Consensus-Based Core Set of Outcome Measures for Clinical Motor Rehabilitation After Stroke—A Delphi Study

Johannes Pohl, Jeremia Philipp Oskar Held, Geert Verheyden, Margit Alt Murphy, Stefan Engelter, Agnes Flöel, Thierry Keller, Gert Kwakkel, Tobias Nef, Nick Ward, Andreas Rüdiger Luft, Janne Marieke Veerbeek

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    65 Citations (Scopus)

    Abstract

    Introduction: Outcome measures are key to tailor rehabilitation goals to the stroke patient’s individual needs and to monitor poststroke recovery. The large number of available outcome measures leads to high variability in clinical use. Currently, an internationally agreed core set of motor outcome measures for clinical application is lacking. Therefore, the goal was to develop such a set to serve as a quality standard in clinical motor rehabilitation poststroke. Methods: Outcome measures for the upper and lower extremities, and activities of daily living (ADL)/stroke-specific outcomes were identified and presented to stroke rehabilitation experts in an electronic Delphi study. In round 1, clinical feasibility and relevance of the outcome measures were rated on a 7-point Likert scale. In round 2, those rated at least as “relevant” and “feasible” were ranked within the body functions, activities, and participation domains of the International Classification of Functioning, Disability, and Health (ICF). Furthermore, measurement time points poststroke were indicated. In round 3, answers were reviewed in reference to overall results to reach final consensus.
    Original languageEnglish
    Article number875
    Pages (from-to)875
    Number of pages1
    JournalFrontiers in Neurology
    Volume11
    DOIs
    Publication statusPublished - 2 Sept 2020

    Keywords

    • Stroke
    • Motor rehabilitation
    • Clinical
    • Outcome measures
    • Delphi study

    Project and Funding Information

    • Funding Info
    • This work was financially supported by the P & K Pühringer Foundation.

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