreement on a core set of reliable, valid and accessible outcome measures to assess rehabilitation outcomes is needed to generate strong evidence about effectiveness of rehabilitation approaches, including technologies. This paper collates and synthesizes a core set from multiple sources; combining existing evidence, clinical practice guidelines and expert consensus into European recommendations for Clinical Assessment of Upper Limb In Neurorehabilitation (CAULIN). Methods Data from systematic reviews, clinical practice guidelines and expert consensus (Delphi methodology) were systematically extracted and synthesized using strength of evidence rating criteria, in addition to recommendations on assessment procedures. Three sets were defined: a core set: strong evidence for validity, reliability, responsiveness and clinical utility AND recommended by at least two sources; an extended set: strong evidence OR recommended by at least two sources and a supplementary set: some evidence OR recommended by at least one of the sources. Results In total, 12 measures (with primary focus on stroke) were included, encompassing body function and activity level of the International Classification of Functioning and Health. The core set recommended for clinical practice and research: Fugl-Meyer Assessment of Upper Extremity (FMA-UE) and Action Research Arm Test (ARAT); the extended set recommended for clinical practice and/or clinical research: kinematic measures, Box and Block Test (BBT), Chedoke Arm Hand Activity Inventory (CAHAI), Wolf Motor Function Test (WMFT), Nine Hole Peg Test (NHPT) and ABILHAND; the supplementary set recommended for research or specific occasions: Motricity Index (MI); Chedoke-McMaster Stroke Assessment (CMSA), Stroke Rehabilitation Assessment Movement (STREAM), Frenchay Arm Test (FAT), Motor Assessment Scale (MAS) and body-worn movement sensors. Assessments should be conducted at pre-defined regular intervals by trained personnel. Global measures should be applied within 24 h of hospital admission and upper limb specific measures within 1 week. Conclusions The CAULIN recommendations for outcome measures and assessment procedures provide a clear, simple, evidence-based three-level structure for upper limb assessment in neurological rehabilitation. Widespread adoption and sustained use will improve quality of clinical practice and facilitate meta-analysis, critical for the advancement of technology-supported neurorehabilitation.Gerdienke B. Prange-LasonderMargit Alt MurphyIlse LamersAnn-Marie HughesJaap H. BuurkePeter FeysThierry KellerVerena Klamroth-MarganskaIna M. TarkkaAnnick TimmermansJane H. BurridgeBMCarticleUpper limbUpper extremityAssessmentRehabilitationTherapyOutcome measuresNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENJournal of NeuroEngineering and Rehabilitation, Vol 18, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Upper limb Upper extremity Assessment Rehabilitation Therapy Outcome measures Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
spellingShingle	Upper limb Upper extremity Assessment Rehabilitation Therapy Outcome measures Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Gerdienke B. Prange-Lasonder Margit Alt Murphy Ilse Lamers Ann-Marie Hughes Jaap H. Buurke Peter Feys Thierry Keller Verena Klamroth-Marganska Ina M. Tarkka Annick Timmermans Jane H. Burridge European evidence-based recommendations for clinical assessment of upper limb in neurorehabilitation (CAULIN): data synthesis from systematic reviews, clinical practice guidelines and expert consensus
description	Abstract Background Technology-supported rehabilitation can help alleviate the increasing need for cost-effective rehabilitation of neurological conditions, but use in clinical practice remains limited. Agreement on a core set of reliable, valid and accessible outcome measures to assess rehabilitation outcomes is needed to generate strong evidence about effectiveness of rehabilitation approaches, including technologies. This paper collates and synthesizes a core set from multiple sources; combining existing evidence, clinical practice guidelines and expert consensus into European recommendations for Clinical Assessment of Upper Limb In Neurorehabilitation (CAULIN). Methods Data from systematic reviews, clinical practice guidelines and expert consensus (Delphi methodology) were systematically extracted and synthesized using strength of evidence rating criteria, in addition to recommendations on assessment procedures. Three sets were defined: a core set: strong evidence for validity, reliability, responsiveness and clinical utility AND recommended by at least two sources; an extended set: strong evidence OR recommended by at least two sources and a supplementary set: some evidence OR recommended by at least one of the sources. Results In total, 12 measures (with primary focus on stroke) were included, encompassing body function and activity level of the International Classification of Functioning and Health. The core set recommended for clinical practice and research: Fugl-Meyer Assessment of Upper Extremity (FMA-UE) and Action Research Arm Test (ARAT); the extended set recommended for clinical practice and/or clinical research: kinematic measures, Box and Block Test (BBT), Chedoke Arm Hand Activity Inventory (CAHAI), Wolf Motor Function Test (WMFT), Nine Hole Peg Test (NHPT) and ABILHAND; the supplementary set recommended for research or specific occasions: Motricity Index (MI); Chedoke-McMaster Stroke Assessment (CMSA), Stroke Rehabilitation Assessment Movement (STREAM), Frenchay Arm Test (FAT), Motor Assessment Scale (MAS) and body-worn movement sensors. Assessments should be conducted at pre-defined regular intervals by trained personnel. Global measures should be applied within 24 h of hospital admission and upper limb specific measures within 1 week. Conclusions The CAULIN recommendations for outcome measures and assessment procedures provide a clear, simple, evidence-based three-level structure for upper limb assessment in neurological rehabilitation. Widespread adoption and sustained use will improve quality of clinical practice and facilitate meta-analysis, critical for the advancement of technology-supported neurorehabilitation.
format	article
author	Gerdienke B. Prange-Lasonder Margit Alt Murphy Ilse Lamers Ann-Marie Hughes Jaap H. Buurke Peter Feys Thierry Keller Verena Klamroth-Marganska Ina M. Tarkka Annick Timmermans Jane H. Burridge
author_facet	Gerdienke B. Prange-Lasonder Margit Alt Murphy Ilse Lamers Ann-Marie Hughes Jaap H. Buurke Peter Feys Thierry Keller Verena Klamroth-Marganska Ina M. Tarkka Annick Timmermans Jane H. Burridge
author_sort	Gerdienke B. Prange-Lasonder
title	European evidence-based recommendations for clinical assessment of upper limb in neurorehabilitation (CAULIN): data synthesis from systematic reviews, clinical practice guidelines and expert consensus
title_short	European evidence-based recommendations for clinical assessment of upper limb in neurorehabilitation (CAULIN): data synthesis from systematic reviews, clinical practice guidelines and expert consensus
title_full	European evidence-based recommendations for clinical assessment of upper limb in neurorehabilitation (CAULIN): data synthesis from systematic reviews, clinical practice guidelines and expert consensus
title_fullStr	European evidence-based recommendations for clinical assessment of upper limb in neurorehabilitation (CAULIN): data synthesis from systematic reviews, clinical practice guidelines and expert consensus
title_full_unstemmed	European evidence-based recommendations for clinical assessment of upper limb in neurorehabilitation (CAULIN): data synthesis from systematic reviews, clinical practice guidelines and expert consensus
title_sort	european evidence-based recommendations for clinical assessment of upper limb in neurorehabilitation (caulin): data synthesis from systematic reviews, clinical practice guidelines and expert consensus
publisher	BMC
publishDate	2021
url	https://doaj.org/article/d4ec2f5492b84ec6a9ff4d3f497eb745
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European evidence-based recommendations for clinical assessment of upper limb in neurorehabilitation (CAULIN): data synthesis from systematic reviews, clinical practice guidelines and expert consensus

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