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Assessment methods for rehabilitation

S Biefang1, P Potthoff

  • 1University of Ulm, Germany.

International Journal of Rehabilitation Research. Internationale Zeitschrift Fur Rehabilitationsforschung. Revue Internationale De Recherches De Readaptation
|September 1, 1995
PubMed
Summary

Objective diagnostic methods are crucial for medical rehabilitation. This study surveyed assessment tools, recommending adaptation of U.S. instruments for German rehabilitation programs to improve patient evaluations.

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Area of Science:

  • Medical Rehabilitation
  • Health Services Research
  • Quantitative Methods

Background:

  • Objective diagnostics are essential for effective medical rehabilitation.
  • Quantitative methods provide a foundation for reliable patient assessment.
  • The German Pensions Insurance Institutions sought to improve rehabilitation evaluation methods.

Purpose of the Study:

  • To survey and evaluate assessment methods used in medical rehabilitation.
  • To identify U.S. procedures suitable for adaptation in Germany.
  • To define future research needs in rehabilitation assessment.

Main Methods:

  • Conducted a survey of assessment methods for medical and vocational rehabilitation.
  • Evaluated relevant American literature on rehabilitation assessment tools.

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  • Categorized identified procedures by functional domain (physical, mental, daily living, quality of life, vocational).

    • Main Results:

    • Identified standardized procedures and instrumented tests for physical and neurophysiological function.
    • Included screening tests for cognitive and mental health, and scales for Activities of Daily Living (ADL/IADL).
    • Found that German equivalents exist for only a portion of identified Anglo-Saxon procedures.

    Conclusions:

    • Prioritize translation and validation of existing Anglo-Saxon assessment procedures over developing new German methods.
    • Recommended specific areas for adaptation: instrumented physical function tests, IADL scales, quality of life indexes, disease-specific measures, and vocational rating scales.