期刊
JOURNAL OF REHABILITATION RESEARCH AND DEVELOPMENT
卷 48, 期 10, 页码 1211-1221出版社
JOURNAL REHAB RES & DEV
DOI: 10.1682/JRRD.2010.10.0203
关键词
assessment; clinical goal setting; Fugl-Meyer Assessment; item response theory; measurement; occupational therapy; Rasch analysis; rehabilitation; stroke; upper limb
资金
- Department of Veterans Affairs
- Veterans Health Administration
- Office of Research and Development
- Rehabilitation Research and Development Service
- Career Development-2 Award [B6332W]
Standardized assessments are critical for advancing clinical rehabilitation, yet assessment scores often provide little information for rehabilitation treatment planning. A keyform recovery map is an innovative way for a therapist to record patient responses to standardized assessment items. The form enables a therapist to view the specific items that a patient can or cannot perform. This information can assist a therapist in tailoring treatments to a patient's individual ability level. We demonstrate how a keyform recovery map can be used to inform clinical treatment planning for individuals with stroke-related upper-limb motor impairment. A keyform map of poststroke upper-limb 'recovery defined by items of the Fugl-Meyer Assessment-Upper Extremity (FMA-UE) was generated by a previously published Rasch analysis. Three individuals with stroke enrolled in a separate research study were randomly selected from each of the three impairment strata of the FMAUE. Their performance on each item was displayed on the FMA-UE keyform. The forms directly connected qualitative descriptions of patients' motor ability to assessment measures, thereby suggesting appropriate shorter and longer term rehabilitation goals. This study demonstrates how measurement theory can be used to translate a standardized assessment into a useful, evidence-based tool for making clinical practice decisions.
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