Identification of appropriate tools to gauge brain functions in a clinical setup of a developing country: A pilot
Umema Zafar1, Syed Hamid Habib2, Syed Shahmeer Raza3
1Umema Zafar, MBBS, MPhil, CHPE Department of Physiology, Rehman Medical College, Peshawar, Pakistan.
Objective:
To identify the most appropriate tools to measure functions of the brain that can be utilized in the clinical setups of developing countries.
Methods:
This qualitative research with a three-step approach was carried out from January 2022 to May 2022 at the Institute of Basic Medical Sciences, Khyber Medical University, Pakistan. Firstly, literature was searched to identify main brain faculties, then interviews were conducted with regional field experts to identify appropriate scales for the selected functions. Lastly a rubric was filled using interview transcripts and literature.
Results:
The identified functions were vision, hearing, cognition, motor and emotions. Based on the rubric the best tests were visual fields (17/24), pure tone audiometry (16/24), Mini-Mental State Exam (20/24), Trait Emotional Intelligence Questionnaire (18/24), Romberg's test (19/24) and Manual Muscle Testing (18/24).
Conclusion:
The clinicians in developing countries can utilize the visual fields, pure tone audiometry, Mini-Mental State Exam, Trait Emotional Intelligence Questionnaire, Romberg's test and Manual Muscle Testing for most efficient, feasible, accurate and cost-effective measurement of brain functions.
