Outcome measures in spinal cord injury: recent assessments and recommendations for future directions

被引:156
作者
Alexander, M. S. [3 ]
Anderson, K. D. [4 ]
Biering-Sorensen, F. [5 ,6 ]
Blight, A. R. [7 ]
Brannon, R. [8 ]
Bryce, T. N. [9 ]
Creasey, G. [10 ]
Catz, A. [11 ]
Curt, A. [1 ,2 ]
Donovan, W. [12 ]
Ditunno, J. [13 ]
Ellaway, P. [14 ]
Finnerup, N. B. [15 ]
Graves, D. E. [16 ]
Haynes, B. A. [17 ]
Heinemann, A. W. [18 ,19 ]
Jackson, A. B. [3 ]
Johnston, M. V. [20 ]
Kalpakjian, C. Z. [21 ]
Kleitman, N. [22 ]
Krassioukov, A. [1 ,2 ]
Krogh, K.
Lammertse, D. [23 ]
Magasi, S. [24 ]
Mulcahey, M. J. [25 ]
Schurch, B. [26 ]
Sherwood, A. [8 ]
Steeves, J. D. [1 ,2 ]
Stiens, S. [27 ]
Tulsky, D. S. [28 ]
van Hedel, H. J. A. [26 ]
Whiteneck, G. [23 ]
机构
[1] Univ British Columbia, ICORD, Vancouver, BC V5Z 1M9, Canada
[2] Vancouver Coastal Hlth, Vancouver, BC, Canada
[3] Univ Alabama Birmingham, Birmingham, AL USA
[4] Univ Calif Irvine, Irvine, CA USA
[5] Rigshosp, Ctr Neurosci, DK-2100 Copenhagen, Denmark
[6] Univ Copenhagen, Copenhagen, Denmark
[7] Acorda Therapeut, Hawthorne, NY USA
[8] NIDRR, Washington, DC USA
[9] Mt Sinai Sch Med, New York, NY USA
[10] Stanford Univ, Palo Alto, CA 94304 USA
[11] Tel Aviv Univ, IL-69978 Tel Aviv, Israel
[12] Mem Hermann TIRR, Phys Med & Rehabil, Houston, TX USA
[13] Thomas Jefferson Univ, Philadelphia, PA 19107 USA
[14] Univ London Imperial Coll Sci Technol & Med, London, England
[15] Aarhus Univ Hosp, Danish Pain Res Ctr, DK-8000 Aarhus, Denmark
[16] Baylor Coll Med, Houston, TX 77030 USA
[17] Alseres Pharmaceut, Hopkinton, MA USA
[18] Northwestern Univ, Sch Med, Chicago, IL USA
[19] Rehabil Inst Chicago, Chicago, IL 60611 USA
[20] Univ Wisconsin, Milwaukee, WI 53201 USA
[21] Univ Michigan, Ann Arbor, MI 48109 USA
[22] NINDS, NIH, Bethesda, MD 20892 USA
[23] Craig Hosp, Englewood, CO USA
[24] Ctr Outcomes Res & Educ, Evanston, IL USA
[25] Shriners Hosp Crippled Children, Philadelphia, PA USA
[26] Balgrist Hosp, Zurich, Switzerland
[27] Vet Affairs Puget Sound Hlth Care, Seattle, WA USA
[28] Kessler Med Rehabil Res & Educ Ctr, W Orange, NJ USA
关键词
outcome tools; upper and lower limb; diagnostic tools; spinal cord clinical trial targets; functional assessment; quality of life and community participation; CLINICAL-TRIALS; ICCP PANEL; PSYCHOMETRIC PROPERTIES; INDEPENDENCE MEASURE; VERSION III; PAIN; PARTICIPATION; GUIDELINES; CONDUCT; SCI;
D O I
10.1038/sc.2009.18
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Study design: Review by the spinal cord outcomes partnership endeavor (SCOPE), which is a broad-based international consortium of scientists and clinical researchers representing academic institutions, industry, government agencies, not-for-profit organizations and foundations. Objectives: Assessment of current and evolving tools for evaluating human spinal cord injury (SCI) outcomes for both clinical diagnosis and clinical research studies. Methods: a framework for the appraisal of evidence of metric properties was used to examine outcome tools or tests for accuracy, sensitivity, reliability and validity for human SCI. Results: Imaging, neurological, functional, autonomic, sexual health, bladder/bowel, pain and psychosocial tools were evaluated. Several specific tools for human SCI studies have or are being developed to allow the more accurate determination for a clinically meaningful benefit (improvement in functional outcome or quality of life) being achieved as a result of a therapeutic intervention. Conclusion: Significant progress has been made, but further validation studies are required to identify the most appropriate tools for specific targets in a human SCI study or clinical trial. Spinal Cord (2009) 47, 582-591; doi: 10.1038/sc.2009.18; published online 21 April 2009
引用
收藏
页码:582 / 591
页数:10
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