1
|
Welage N, Bissett M, Coxon K, Fong KNK, Liu KPY. Development and feasibility of first- and third-person motor imagery for people with stroke living in the community. Pilot Feasibility Stud 2023; 9:33. [PMID: 36869397 PMCID: PMC9983213 DOI: 10.1186/s40814-023-01263-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2022] [Accepted: 02/14/2023] [Indexed: 03/05/2023] Open
Abstract
BACKGROUND Impairment of arm movement occurs in up to 85% of people post-stroke, affecting daily living activities, and quality of life. Mental imagery effectively enhances hand and daily function in people with stroke. Imagery can be performed when people imagine themselves completing the movement or imagine another person doing it. However, there is no report on the specific use of first-person and third-person imagery in stroke rehabilitation. AIMS To develop and assess the feasibility of the First-Person Mental Imagery (FPMI) and the Third-Person Mental Imagery (TPMI) programs to address the hand function of people with stroke living in the community. METHODS This study comprises phase 1-development of the FPMI and TPMI programs, and phase 2-pilot-testing of the intervention programs. The two programs were developed from existing literature and reviewed by an expert panel. Six participants with stroke, living in the community, participated in the pilot-testing of the FPMI and TPMI programs for 2 weeks. Feedback collected included the suitability of the eligibility criteria, therapist's and participant's adherence to intervention and instructions, appropriateness of the outcome measures, and completion of the intervention sessions within the specified time. RESULTS The FPMI and TPMI programs were developed based on previously established programs and included 12 hand tasks. The participants completed four 45-min sessions in 2 weeks. The treating therapist adhered to the program protocol and completed all the steps within the specified time frame. All hand tasks were suitable for adults with stroke. Participants followed the instructions given and engaged in imagery. The outcome measures selected were appropriate for the participants. Both programs showed a positive trend towards improvement in participants' upper extremity and hand function and self-perceived performance in activities of daily living. CONCLUSIONS The study provides preliminary evidence that these programs and outcome measures are feasible for implementation with adults with stroke living in the community. This study outlines a realistic plan for future trials in relation to participant recruitment, training of therapists on the intervention delivery, and the use of outcome measures. TRIAL REGISTRATION Title: Effectiveness of first-person and third-person motor imagery in relearning daily hand tasks for people with chronic stroke: a randomised controlled trial. REGISTRATION NO SLCTR/2017/031. Date registered: 22nd September 2017.
Collapse
Affiliation(s)
- Nandana Welage
- grid.1029.a0000 0000 9939 5719School of Health Sciences, Western Sydney University, Penrith, NSW 2751 Australia ,grid.45202.310000 0000 8631 5388Present address: Department of Disability Studies, University of Kelaniya, Ragama, Sri Lanka
| | - Michelle Bissett
- grid.1031.30000000121532610Faculty of Health, Southern Cross University - Gold Coast Campus, Gold Coast QLD, Australia
| | - Kristy Coxon
- grid.1029.a0000 0000 9939 5719School of Health Sciences, Western Sydney University, Penrith, NSW 2751 Australia ,grid.1029.a0000 0000 9939 5719Translational Health Research Institute, Western Sydney University, Penrith, NSW Australia
| | - Kenneth N. K. Fong
- grid.16890.360000 0004 1764 6123Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong SAR
| | - Karen P. Y. Liu
- grid.1029.a0000 0000 9939 5719School of Health Sciences, Western Sydney University, Penrith, NSW 2751 Australia ,grid.1029.a0000 0000 9939 5719Translational Health Research Institute, Western Sydney University, Penrith, NSW Australia
| |
Collapse
|
2
|
Zhou M, Tu Y, Cui J, Gao P, Yi T, Wang J, Hao Q, Li H, Zhu T. Effect of constraint-induced movement therapy on lower extremity motor dysfunction in post-stroke patients: A systematic review and meta-analysis. Front Neurol 2022; 13:1028206. [DOI: 10.3389/fneur.2022.1028206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2022] [Accepted: 11/01/2022] [Indexed: 11/22/2022] Open
Abstract
ObjectiveConstraint-induced movement therapy (CIMT) is a common treatment for upper extremity motor dysfunction after a stroke. However, whether it can effectively improve lower extremity motor function in stroke patients remains controversial. This systematic review comprehensively studies the current evidence and evaluates the effectiveness of CIMT in the treatment of post-stroke lower extremity motor dysfunction.MethodsWe comprehensively searched randomized controlled trials related to this study in eight electronic databases (PubMed, Embase, The Cochrane Library, Web of Science, CBM, CNKI, WAN FANG, and VIP). We evaluated CIMT effectiveness against post-stroke lower extremity motor dysfunction based on the mean difference and corresponding 95% confidence interval (95% CI). We assessed methodological quality based on the Cochrane Bias Risk Assessment Tool. After extracting the general information, mean, and standard deviation of the included studies, we conducted a meta-analysis using RevMan 5.3 and Stata 16.0. The primary indicator was the Fugl-Meyer Assessment scale on lower limbs (FMA-L). The secondary indicators were the Berg balance scale (BBS), 10-meter walk test (10MWT), gait speed (GS), 6-min walk test (6MWT), functional ambulation category scale (FAC), timed up and go test (TUGT), Brunnstrom stage of lower limb function, weight-bearing, modified Barthel index (MBI), functional independence measure (FIM), stroke-specific quality of life questionnaire (SSQOL), World Health Organization quality of life assessment (WHOQOL), and National Institute of Health stroke scale (NIHSS).ResultsWe initially identified 343 relevant studies. Among them, 34 (totaling 2,008 patients) met the inclusion criteria. We found that patients treated with CIMT had significantly better primary indicator (FMA-L) scores than those not treated with CIMT. The mean differences were 3.46 (95% CI 2.74–4.17, P < 0.01, I2 = 40%) between CIMT-treated and conventional physiotherapy-treated patients, 3.83 (95% CI 2.89–4.77, P < 0.01, I2 = 54%) between patients treated with CIMT plus conventional physiotherapy and patients treated only with conventional physiotherapy, and 3.50 (95% CI 1.08–5.92, P < 0.01) between patients treated with CIMT plus western medicine therapy and those treated only with western medicine therapy. The secondary indicators followed the same trend. The subgroup analysis showed that lower extremity CIMT with device seemed to yield a higher mean difference in FMA-L scores than lower extremity CIMT without device (4.52, 95% CI = 3.65–5.38, P < 0.01 and 3.37, 95% CI = 2.95–3.79, P < 0.01, respectively).ConclusionCIMT effectively improves lower extremity motor dysfunction in post-stroke patients; however, the eligible studies were highly heterogeneous.Systematic review registration: https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=277466.
Collapse
|
3
|
Levy T, Laver K, Killington M, Lannin N, Crotty M. A systematic review of measures of adherence to physical exercise recommendations in people with stroke. Clin Rehabil 2018; 33:535-545. [PMID: 30458647 PMCID: PMC6416703 DOI: 10.1177/0269215518811903] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
OBJECTIVE: To review methods for measuring adherence to exercise or physical activity practice recommendations in the stroke population and evaluate measurement properties of identified tools. DATA SOURCES: Two systematic searches were conducted in eight databases (MEDLINE, CINAHL, PsycINFO, Cochrane Library of Systematic Reviews, Sports Discus, PEDro, PubMed and EMBASE). Phase 1 was conducted to identify measures. Phase 2 was conducted to identify studies investigating properties of these measures. REVIEW METHODS: Phase 1 articles were selected if they were published in English, included participants with stroke, quantified adherence to exercise or physical activity recommendations, were patient or clinician reported, were defined and reproducible measures and included patients >18 years old. In phase 2, articles were included if they explored psychometric properties of the identified tools. Included articles were screened based on title/abstract and full-text review by two independent reviewers. RESULTS: In phase 1, seven methods of adherence measurement were identified, including logbooks ( n = 16), diaries ( n = 18), 'record of practice' ( n = 3), journals ( n = 1), surveys ( n = 2) and questionnaires ( n = 4). One measurement tool was identified, the Physical Activity Scale for Individuals with Physical Disabilities ( n = 4). In phase 2, no eligible studies were identified. CONCLUSION: There is not a consistent measure of adherence that is currently utilized. Diaries and logbooks are the most frequently utilized tools.
Collapse
Affiliation(s)
- Tamina Levy
- 1 Flinders University, Adelaide, SA, Australia
| | - Kate Laver
- 1 Flinders University, Adelaide, SA, Australia
| | | | - Natasha Lannin
- 2 School of Allied Health, La Trobe University, Melbourne, VIC, Australia.,3 Alfred Health, Melbourne, VIC, Australia
| | | |
Collapse
|
4
|
Peters KM, Kelly VE, Chang T, Weismann MC, Westcott McCoy S, Steele KM. Muscle recruitment and coordination during upper-extremity functional tests. J Electromyogr Kinesiol 2018; 38:143-150. [PMID: 29253840 PMCID: PMC5808900 DOI: 10.1016/j.jelekin.2017.12.002] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2017] [Revised: 11/07/2017] [Accepted: 12/06/2017] [Indexed: 12/18/2022] Open
Abstract
Performance-based tests, such as the Jebsen Taylor Hand Function Test or Chedoke Arm and Hand Activity Inventory, are commonly used to assess functional performance after neurologic injury. However, the muscle activity required to execute these tasks is not well understood, even for unimpaired individuals. The purpose of this study was to evaluate unimpaired muscle recruitment and coordination of the dominant and non-dominant limbs during common clinical tests. Electromyography (EMG) recordings from eight arm muscles were monitored bilaterally for twenty unimpaired participants while completing these tests. Average signal magnitudes, activation times, and cocontraction levels were calculated from the filtered EMG data, normalized by maximum voluntary isometric contractions (MVICs). Overall, performance of these functional tests required low levels of muscle activity, with average EMG magnitudes less than 6.5% MVIC for all tests and muscles, except the extensor digitorum, which had higher activations across all tasks (11.7 ± 2.7% MVIC, dominant arm). When averaged across participants, cocontraction was between 25 and 62% for all tests and muscle pairs. Tasks evaluated by speed of completion, rather than functional quality of movement demonstrated higher levels of muscle recruitment. These results provide baseline measurements that can be used to evaluate muscle-specific deficits after neurologic injury and track recovery using common clinical tests.
Collapse
Affiliation(s)
- Keshia M Peters
- Mechanical Engineering, University of Washington, Seattle, WA, United States
| | - Valerie E Kelly
- Rehabilitation Medicine, University of Washington, Seattle, WA, United States
| | - Tasha Chang
- Rehabilitation Medicine, University of Washington, Seattle, WA, United States
| | - Madeline C Weismann
- Rehabilitation Medicine, University of Washington, Seattle, WA, United States
| | | | - Katherine M Steele
- Mechanical Engineering, University of Washington, Seattle, WA, United States; University of Washington, Institute for Neuroengineering, Seattle, WA, United States.
| |
Collapse
|
5
|
Zhu Y, Zhou C, Liu Y, Liu J, Jin J, Zhang S, Bai Y, Huang D, Zhu B, Xu Y, Wu Y. Effects of modified constraint-induced movement therapy on the lower extremities in patients with stroke: a pilot study. Disabil Rehabil 2016; 38:1893-9. [PMID: 26728501 DOI: 10.3109/09638288.2015.1107775] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
PURPOSE This study aimed to qualify the improvements of modified constraint-induced movement therapy (m-CIMT) on the lower limb of stroke patients via assessing the centre of mass (COM) displacement and the basic gait parameters. METHODS A total of 22 hemiplegic patients after stroke with first-time clinical cerebral infarction or haemorrhagic cerebrovascular accident were included in this study from May to December, 2014. The patients were randomly divided into m-CIMT group and the conventional therapy group (control group), and received corresponding training for five days/week for four weeks. The COM displacement and gait parameters were assessed by three-dimensional segmental kinematics method in pre-intervention and post- intervention therapy. RESULTS After four weeks of m-CIMT, the COM displacement on sagittal plane of paretic leg during stance phase was increased (pre: 91.04 ± 4.39 cm, post: 92.38 ± 4.58 cm, p < 0.05) and swing range of frontal plane was remarkably decreased (pre: 10.15 ± 3.05 cm, post: 7.83 ± 1.90 cm, p < 0.001). Meantime, the normalised swing range of COM in m-CIMT was superior to that in control group. Moreover, the gait parameters, including velocity (0.27 m/s), step width (0.10 m), step length (0.22 m) and swing time percentage (29.80%), were significantly improved by post-interventions of m-CIMT (p < 0.05). CONCLUSION The m-CIMT intervention improves the COM displacement in sagittal and frontal plane, as well as gait parameters. These suggest that m-CIMT intervention may be feasible and effective for the rehabilitation of hemiplegic gait. Implications for Rehabilitation Segmental kinematics method was used to estimate the displacement of the COM. m-CIMT interventions improved the COM displacement of patients after stroke. m-CIMT interventions improved the hemiplegic gait parameters.
Collapse
Affiliation(s)
- Yulian Zhu
- a Key Laboratory of Exercise and Health Sciences , Shanghai University of Sport , Shanghai , China ;,b Department of Rehabilitation Medicine , Huashan Hospital, Fudan University , Shanghai , China
| | - Chaosheng Zhou
- a Key Laboratory of Exercise and Health Sciences , Shanghai University of Sport , Shanghai , China ;,c Department of Rehabilitation Medicine , Affiliated Tenth People's Hospital of Tongji University , Shanghai , China
| | - Yu Liu
- a Key Laboratory of Exercise and Health Sciences , Shanghai University of Sport , Shanghai , China
| | - Jue Liu
- a Key Laboratory of Exercise and Health Sciences , Shanghai University of Sport , Shanghai , China
| | - Jiaran Jin
- a Key Laboratory of Exercise and Health Sciences , Shanghai University of Sport , Shanghai , China
| | - Shengnian Zhang
- a Key Laboratory of Exercise and Health Sciences , Shanghai University of Sport , Shanghai , China
| | - Yulong Bai
- b Department of Rehabilitation Medicine , Huashan Hospital, Fudan University , Shanghai , China
| | - Dequan Huang
- d Department of Rehabilitation Medicine , Tianshan Zhongyi Hospital , Shanghai , China
| | - Bing Zhu
- b Department of Rehabilitation Medicine , Huashan Hospital, Fudan University , Shanghai , China
| | - Yiming Xu
- b Department of Rehabilitation Medicine , Huashan Hospital, Fudan University , Shanghai , China
| | - Yi Wu
- b Department of Rehabilitation Medicine , Huashan Hospital, Fudan University , Shanghai , China
| |
Collapse
|
6
|
Treger I, Aidinof L, Lehrer H, Kalichman L. Modified Constraint-Induced Movement Therapy Improved Upper Limb Function in Subacute Poststroke Patients: A Small-Scale Clinical Trial. Top Stroke Rehabil 2014; 19:287-93. [DOI: 10.1310/tsr1904-287] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
|
7
|
Doucet BM, Woodson A, Watford M. Moving Toward 2017: Progress in Rehabilitation Intervention Effectiveness Research. Am J Occup Ther 2014; 68:e124-48. [DOI: 10.5014/ajot.2014.011874] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Abstract
Halfway into the 10-yr American Occupational Therapy Association Centennial Vision initiative, occupational therapy has made notable progress in establishing itself as a science-driven profession. Through the diligent work of many talented occupational therapy scholars, 42 research studies exploring interventions used in rehabilitation research were published in the past 5 years. A variety of both novel and established intervention strategies were investigated using diverse research designs and measurement tools. A predominant number of studies were conducted with the poststroke population. Moving forward to 2017 and building on our success, we can recognize our full potential by fostering knowledge translation, expanding participant numbers, exploring less-studied populations, increasing the volume of systematic reviews published, and reporting occupation-centered outcomes, the unique and defining component of our profession.
Collapse
Affiliation(s)
- Barbara M. Doucet
- Barbara M. Doucet, OTR, PhD, is Assistant Professor, Louisiana State University Health Science Center, School of Allied Health Professions, Department of Occupational Therapy, 1900 Gravier Street, New Orleans, LA 70112;
| | - Anne Woodson
- Anne Woodson, OTR, is Adjunct Faculty, University of Texas Medical Branch, Galveston
| | - Monica Watford
- Monica Watford, MA, OTR, is Doctoral Candidate, University of Texas Medical Branch, Galveston
| |
Collapse
|
8
|
Nakayashiki K, Saeki M, Takata Y, Hayashi Y, Kondo T. Modulation of event-related desynchronization during kinematic and kinetic hand movements. J Neuroeng Rehabil 2014; 11:90. [PMID: 24886610 PMCID: PMC4077682 DOI: 10.1186/1743-0003-11-90] [Citation(s) in RCA: 61] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2014] [Accepted: 05/22/2014] [Indexed: 11/25/2022] Open
Abstract
Background Event-related desynchronization/synchronization (ERD/ERS) is a relative power decrease/increase of electroencephalogram (EEG) in a specific frequency band during physical motor execution and mental motor imagery, thus it is widely used for the brain-computer interface (BCI) purpose. However what the ERD really reflects and its frequency band specific role have not been agreed and are under investigation. Understanding the underlying mechanism which causes a significant ERD would be crucial to improve the reliability of the ERD-based BCI. We systematically investigated the relationship between conditions of actual repetitive hand movements and resulting ERD. Methods Eleven healthy young participants were asked to close/open their right hand repetitively at three different speeds (Hold, 1/3 Hz, and 1 Hz) and four distinct motor loads (0, 2, 10, and 15 kgf). In each condition, participants repeated 20 experimental trials, each of which consisted of rest (8–10 s), preparation (1 s) and task (6 s) periods. Under the Hold condition, participants were instructed to keep clenching their hand (i.e., isometric contraction) during the task period. Throughout the experiment, EEG signals were recorded from left and right motor areas for offline data analysis. We obtained time courses of EEG power spectrum to discuss the modulation of mu and beta-ERD/ERS due to the task conditions. Results We confirmed salient mu-ERD (8–13 Hz) and slightly weak beta-ERD (14–30 Hz) on both hemispheres during repetitive hand grasping movements. According to a 3 × 4 ANOVA (speed × motor load), both mu and beta-ERD during the task period were significantly weakened under the Hold condition, whereas no significant difference in the kinetics levels and interaction effect was observed. Conclusions This study investigates the effect of changes in kinematics and kinetics on resulting ERD during repetitive hand grasping movements. The experimental results suggest that the strength of ERD may reflect the time differentiation of hand postures in motor planning process or the variation of proprioception resulting from hand movements, rather than the motor command generated in the down stream, which recruits a group of motor neurons.
Collapse
Affiliation(s)
| | | | | | | | - Toshiyuki Kondo
- Department of Computer and Information Sciences, Tokyo University of Agriculture and Technology, 2-24-16 Naka-cho, Koganei, 184-8588, Tokyo, Japan.
| |
Collapse
|
9
|
Aloraini SM, Mackay-Lyons M, Boe S, McDonald A. Constraint-induced movement therapy to improve paretic upper-extremity motor skills and function of a patient in the subacute stage of stroke. Physiother Can 2014; 66:56-9. [PMID: 24719510 DOI: 10.3138/ptc.2012-51] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Affiliation(s)
- Saleh M Aloraini
- School of Physiotherapy, Dalhousie University ; College of Applied Medical Sciences, Qassim University, Saudi Arabia
| | | | - Shaun Boe
- School of Physiotherapy, Dalhousie University
| | - Alison McDonald
- Acquired Brain Injury Program, QEII Health Sciences Centre, Halifax, N.S
| |
Collapse
|
10
|
Rao AK. Occupational therapy in neurological disorders: looking ahead to the American Occupational Therapy Association's centennial vision. Am J Occup Ther 2012; 66:e119-30. [PMID: 23106997 PMCID: PMC3665413 DOI: 10.5014/ajot.2012.005280] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
The Centennial Vision articulated by the American Occupational Therapy Association includes moving the profession to being science driven and evidence based. The American Journal of Occupational Therapy contributes to this vision by publishing high-quality research. I reviewed research in the practice area of neurological rehabilitation published between May 2010 and October 2011. In particular, I reviewed effectiveness and efficacy studies, instrument development and testing, and basic research studies. Concerns emerging from the review were (1) few studies in neurological rehabilitation; (2) many disorders not represented; (3) exclusive use of impairment-level outcomes in some studies; and (4) high preponderance of case series designs in effectiveness studies. To achieve the Centennial Vision, the field needs to improve the volume and diversity of research in neurological rehabilitation. It is also important to modify academic and clinical practice to enable occupational therapists to spend more time in producing high-quality evidence to support the crucial role they play in neurological rehabilitation.
Collapse
Affiliation(s)
- Ashwini K Rao
- Department of Rehabilitation and Regenerative Medicine and G. H. Sergievsky Center, Columbia University, New York, NY, USA.
| |
Collapse
|
11
|
Tse T, Douglas J, Lentin P, Carey L. Measuring participation after stroke: a review of frequently used tools. Arch Phys Med Rehabil 2012; 94:177-92. [PMID: 22982555 DOI: 10.1016/j.apmr.2012.09.002] [Citation(s) in RCA: 75] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2012] [Revised: 08/29/2012] [Accepted: 09/02/2012] [Indexed: 11/19/2022]
Abstract
OBJECTIVE To identify and critique the measures currently used to assess participation in clinical stroke studies. DATA SOURCES Relevant articles published between January 2001 and April 2012 identified through Medline, CINAHL, and ProQuest Central databases. STUDY SELECTION Published articles involving poststroke assessment of participation. Case studies, cohort studies, and randomized controlled trials were included. DATA EXTRACTION The most frequently used measures were identified and the psychometric properties evaluated. Three raters independently evaluated each measure relative to the first and second coding levels of the International Classification of Functioning, Disability and Health (ICF) Activities and Participation domain categories. DATA SYNTHESIS Thirty-six measures were identified. The Stroke Impact Scale (SIS), London Handicap Scale, Assessment of Life Habits (LIFE-H), Frenchay Activities Index, and Activity Card Sort (ACS) were used most frequently. No single measure met criteria across all psychometric indices, and not one covered all 9 of the ICF Activities and Participation domains. The SIS, LIFE-H, and ACS covered the widest range. The domains covered most frequently were Community, Social and Civic Life, Domestic Life, and Mobility. Learning and Applying Knowledge, General Tasks and Demands, and Communication were the domains less frequently covered. CONCLUSIONS This review identified and evaluated the most frequently used participation measures in clinical stroke studies. The SIS, LIFE-H, and ACS covered the ICF Activities and Participation domain categories most comprehensively. However, none of the measures covered all the ICF Activities and Participation domain categories. The information provided in this systematic review can be used to guide the selection of participation measures to meet specific clinical and research purposes.
Collapse
Affiliation(s)
- Tamara Tse
- The Florey Institute of Neuroscience and Mental Health, Neurorehabilitation and Recovery, Stroke Division, Heidelberg, Victoria, Australia.
| | | | | | | |
Collapse
|
12
|
|
13
|
Affiliation(s)
- Seong Jae Lee
- Department of Rehabilitation Medicine, Dankook University College of Medicine, Korea
| |
Collapse
|