解释Fugl-Meyer评估协议中的变化:名义小组共识过程的结果和建议
Susan E Fasoli1, Julia Mazariegos2, Kelly Rishe3
1Department of Occupational Therapy, MGH Institute of Health Professions, Boston, MA; Department of Veterans Affairs, Rehabilitation Research and Development Service, Center for Neurorestoration and Neurotechnology, Providence, RI.
Archives of physical medicine and rehabilitation
|October 26, 2024
概括
上肢Fugl-Meyer评估 (FMA-UE) 协议的变化可能会影响中风康复研究. 这项研究建立了关于FMA-UE管理最佳实践的共识,以提高一致性.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 临床评估 临床评估
背景情况:
- 上肢的Fugl-Meyer评估 (FMA-UE) 是一种广泛使用的临床工具,用于评估中风后的运动功能.
- 在不同研究中,FMA-UE的管理和评分协议存在差异,这可能会影响结果的可靠性和可比性.
- 评估程序的标准化对于强大的临床研究和基于证据的中风康复实践至关重要.
研究的目的:
- 在现有的FMA-UE协议中识别和记录管理和评分指令的变化.
- 为了实现专家的共识,最佳的FMA-UE管理程序,用于中风康复研究和临床实践.
- 为标准化FMA-UE评估制定建议,以提高数据的一致性和解释性.
主要方法:
- 使用名义上的群体共识技术,涉及FMA-UE协议的代审查.
- 10名中风康复和FMA-UE管理专家参加了虚拟共识会议.
- 用定性审查和匿名投票来分析一般行政指令的变化,共识达成80%的协议门.
主要成果:
- 在FMA-UE的10个一般管理指令中,就7个达成共识.
- 该研究发现了由于协议变异而导致的显著得分差异 (高达21分),突出了对结果的影响.
- 为临床医生和研究人员制定了"最佳实践"一般指南的建议.
结论:
- 在FMA-UE的管理方案中存在差异,可能导致对中风康复研究结果的解释不一致.
- 标准化的FMA-UE协议对于提高基于证据的实践的感知价值和采用至关重要.
- 这种共识过程代表了为更广泛实施制定统一的FMA-UE建议的基本步骤.
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