Clinical Utility of Remote Teleassessment of Motor Performance in Individuals With Neurologic Disabilities: A COSMIN Systematic Review.

IF 3.7 2区 医学 Q1 REHABILITATION
Andrea Baroni, Gabriele Perachiotti, Andrea Carpineto, Giulia Fregna, Annibale Antonioni, Maria E Flacco, Sofia Straudi
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Abstract

Objective: To investigate the feasibility and measurement properties of measurement tools for remote evaluation of motor performance in people with neurologic conditions requiring only synchronous or asynchronous video conferencing without sensors or other complex technological tools.

Data sources: A systematic search was conducted in PubMed, Embase, the Cumulative Index for Nursing and Allied Health Literature (CINHAL), and ScienceDirect. The search strategy included keywords related to any neurologic population, telerehabilitation, and motor performance outcome measure; papers in Italian or English language on adults were included, without time restrictions.

Study selection: We included studies reporting data of at least one measurement property between reliability, validity, feasibility, or acceptability of measurement tools for remote motor assessment in neurologic disorders. We excluded studies that used wearable technologies, smartphones, or mobile applications. After duplicate removal, 2530 records were screened. Of the 461 remaining papers, 26 met the inclusion criteria and were included in the systematic review.

Data extraction: Two independent reviewers extracted data from the included records, evaluated the risk of bias of the studies using the Consensus-based Standards for the selection of health Measurement Instruments tool, and applied the criteria for good measurement properties and clinical utility. Discordance was solved through discussion with a third reviewer.

Data synthesis: Twenty-nine measurement tools were identified, and a narrative synthesis was conducted because of the heterogeneity of the included studies. The Fugl-Meyer Assessment for the Lower and Upper Extremity and the Tinetti Performance-Oriented Mobility Assessment Balance were suggested for the remote evaluation of people with stroke, whereas the Five Times Sit-to-Stand Test, the Nine-Hole Peg Test, and the Timed 25-Foot Walk Test were suggested for people with multiple sclerosis.

Conclusions: Several measurement tools have been identified for remote evaluation of motor performance in people with neurologic disorders, but few of them can be suggested for clinical and scientific purposes. A higher methodological quality of studies would support the use of these tools in clinical practice.

神经功能障碍患者运动表现远程评估的临床应用:一项COSMIN系统综述。
目的:探讨仅需要同步或异步视频会议,无需传感器或其他复杂技术工具即可远程评估神经系统疾病患者运动表现的测量工具的可行性和测量特性。数据来源:系统检索PubMed、Embase、CINHAL和ScienceDirect。搜索策略包括与任何神经学人群、远程康复和运动表现结果测量相关的关键词;用意大利语或英语写的关于成人的论文也包括在内,没有时间限制。研究选择:我们纳入了报告在神经系统疾病远程运动评估测量工具的可靠性、有效性、可行性或可接受性之间至少有一种测量特性的研究。我们排除了使用可穿戴技术、智能手机或移动应用程序的研究。删除重复后,筛选了2530条记录。在剩余的461篇论文中,26篇符合纳入标准,被纳入系统评价。数据提取:两名独立的审稿人从纳入的记录中提取数据,使用COSMIN工具评估研究的偏倚风险,并应用良好的测量特性和临床实用性标准。通过与第三审稿人讨论解决不一致。数据综合:确定了29种测量工具,由于纳入研究的异质性,进行了叙述性综合。脑卒中患者的远程评价建议采用Fugl-Meyer下肢和上肢评估和Tinetti运动平衡评估,而多发性硬化患者的远程评价建议采用五次坐立测试、九孔Peg测试和定时25英尺步行测试。已经确定了几种测量工具,用于远程评估神经系统疾病患者的运动表现,但很少有人可以建议用于临床和科学目的。更高方法学质量的研究将支持在临床实践中使用这些工具。
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来源期刊
CiteScore
6.20
自引率
4.70%
发文量
495
审稿时长
38 days
期刊介绍: The Archives of Physical Medicine and Rehabilitation publishes original, peer-reviewed research and clinical reports on important trends and developments in physical medicine and rehabilitation and related fields. This international journal brings researchers and clinicians authoritative information on the therapeutic utilization of physical, behavioral and pharmaceutical agents in providing comprehensive care for individuals with chronic illness and disabilities. Archives began publication in 1920, publishes monthly, and is the official journal of the American Congress of Rehabilitation Medicine. Its papers are cited more often than any other rehabilitation journal.
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