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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