Assessing motor deficits in neurological rehabilitation: patterns of instrument usage

Frederike M.J. van Wijck, Anand D. Pandyan, Garth R. Johnson, Michael P. Barnes

Research output: Contribution to journalArticle

Abstract

To describe current patterns in the use of clinical scales and measurement technology for the assessment of motor deficits in neurological rehabilitation. Questionnaire, sent to the 2,556 members of the World Forum for Neurological Rehabilitation, distributed over 75 countries. Sixty-eight questionnaires were returned. Generally, participants indicated that the centres where they were based used a number of different clinical assessment scales (median, three), most frequently with a small proportion of patients. The (Modified) Ashworth Scale, the FIM, and the Fugl-Meyer were used most frequently. Only 35 respondents stated that their centre used one or more scales in >75% of their patients, but the choice of such routinely applied instruments varied between centres. The application of measurement technology was restricted, with video and goniometry being used most frequently. The main barriers to more frequent use of assessment tools were perceived to be a lack of resources, information, and training. The (albeit limited) results from this survey suggest that the assessment of motor deficits in neurological rehabilitation is currently mostly qualitative and lacks standardisation. More resources and education are required to support a more routine application of assessment tools and to integrate measurement technology further in neurological rehabilitation to assist in the process of quantification of outcomes.

Original languageEnglish
Pages (from-to)23-30
Number of pages8
JournalNeurorehabilitation and Neural Repair
Volume15
Issue number1
Early online date1 Mar 2001
DOIs
Publication statusPublished - 1 Mar 2001

Keywords

  • disability evaluation
  • motor deficits
  • psychomotor disorders/diagnosis
  • surveys and questionnaires
  • neurological rehabilitation
  • outcome as sessment
  • standardisation
  • measurement technology

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