A Screening Tool to Identify Spasticity in Need of Treatment
| Autor: | Shashank J. Dave, Theodore Wein, Kari Dunning, Patrick Gillard, Michael A. Dimyan, Richard D. Zorowitz, Brett M. Kissela, Fernando Pagan, John Olver, Christopher J. Evans, Thierry Deltombe, John Kelemen |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male 030506 rehabilitation medicine.medical_specialty Delphi Technique Alternative medicine Modified delphi Delphi method MEDLINE Physical Therapy Sports Therapy and Rehabilitation Interviews as Topic 03 medical and health sciences Disability Evaluation 0302 clinical medicine Original Research Articles Health care medicine Humans Screening tool Disabled Persons Spasticity Aged business.industry Rehabilitation Middle Aged Patient Outcome Assessment Muscle Spasticity Needs assessment Physical therapy Screening Female medicine.symptom 0305 other medical science business 030217 neurology & neurosurgery Needs Assessment |
| Zdroj: | American Journal of Physical Medicine & Rehabilitation |
| ISSN: | 1537-7385 |
| Popis: | Objective To develop a clinically useful patient-reported screening tool for health care providers to identify patients with spasticity in need of treatment regardless of etiology. Design Eleven spasticity experts participated in a modified Delphi panel and reviewed and revised 2 iterations of a screening tool designed to identify spasticity symptoms and impact on daily function and sleep. Spasticity expert panelists evaluated items pooled from existing questionnaires to gain consensus on the screening tool content. The study also included cognitive interviews of 20 patients with varying spasticity etiologies to determine if the draft screening tool was understandable and relevant to patients with spasticity. Results The Delphi panel reached an initial consensus on 21 of 47 items for the screening tool and determined that the tool should have no more than 11 to 15 items and a 1-month recall period for symptom and impact items. After 2 rounds of review, 13 items were selected and modified by the expert panelists. Most patients (n = 16 [80%]) completed the cognitive interview and interpreted the items as intended. Conclusions Through the use of a Delphi panel and patient interviews, a 13-item spasticity screening tool was developed that will be practical and easy to use in routine clinical practice. |
| Databáze: | OpenAIRE |
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