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Standardized Measurement of Quality of Upper Limb Movement After Stroke: Consensus-Based Core Recommendations From the Second Stroke Recovery and Rehabilitation Roundtable

Journal article
Authors G. Kwakkel
E. E. H. van Wegen
J. H. Burridge
C. Winstein
L. E. H. van Dokkum
Margit Alt Murphy
M. F. Levin
J. W. Krakauer
C. I. Lang
T. Keller
T. Kitago
N. Nordin
V. Pomeroy
J. M. Veerbeek
Cereneo, Cereneo,
F. van Wijck
Published in Neurorehabilitation and Neural Repair
Volume 33
Issue 11
Pages 951-958
ISSN 1545-9683
Publication year 2019
Published at Institute of Neuroscience and Physiology, Department of Clinical Neuroscience
Pages 951-958
Language en
Links dx.doi.org/10.1177/1545968319886477
Subject categories Neurosciences

Abstract

The second Stroke Recovery and Rehabilitation Roundtable "metrics" task force developed consensus around the recognized need to add kinematic and kinetic movement quantification to its core recommendations for standardized measurements of sensorimotor recovery in stroke trials. Specifically, we focused on measurement of the quality of upper limb movement. We agreed that the recommended protocols for measurement should be conceptually rigorous, reliable, valid and responsive to change. The recommended measurement protocols include four performance assays (i.e. 2D planar reaching, finger individuation, grip strength, and precision grip at body function level) and one functional task (3D drinking task at activity level) that address body function and activity respectively. This document describes the criteria for assessment and makes recommendations about the type of technology that should be used for reliable and valid movement capture. Standardization of kinematic measurement protocols will allow pooling of participant data across sites, thereby increasing sample size aiding meta-analyses of published trials, more detailed exploration of recovery profiles, the generation of new research questions with testable hypotheses, and development of new treatment approaches focused on impairment. We urge the clinical and research community to consider adopting these recommendations.

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