Evidence map›Paper›PMID 27152853›Full record

SynthesisPloS one2016

Upper Limb Outcome Measures Used in Stroke Rehabilitation Studies: A Systematic Literature Review.

Leire Santisteban, Maxime Térémetz, Jean-Pierre Bleton, Jean-Claude Baron, Marc A Maier, Påvel G Lindberg

3 registry-linked trialsOpen access · goldAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 147 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
147citing papers in PubMed, 13 pooled it
28.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03855618 enrolling by invitationnot on this mapstarted 2019, after this paper: background citation

Translation and Validation of the Evaluation Scale Fugl-Meyer in Italian Language

Typeobservational_patient_registrySponsorFondazione Don Carlo Gnocchi ETSRan2019 to 2025Enrolled10ConditionsValidation Fugl Meyer Scale in Italian
NCT04000269 nawithdrawnnot on this mapstarted 2020, after this paper: background citation

Pilot Study Using Targeted High Definition Transcranial Direct Current Stimulation to Promote Upper Extremity Motor Function in Patients With Subacute Middle Cerebral Artery (MCA) Stroke

TypeinterventionalSponsorMilton S. Hershey Medical CenterRan2020 to 2022Enrolled0ConditionsMiddle Cerebral Artery StrokeArmsSoterix MxN Neuromodulation device, Sham Stimulation
NCT04117997 recruitingnot on this mapstarted 2022, after this paper: background citation

Validation of the Evaluation Scale Fugl-Meyer in Italian Language

TypeobservationalSponsorFondazione Don Carlo Gnocchi ETSRan2022 to 2025Enrolled70ConditionsValidation Fugl-Meyer Scale in Italian
3 · Its place in the literature

Who cites it

147 citing papers in PubMed, 13 syntheses or guidelines pooled it, 340 citations in OpenAlex.

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87 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Leire SantistebanService de Médecine Physique et de Réadaptation, Université Paris Descartes, Hôpital Sainte-Anne, Paris, France.
Maxime TérémetzFR3636 CNRS, Université Paris Descartes, Sorbonne Paris Cité, Paris, France.
Jean-Pierre BletonUnité James Parkinson, service de Neurologie, Fondation OPH Rothschild, Paris, France.
Jean-Claude BaronCentre de Psychiatrie et Neurosciences, Inserm U894, Paris, France.
Marc A MaierFR3636 CNRS, Université Paris Descartes, Sorbonne Paris Cité, Paris, France.
Påvel G LindbergFR3636 CNRS, Université Paris Descartes, Sorbonne Paris Cité, Paris, France.
Institut de Psychiatrie et Neurosciences de Paris · FRUniversité Paris Cité · FRDélégation Paris 5 · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEstablishing which upper limb outcome measures are most commonly used in stroke studies may help in improving consensus among scientists and clinicians.

objectiveIn this study we aimed to identify the most commonly used upper limb outcome measures in intervention studies after stroke and to describe domains covered according to ICF, how measures are combined, and how their use varies geographically and over time.

methodsPubmed, CinHAL, and PeDRO databases were searched for upper limb intervention studies in stroke according to PRISMA guidelines and477 studies were included.

resultsIn studies 48different outcome measures were found. Only 15 of these outcome measures were used in more than 5% of the studies. The Fugl-Meyer Test (FMT)was the most commonly used measure (in 36% of studies). Commonly used measures covered ICF domains of body function and activity to varying extents. Most studies (72%) combined multiple outcome measures: the FMT was often combined with the Motor Activity Log (MAL), the Wolf Motor Function Test and the Action Research Arm Test, but infrequently combined with the Motor Assessment Scale or the Nine Hole Peg Test. Key components of manual dexterity such as selective finger movements were rarely measured. Frequency of use increased over a twelve-year period for the FMT and for assessments of kinematics, whereas other measures, such as the MAL and the Jebsen Taylor Hand Test showed decreased use over time. Use varied largely between countries showing low international consensus.

conclusionsThe results showed a large diversity of outcome measures used across studies. However, a growing number of studies used the FMT, a neurological test with good psychometric properties. For thorough assessment the FMT needs to be combined with functional measures. These findings illustrate the need for strategies to build international consensus on appropriate outcome measures for upper limb function after stroke.

Indexed as

Stroke RehabilitationArmHumans

Identifiers

PMID27152853
PMCPMC4859525
OpenAlexW2346746859

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.