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Standardized Measurement of Quality of Upper Limb Movement After Stroke: Consensus-Based Core Recommendations From the Second Stroke Recovery and Rehabilitation Roundtable
Neurorehabilitation and Neural Repair ( IF 4.2 ) Pub Date : 2019-10-29 , DOI: 10.1177/1545968319886477
G Kwakkel 1 , E E H van Wegen 2 , J H Burridge 3 , C J Winstein 4 , L E H van Dokkum 5 , M Alt Murphy 6 , M F Levin 7 , J W Krakauer 8 ,
Affiliation  

The second Stroke Recovery and Rehabilitation Roundtable “metrics” task force developed consensus around the recognized need to add kinematic and kinetic movement quantification to its core recommendations for standardized measurements of sensorimotor recovery in stroke trials. Specifically, we focused on measurement of the quality of upper limb movement. We agreed that the recommended protocols for measurement should be conceptually rigorous, reliable, valid and responsive to change. The recommended measurement protocols include four performance assays (i.e. 2D planar reaching, finger individuation, grip strength, and precision grip at body function level) and one functional task (3D drinking task at activity level) that address body function and activity respectively. This document describes the criteria for assessment and makes recommendations about the type of technology that should be used for reliable and valid movement capture. Standardization of kinematic measurement protocols will allow pooling of participant data across sites, thereby increasing sample size aiding meta-analyses of published trials, more detailed exploration of recovery profiles, the generation of new research questions with testable hypotheses, and development of new treatment approaches focused on impairment. We urge the clinical and research community to consider adopting these recommendations.

中文翻译:

中风后上肢运动质量的标准化测量:第二次中风恢复和康复圆桌会议基于共识的核心建议

第二次中风恢复和康复圆桌会议“指标”工作组围绕公认的需要将运动学和动力学运动量化添加到其在中风试验中感觉运动恢复的标准化测量的核心建议中达成共识。具体来说,我们专注于测量上肢运动的质量。我们同意推荐的测量协议在概念上应该是严格的、可靠的、有效的并能对变化做出反应。推荐的测量协议包括分别针对身体功能和活动的四种性能检测(即 2D 平面伸展、手指个性化、握力和身体功能级别的精确抓握)和一项功能任务(活动级别的 3D 饮酒任务)。本文档描述了评估标准,并就应该用于可靠和有效运动捕捉的技术类型提出了建议。运动学测量协议的标准化将允许跨站点汇集参与者数据,从而增加样本量,帮助对已发表试验进行荟萃分析,更详细地探索恢复概况,产生具有可检验假设的新研究问题,以及开发新的治疗方法。减值。我们敦促临床和研究界考虑采用这些建议。从而增加样本量,帮助对已发表试验进行荟萃分析,更详细地探索恢复概况,产生具有可检验假设的新研究问题,以及开发针对损伤的新治疗方法。我们敦促临床和研究界考虑采用这些建议。从而增加样本量,有助于对已发表试验进行荟萃分析,更详细地探索恢复情况,产生具有可检验假设的新研究问题,以及开发针对损伤的新治疗方法。我们敦促临床和研究界考虑采用这些建议。
更新日期:2019-10-29
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