Evaluation of Performance-Based Outcome Measures for the Upper Limb: A Comprehensive Narrative Review

PM & R : the Journal of Injury, Function, and Rehabilitation
Sophie WangKimberly L Kontson

Abstract

Objective performance-based outcome measures (OMs) have the potential to provide unbiased and reproducible assessments of limb function. However, very few of these performance-based OMs have been validated for upper limb (UL) prosthesis users. OMs validated in other clinical populations (eg, neurologic or musculoskeletal conditions) could be used to fill gaps in existing performance-based OMs for UL amputees. Additionally, a joint review might reveal consistent gaps across multiple clinical populations. Therefore, the objective of this review was to systematically characterize prominent measures used in both sets of clinical populations with regard to (1) location of task performance around the body, (2) possible grips employed, (3) bilateral versus unilateral task participation, and (4) details of scoring mechanisms. A systematic literature search was conducted in EMBASE, Medline, and Cumulative Index to Nursing and Allied Health electronic databases for variations of the following terms: stroke, musculoskeletal dysfunction, amputation, prosthesis, upper limb, outcome, assessments. Articles were included if they described performance-based OMs developed for disabilities of the UL. Results show most tasks were performed with 1 ...Continue Reading

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Citations

Apr 12, 2019·Disability and Rehabilitation. Assistive Technology·Lauren TrentTiffany Ryan
Dec 4, 2019·PM & R : the Journal of Injury, Function, and Rehabilitation·Alec BoyleKimberly L Kontson
May 20, 2020·Frontiers in Bioengineering and Biotechnology·Andrea GigliClaudio Castellini
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Feb 6, 2021·Archives of Rehabilitation Research and Clinical Translation·Conor Bloomer, Kimberly L Kontson
Jul 14, 2021·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Joshua YongSandra Moll

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