Review articleEvaluation of Measures of Upper Limb Functioning and Disability in People With Parkinson Disease: A Systematic Review
Section snippets
Methods
The review was conducted in 2 parts: an initial search to identify upper limb measures described in the PD literature and a second search to retrieve studies investigating the measurement properties of these tools in this clinical group. Both searches were conducted in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses protocol.14
Results
The study selection process for both searches is shown in the Preferred Reporting Items for Systematic reviews and Meta-Analyses flowchart (fig 1).
Discussion
This is the first comprehensive review of upper limb measurement tools described in PD, and their measurement properties. The identified tools included those designed specifically for PD or movement disorder evaluation, generic upper limb measures, and tools developed for other disease populations. PD-specific measures were generally linked to ICF impairment categories, whereas generic measures and tools developed for other conditions evaluated a range of impairments and activity limitations.
Conclusions
This review provides new information to guide clinicians and researchers in the selection of measurement tools for upper limb evaluation in people with PD. It also confirms existing gaps in our knowledge of upper limb measurement in this clinical population, in particular the lack of evidence for the validity and responsiveness of measures in current use. Without this information, it is difficult to correctly interpret the meaning of change in measurement after treatment and the effectiveness
Suppliers
- a.
Lafayette Instrument Co, 3700 Sagamore Pkwy, N Lafayette, IN 47904.
- b.
Wacom, 1311 SE Cardinal Crt, Vancouver, WA 98683.
- c.
Neuroscript LLC, 435 E Carson Dr, Tempe, AZ 85282.
- d.
Schuhfried GmbH, Hyrtlstrasse 45, 2340 Modling, Austria.
Acknowledgment
We thank Clarissa L. Martin, PhD, for her contribution to the initial development of the systematic review protocol/procedures.
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2018, Clinical BiomechanicsCitation Excerpt :In particular, the UPDRS-III allows characterization of motor signs such as bradykinesia and tremor (Hoffman and McNames, 2011; Proud et al., 2015; Stebbins and Goetz, 1998; Stewart et al., 2009). However, clinical scales are inherently subjective owing to their reliance on the physician's visual assessment of the movement and, generally speaking, it is difficult to summarize the movement with a concise score, especially when several aspects, such as speed and amplitude of movements, have to be taken into account for the evaluation of functional tasks (Proud et al., 2015). Moreover, such tools are unable to detect small, yet clinically relevant, changes since all items are scored on a limited point scale (Van der Noort et al., 2017).
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Disclosures: none.