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Related Experiment Videos

Measuring arm impairment and disability after stroke.

D T Wade1

  • 1Rivermead Rehabilitation Centre, Oxford, UK.

International Disability Studies
|April 1, 1989
PubMed
Summary

Assessing arm impairments after stroke is challenging. Grip strength and the Motricity Index are recommended for motor function, while peg tests are best for dexterity. Sensation and tone measures lack sufficient evidence for routine use.

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Area of Science:

  • Neurorehabilitation
  • Clinical Assessment
  • Stroke Recovery

Background:

  • Evaluating arm impairments post-stroke is crucial for effective rehabilitation.
  • A variety of assessment tools exist, but their clinical utility varies.
  • Standardized assessment is needed for consistent patient care and research.

Purpose of the Study:

  • To review the challenges in assessing arm impairments and disabilities following stroke.
  • To evaluate the suitability of currently available published measures for clinical practice and research.
  • To provide recommendations for reliable and valid assessment tools.

Main Methods:

  • Systematic review of existing literature on arm function assessment after stroke.
  • Analysis of reported validity and reliability data for various measurement tools.
  • Discussion of practical considerations for routine clinical use versus research applications.

Main Results:

  • Grip strength and the Motricity Index are recommended for assessing motor impairment in routine clinical practice.
  • The Nine-Hole Peg Test and Ten-Hole Peg Test are recommended for assessing dexterity disability.
  • Currently available measures for sensation and tone lack sufficient evidence regarding validity and reliability for specific recommendations.

Conclusions:

  • Specific, validated tools exist for assessing motor and dexterity impairments after stroke in clinical settings.
  • Further research is needed to establish the validity and reliability of sensation and tone measures.
  • More complex assessments are available for detailed treatment planning and research purposes.

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