对基于观察的工具进行范围审查,以评估上肢在活动中的使用情况
Tamara Wanklyn1,2, Kate E Webster1,3, Yvonne Mak-Yuen1,2,4
1Occupational Therapy, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia.
Disability and rehabilitation
|October 7, 2024
概括
这次审查发现了许多工具来评估患者的上肢功能. 然而,很少有工具专门评估客户选择的活动中观察到的表现,限制了个性化康复.
科学领域:
- 康复科学 康复科学 康复科学
- 职业疗法 职业疗法 职业疗法
- 临床评估工具 临床评估工具
背景情况:
- 上肢损伤会影响日常活动.
- 目标绩效措施对于康复至关重要.
- 现有的评估工具在重点和应用上有所不同.
研究的目的:
- 总结可用的工具来评价上肢损伤患者在活动中观察到的表现.
- 为了确定这些评估工具的心理测量特性.
- 评估工具对于上肢功能障碍的人群的适用性.
主要方法:
- 进行了全面的范围审查.
- 包括报告上肢损伤适用于上肢损伤的工具心理特性的研究.
- 分析了至少有一项涉及上肢使用的活动项目的工具.
主要成果:
- 27个工具符合纳入标准.
- 大多数工具 (70%) 使用预定义的项目,很少使用客户选择的 (19%) 或临床医生选择的 (11%) 项目.
- 虽然52%的工具仅包括活动项目,但只有6个工具专门评估了客户选择的活动中的观察到的表现.
结论:
- 有许多工具用于评估上肢观察的表现.
- 在评估客户选择的活动的工具中仍然存在很大的差距,这阻碍了个性化的上肢康复.
- 需要进一步开发以客户为中心的评估工具.
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