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Related Experiment Videos

Functional outcome measures to assess interventions for spasticity

S R Hinderer1, S Gupta

  • 1Wayne State University School of Medicine, Detroit, MI, USA.

Archives of Physical Medicine and Rehabilitation
|October 1, 1996
PubMed
Summary

Few functional measures effectively track spasticity treatment outcomes. Standardized scales like PECS and PEDI show promise for assessing functional changes related to spasticity. Further development is needed for reliable spasticity monitoring.

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Biomedical Engineering

Background:

  • Clinicians use functional loss to guide spasticity treatment.
  • The link between functional status and spasticity severity is not well-defined for treatment monitoring.
  • Assessing functional changes alongside spasticity requires reliable outcome measures.

Purpose of the Study:

  • To review studies that used outcome measures to assess functional changes relative to spasticity.
  • To evaluate the reliability, internal validity, and external validity of functional measures for spasticity treatment.
  • To provide guidelines for using and developing functional outcome measures in future spasticity research.

Main Methods:

  • Conducted an English-language literature search using MEDLINE.

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  • Reviewed bibliographies of published articles and textbooks.
  • Assessed study designs, outcome measure reliability, and validity.

    • Main Results:

    • Few functional measures showed concurrent changes with spasticity reduction.
    • Potential confounding factors in study protocols, reporting, and analysis limited measure validity.
    • The Pediatric Evaluation of Children's Functioning (PECFS) and Pediatric Evaluation of Disability Inventory (PEDI) scales, along with specific functional tasks, show promise.

    Conclusions:

    • Functional measures assessing posture, positioning, balance, and mobility skills hold potential.
    • Further test development is necessary to provide valuable information on spasticity's functional impact.
    • Reliable functional outcome measures are crucial for effective spasticity treatment monitoring.