Assessing motor deficits in neurological rehabilitation: a profile of instrument usage

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  2. Frederike Van Wijck
  3. Dr Anand Pandyan
  4. Emeritus Professor Garth Johnson
  5. Professor Michael Barnes
Author(s)van Wijck FMJ, Pandyan AD, Johnson GR, Barnes MP
Publication type Article
JournalNeurorehabilitation and Neural Repair
Year2001
Volume15
Issue1
Pages23-30
ISSN (print)1545-9683
ISSN (electronic)1552-6844
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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.
PublisherSage Publications, Inc.
URLhttp://dx.doi.org/10.1177/154596830101500104
DOI10.1177/154596830101500104
NotesAbstract presented at the XVII World Congress of Neurology, held in London, 17-22 June 2001.
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