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dc.contributor.authorPrange-Lasonder, Gerdienke B.
dc.contributor.authorAlt Murphy, Margit
dc.contributor.authorLamers, Ilse
dc.contributor.authorHughes, Ann-Marie
dc.contributor.authorBuurke, Jaap H.
dc.contributor.authorFeys, Peter
dc.contributor.authorKeller, Thierry
dc.contributor.authorKlamroth-Marganska, Verena
dc.contributor.authorTarkka, Ina M.
dc.contributor.authorTimmermans, Annick
dc.contributor.authorBurridge, Jane H.
dc.date.accessioned2021-11-17T12:37:45Z
dc.date.available2021-11-17T12:37:45Z
dc.date.issued2021
dc.identifier.citationPrange-Lasonder, Gerdienke B., Margit Alt Murphy, Ilse Lamers, Ann-Marie Hughes, Jaap H. Buurke, Peter Feys, Thierry Keller, et al. “European Evidence-Based Recommendations for Clinical Assessment of Upper Limb in Neurorehabilitation (CAULIN): Data Synthesis from Systematic Reviews, Clinical Practice Guidelines and Expert Consensus.” Journal of NeuroEngineering and Rehabilitation 18, no. 1 (November 8, 2021). doi:10.1186/s12984-021-00951-y.en
dc.identifier.urihttp://hdl.handle.net/11556/1228
dc.description.abstractBackground: Technology-supported rehabilitation can help alleviate the increasing need for cost-effective rehabilitation of neurological conditions, but use in clinical practice remains limited. Agreement on a core set of reliable, valid and accessible outcome measures to assess rehabilitation outcomes is needed to generate strong evidence about effectiveness of rehabilitation approaches, including technologies. This paper collates and synthesizes a core set from multiple sources; combining existing evidence, clinical practice guidelines and expert consensus into European recommendations for Clinical Assessment of Upper Limb In Neurorehabilitation (CAULIN). Methods: Data from systematic reviews, clinical practice guidelines and expert consensus (Delphi methodology) were systematically extracted and synthesized using strength of evidence rating criteria, in addition to recommendations on assessment procedures. Three sets were defined: a core set: strong evidence for validity, reliability, responsiveness and clinical utility AND recommended by at least two sources; an extended set: strong evidence OR recommended by at least two sources and a supplementary set: some evidence OR recommended by at least one of the sources. Results: In total, 12 measures (with primary focus on stroke) were included, encompassing body function and activity level of the International Classification of Functioning and Health. The core set recommended for clinical practice and research: Fugl-Meyer Assessment of Upper Extremity (FMA-UE) and Action Research Arm Test (ARAT); the extended set recommended for clinical practice and/or clinical research: kinematic measures, Box and Block Test (BBT), Chedoke Arm Hand Activity Inventory (CAHAI), Wolf Motor Function Test (WMFT), Nine Hole Peg Test (NHPT) and ABILHAND; the supplementary set recommended for research or specific occasions: Motricity Index (MI); Chedoke-McMaster Stroke Assessment (CMSA), Stroke Rehabilitation Assessment Movement (STREAM), Frenchay Arm Test (FAT), Motor Assessment Scale (MAS) and body-worn movement sensors. Assessments should be conducted at pre-defined regular intervals by trained personnel. Global measures should be applied within 24 h of hospital admission and upper limb specific measures within 1 week. Conclusions: The CAULIN recommendations for outcome measures and assessment procedures provide a clear, simple, evidence-based three-level structure for upper limb assessment in neurological rehabilitation. Widespread adoption and sustained use will improve quality of clinical practice and facilitate meta-analysis, critical for the advancement of technology-supported neurorehabilitation.en
dc.description.sponsorshipThe European Network on Robotics for NeuroRehabilitation (Working Group 1) developed these recommendations. Their work was funded by the European Co-Operation in Science and Technology (COST Action TD1006) programme. The funding body had no role in or infuence on the selected approach and synthesis, analysis, and interpretation of data and in writing the manuscript.en
dc.language.isoengen
dc.publisherBioMed Central Ltden
dc.rightsAttribution 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.titleEuropean evidence-based recommendations for clinical assessment of upper limb in neurorehabilitation (CAULIN): data synthesis from systematic reviews, clinical practice guidelines and expert consensusen
dc.typearticleen
dc.identifier.doi10.1186/s12984-021-00951-yen
dc.rights.accessRightsopenAccessen
dc.subject.keywordsAssessmenten
dc.subject.keywordsMultiple sclerosisen
dc.subject.keywordsOutcome measuresen
dc.subject.keywordsRehabilitationen
dc.subject.keywordsSpinal cord injuryen
dc.subject.keywordsStrokeen
dc.subject.keywordsTherapyen
dc.subject.keywordsTraumatic brain injuryen
dc.subject.keywordsUpper extremityen
dc.subject.keywordsUpper limben
dc.identifier.essn1743-0003en
dc.journal.titleJournal of NeuroEngineering and Rehabilitationen
dc.page.initial162en
dc.volume.number18en


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