The minimum clinically important difference and minimal detectable change in the assessment of upper limb function after stroke: A systematic review

• Published in: Japanese Occupational Therapy Research Vol. 42; no. 5; pp. 572 - 580
• Main Authors: Kurakata, Hiroshi, Yuine, Hiroshi, Shiraishi, Hideki, Jinbo, Kazumasa, Miyata, Kazuhiro
• Format: Journal Article
• Language: Japanese
• Published: Japanese Association of Occupational Therapists 15.10.2023; 一般社団法人 日本作業療法士協会
• Subjects: Action Research Arm Test; Fugl-Meyer assessment; MAL; Minimal Detectable Change; Minimum Clinically Important Difference; 最小可検変化量; 臨床的に意義のある最小変化量
• ISSN: 0289-4920; 2434-4419
• DOI: 10.32178/jotr.42.5_572

[Objective] To investigate and summarize the minimum clinically important difference (MCID) in the assessment of upper limb function after stroke. [Methods] Studies that calculated the MCID using the Fugl-Meyer Assessment (FMA), the Action Research Arm Test (ARAT), and the Motor Activity Log (MAL) were extracted from multiple search databases. [Results] Four FMA (4.0-12.4 points), one ARAT (12-17 points), and one MAL (1.0-1.1 points) studies were included, all of which differed in terms of time since stroke onset and intervention details. [Conclusion] It is necessary to consider the subjects and intervention conditions of each study when referring to MCID values for the assessment of upper limb function after stroke.