预测和区分中风后日常生活活动水平的运动和认知测量临界值:范围综述。

IF 1.5 4区 医学 Q3 REHABILITATION International Journal of Rehabilitation Research Pub Date : 2024-09-01 Epub Date: 2024-06-24 DOI:10.1097/MRR.0000000000000633
Takaaki Fujita, Ryuichi Kasahara, Kenji Tsuchiya, Kazuaki Iokawa
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引用次数: 0

摘要

康复专业人员进行的各种评估不仅可以显示患者当前的功能状态,还可以帮助确定未来的状态(预测)或执行未测试任务的能力(判别)。其中,截断值是最简单的预测和判别工具,可广泛应用于临床实践。本范围综述的目的是总结目前有关运动和认知功能临界值的文献,以预测或判别卒中后 日常生活活动的水平。我们使用 PubMed、CINAHL 和 Scopus 数据库进行了文献检索。检索标准的制定、标题和摘要的初筛以及全文审阅的二次筛选均由两名康复专业人员完成。共纳入 54 篇文章。基于纵向研究的预测截断值总结显示,急性期住院时 NIHSS 评分≤8 分和 mRMI 评分≥19 分可分别预测良好的功能独立性和行走独立性,表明截断值是可靠的。没有报告预测特定 ADL(如如厕或穿衣)的临界值,这是本综述中发现的一个潜在研究缺口。另外,基于横断面研究的分辨临界值总结显示,6 分钟步行测试的 288-367.5 米和 FMA-LL 的 25.5-27.6 分可以区分社区和非社区步行者。考虑到预测和鉴别之间的差异,本综述中揭示的可靠预测临界值有助于在早期预测的基础上制定干预计划。相反,分辨的临界值可以通过更简单的测试来估计不同的表现,或在康复过程中用作目标值。
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Cutoff values of motor and cognitive measures for predicting and discriminating levels of activities of daily living after stroke: a scoping review.

The various assessments performed by rehabilitation professionals not only indicate the patient's current functional status but can also help determine the future status (prediction) or the ability to perform untested tasks (discrimination). In particular, the cutoff values are the simplest predictive and discriminative tool that can be widely used in clinical practice. The purpose of this scoping review was to summarize the current literature on cutoff values of motor and cognitive function for predicting or discriminating levels of activities of daily living after stroke. A literature search was conducted using the PubMed, CINAHL, and Scopus databases. The creation of the search criteria, primary screening of titles and abstract, and secondary screening by full-text review were performed by two rehabilitation professionals. A total of 54 articles were included. The summary of the cutoff values for prediction based on longitudinal studies revealed that an NIHSS score ≤8 and mRMI score ≥19 at acute hospitalization can predict good functional independence and walking independence, respectively, indicating reliable cutoff values. Cutoff values for predicting specific ADLs, such as toilet use or dressing, were not reported, which was a potential research gap identified in this review. Alternatively, the summary of the cutoff values for discrimination based on cross-sectional studies revealed that 288-367.5 m on the 6-min walk test and 25.5-27.6 points on the FMA-LL can discriminate community and noncommunity walkers. Considering the difference between prediction and discrimination, the reliable predicted cutoff values revealed in this review are useful for planning an intervention based on early prediction. Conversely, cutoff values for discrimination can estimate different performances with simpler test, or use as target values during rehabilitation.

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来源期刊
CiteScore
3.10
自引率
0.00%
发文量
88
审稿时长
6-12 weeks
期刊介绍: International Journal of Rehabilitation Research is a quarterly, peer-reviewed, interdisciplinary forum for the publication of research into functioning, disability and contextual factors experienced by persons of all ages in both developed and developing societies. The wealth of information offered makes the journal a valuable resource for researchers, practitioners, and administrators in such fields as rehabilitation medicine, outcome measurement nursing, social and vocational rehabilitation/case management, return to work, special education, social policy, social work and social welfare, sociology, psychology, psychiatry assistive technology and environmental factors/disability. Areas of interest include functioning and disablement throughout the life cycle; rehabilitation programmes for persons with physical, sensory, mental and developmental disabilities; measurement of functioning and disability; special education and vocational rehabilitation; equipment access and transportation; information technology; independent living; consumer, legal, economic and sociopolitical aspects of functioning, disability and contextual factors.
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