The minimum clinically important difference and minimal detectable change in the assessment of upper limb function after stroke: A systematic review
[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) w...
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| Published in | Japanese Occupational Therapy Research Vol. 42; no. 5; pp. 572 - 580 |
|---|---|
| Main Authors | , , , , |
| 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 | |
| Online Access | Get full text |
| ISSN | 0289-4920 2434-4419 |
| DOI | 10.32178/jotr.42.5_572 |
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| Abstract | [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. |
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| AbstractList | [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.
【目的】脳卒中患者の上肢機能評価の臨床的に意義のある最小変化量（MCID）を統合し質を評価すること．【方法】Fugl-Meyer assessment（FMA），Action Research Arm Test（ARAT），Motor Activity Log（MAL）のMCIDを算出した研究を複数の検索データベースから抽出した．【結果】FMAが4編（4.0～12.4点），ARATが1編（12～17点），MALが1編（1.0～1.1点）であり，脳卒中発症からの時期や介入内容などが異なっていた．【結論】脳卒中上肢機能評価のMCID値を参照する際には各研究の対象者や介入条件を考慮する必要がある． [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. |
| Author | Kurakata, Hiroshi Jinbo, Kazumasa Miyata, Kazuhiro Shiraishi, Hideki Yuine, Hiroshi |
| Author_FL | 倉形 裕史 宮田 一弘 神保 和正 唯根 弘 白石 英樹 |
| Author_FL_xml | – sequence: 1 fullname: 唯根 弘 – sequence: 2 fullname: 宮田 一弘 – sequence: 3 fullname: 神保 和正 – sequence: 4 fullname: 倉形 裕史 – sequence: 5 fullname: 白石 英樹 |
| Author_xml | – sequence: 1 fullname: Kurakata, Hiroshi organization: Yumenomachi Visiting Nurse Rehabilitation Station – sequence: 1 fullname: Yuine, Hiroshi organization: Department of Occupational Therapy, School of Health Sciences, Ibaraki Prefectural University of Health Sciences – sequence: 1 fullname: Shiraishi, Hideki organization: Department of Occupational Therapy, School of Health Sciences, Ibaraki Prefectural University of Health Sciences – sequence: 1 fullname: Jinbo, Kazumasa organization: Department of Rehabilitation Therapy, Chiba Rehabilitation Center – sequence: 1 fullname: Miyata, Kazuhiro organization: Department of Physical Therapy, School of Health Sciences, Ibaraki Prefectural University of Health Sciences |
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| DocumentTitle_FL | 脳卒中後の上肢機能評価における臨床的に意義のある最小変化量と最小可検変化量の検証 |
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| References | 4) Erhardsson M, Alt Murphy M, Sunnerhagen KS : Commercial head-mounted display virtual reality for upper extremity rehabilitation in chronic stroke : a single-case design study. J Neuroeng Rehabil 17(1): 154, 2020, doi: 10.1186/s12984-020-00788-x. 29) 平上尚吾，井上優，佐藤ゆかり，原田和宏，香川幸次郎：脳卒中片麻痺患者の手指運動機能障害に対するミラーセラピーの効果．理学療法学 39(5)：330-337， 2012 24) See J, Dodakian L, Chou C, Chan V, McKenzie A, et al : A standardized approach to the Fugl-Meyer assessment and its implications for clinical trials. Neurorehabil Neural Repair 27(8): 732-741, 2013. 21) Hiragami S, Inoue Y, Harada K : Minimal clinically important difference for the Fugl-Meyer assessment of the upper extremity in convalescent stroke patients with moderate to severe hemiparesis. J Phys Ther Sci 31(11): 917-921, 2019. 17) 宮田一弘， 朝倉智之， 篠原智行， 臼田滋：Mini- Balance Evaluation Systems Test とBerg Balance Scale のminimal clinicallyimportant differenceの検証─システマティックレビュー─．Jpn J Rehabil Med 58(5)：555-564，2021 19) Lundquist CB, Maribo T: The Fugl-Meyer assessment of the upper extremity : reliability, responsiveness and validity of the Danish version. Disabil Rehabil 39(9): 934-939, 2017. 28) Arya KN, Verma R, Garg RK, Sharma VP, Agarwal M, et al: Meaningful task-specific training (MTST) for stroke rehabilitation : a randomized controlled trial. Top Stroke Rehabil 19(3): 193-211, 2012. 11) Taub E, Miller NE, Novack TA, Cook EW 3 rd, Fleming WC, et al : Technique to improve chronic motor deficit after stroke. Arch Phys Med Rehabil 74(4): 347-354, 1993. 26) Lang CE, Edwards DF, Birkenmeier RL, Dromerick AW : Estimating minimal clinically important differences of upper-extremity measures early after stroke. Arch Phys Med Rehabil 89(9) : 1693-1700, 2008. 2) Hatem SM, Saussez G, Della Faille M, Prist V, Zhang X, et al : Rehabilitation of Motor Function after Stroke : A Multiple Systematic Review Focused on Techniques to Stimulate Upper Extremity Recovery. Front Hum Neurosci 10: 442, 2016, doi: 10.3389/fnhum.2016.00442. 20) Arya KN, Verma R, Garg RK: Estimating the minimal clinically important difference of an upper extremity recovery measure in subacute stroke patients. Top Stroke Rehabil 18 (Suppl 1): 599-610, 2011. 3) Pundik S, McCabe J, Kesner S, Skelly M, Fatone S : Use of a myoelectric upper limb orthosis for rehabilitation of the upper limb in traumatic brain injury: A case report. J Rehabil Assist Technol Eng 7: 2055668320921067, 2020, doi: 10.1177/2055668320921067 9) Fugl-Meyer AR, Jääskö L, Leyman I, Olsson S, Steglind S : The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance. Scand J Rehabil Med 7(1): 13-31, 1975. 23) Hsueh IP, Hsu MJ, Sheu CF, Lee S, Hsieh CL, et al : Psychometric comparisons of 2 versions of the Fugl-Meyer Motor Scale and 2 versions of the Stroke Rehabilitation Assessment of Movement. Neurorehabil Neural Repair 22(6): 737-744, 2008. 10) Lyle RC : A performance test for assessment of upper limb function in physical rehabilitation treatment and research. Int J Rehabil Res 4(4): 483-492, 1981. 22) Page SJ, Fulk GD, Boyne P : Clinically important differences for the upper-extremity Fugl-Meyer Scale in people with minimal to moderate impairment due to chronic stroke. Phys Ther 92(6): 791-798, 2012. 27) Chen S, Wolf SL, Zhang Q, Thompson PA, Winstein CJ : Minimal Detectable Change of the Actual Amount of Use Test and the Motor Activity Log : The EXCITE Trial. Neurorehabil Neural Repair 26(5): 507-514, 2012. 14) 高橋香代子，道免和久，佐野恭子，竹林崇，蜂須賀研二，他：新しい上肢運動機能評価法・日本語版Motor Activity Logの信頼性と妥当性の検討．作業療法 28(6)：628-636，2009 32) Ramachandran VS, Rogers-Ramachandran D : Synaesthesia in phantom limbs induced with mirrors. Proc Biol Sci 263(1369): 377-386, 1996. 12) Uswatte G, Taub E : Implications of the learned nonuse formulation for measuring rehabilitation outcomes : Lessons from constraint-induced movement therapy. Rehabil Psychol 50(1) : 34-42, 2005. 15) Wolf SL, Catlin PA, Ellis M, Archer AL, Morgan B, et al: Assessing Wolf motor function test as outcome measure for research in patients after stroke. Stroke 32(7): 1635-1639, 2001. 31) Dromerick AW, Lang CE, Birkenmeier RL, Wagner JM, Miller JP, et al : Very Early Constraint-Induced Movement during Stroke Rehabilitation (VECTORS) : A single-center RCT. Neurology 73(3): 195-201, 2009. 6) Mouelhi Y, Jouve E, Castelli C, Gentile S: How is the minimal clinically important difference established in health-related quality of life instruments? Review of anchors and methods. Health Qual Life Outcomes 18(1): 136, 2020, doi: 10.1186/s12955-020-01344-w. 25) Lin JH, Hsu MJ, Sheu CF, Wu TS, Lin RT, et al : Psychometric comparisons of 4 measures for assessing upper-extremity function in people with stroke. Phys Ther 89(8): 840-850, 2009. 5) Amano S, Takebayashi T, Hanada K, Umeji A, Marumoto K, et al : Constraint-Induced Movement Therapy After Injection of Botulinum Toxin Type A for a Patient With Chronic Stroke: One-Year Followup Case Report. Phys Ther 95(7): 1039-1045, 2015. 8) King MT : A point of minimal important difference (MID) : a critique of terminology and methods. Expert Rev Pharmacoecon Outcomes Res 11(2) : 171-184, 2011. 18) Bernhardt J, Hayward KS, Kwakkel G, Ward NS, Wolf SL, et al : Agreed Definitions and a Shared Vision for New Standards in Stroke Recovery Research : The Stroke Recovery and Rehabilitation Roundtable Taskforce. Neurorehabil Neural Repair 31(9): 793-799, 2017. 30) Harvey RL, Winstein CJ : Design for the everest randomized trial of cortical stimulation and rehabilitation for arm function following stroke. Neurorehabil Neural Repair 23(1): 32-44, 2009. 7) Santisteban L, Térémetz M, Bleton JP, Baron JC, Maier MA, et al : Upper Limb Outcome Measures Used in Stroke Rehabilitation Studies: A Systematic Literature Review. PLoS One 11(5): e0154792, 2016, doi: 10.1371/journal.pone.0154792. 1) Langhorne P, Coupar F, Pollock A: Motor recovery after stroke : a systematic review. Lancet Neurol 8(8): 741-754, 2009. 13) Uswatte G, Taub E, Morris D, Vignolo M, McCulloch K : Reliability and validity of the upper-extremity Motor Activity Log-14 for measuring real-world arm use. Stroke 36(11): 2493-2496, 2005. 33) Copay AG, Glassman SD, Subach BR, Berven S, Schuler TC, et al : Minimum clinically important difference in lumbar spine surgery patients: a choice of methods using the Oswestry Disability Index, Medical Outcomes Study questionnaire Short Form 36, and pain scales. Spine J 8(6): 968-974, 2008. 16) Bohannon RW, Glenney SS : Minimal clinically important difference for change in comfortable gait speed of adults with pathology: a systematic review. J Eval Clin Pract 20(4): 295-300, 2014. |
| References_xml | – reference: 2) Hatem SM, Saussez G, Della Faille M, Prist V, Zhang X, et al : Rehabilitation of Motor Function after Stroke : A Multiple Systematic Review Focused on Techniques to Stimulate Upper Extremity Recovery. Front Hum Neurosci 10: 442, 2016, doi: 10.3389/fnhum.2016.00442. – reference: 4) Erhardsson M, Alt Murphy M, Sunnerhagen KS : Commercial head-mounted display virtual reality for upper extremity rehabilitation in chronic stroke : a single-case design study. J Neuroeng Rehabil 17(1): 154, 2020, doi: 10.1186/s12984-020-00788-x. – reference: 24) See J, Dodakian L, Chou C, Chan V, McKenzie A, et al : A standardized approach to the Fugl-Meyer assessment and its implications for clinical trials. Neurorehabil Neural Repair 27(8): 732-741, 2013. – reference: 30) Harvey RL, Winstein CJ : Design for the everest randomized trial of cortical stimulation and rehabilitation for arm function following stroke. Neurorehabil Neural Repair 23(1): 32-44, 2009. – reference: 1) Langhorne P, Coupar F, Pollock A: Motor recovery after stroke : a systematic review. Lancet Neurol 8(8): 741-754, 2009. – reference: 27) Chen S, Wolf SL, Zhang Q, Thompson PA, Winstein CJ : Minimal Detectable Change of the Actual Amount of Use Test and the Motor Activity Log : The EXCITE Trial. Neurorehabil Neural Repair 26(5): 507-514, 2012. – reference: 11) Taub E, Miller NE, Novack TA, Cook EW 3 rd, Fleming WC, et al : Technique to improve chronic motor deficit after stroke. Arch Phys Med Rehabil 74(4): 347-354, 1993. – reference: 19) Lundquist CB, Maribo T: The Fugl-Meyer assessment of the upper extremity : reliability, responsiveness and validity of the Danish version. Disabil Rehabil 39(9): 934-939, 2017. – reference: 5) Amano S, Takebayashi T, Hanada K, Umeji A, Marumoto K, et al : Constraint-Induced Movement Therapy After Injection of Botulinum Toxin Type A for a Patient With Chronic Stroke: One-Year Followup Case Report. Phys Ther 95(7): 1039-1045, 2015. – reference: 12) Uswatte G, Taub E : Implications of the learned nonuse formulation for measuring rehabilitation outcomes : Lessons from constraint-induced movement therapy. Rehabil Psychol 50(1) : 34-42, 2005. – reference: 15) Wolf SL, Catlin PA, Ellis M, Archer AL, Morgan B, et al: Assessing Wolf motor function test as outcome measure for research in patients after stroke. Stroke 32(7): 1635-1639, 2001. – reference: 31) Dromerick AW, Lang CE, Birkenmeier RL, Wagner JM, Miller JP, et al : Very Early Constraint-Induced Movement during Stroke Rehabilitation (VECTORS) : A single-center RCT. Neurology 73(3): 195-201, 2009. – reference: 7) Santisteban L, Térémetz M, Bleton JP, Baron JC, Maier MA, et al : Upper Limb Outcome Measures Used in Stroke Rehabilitation Studies: A Systematic Literature Review. PLoS One 11(5): e0154792, 2016, doi: 10.1371/journal.pone.0154792. – reference: 25) Lin JH, Hsu MJ, Sheu CF, Wu TS, Lin RT, et al : Psychometric comparisons of 4 measures for assessing upper-extremity function in people with stroke. Phys Ther 89(8): 840-850, 2009. – reference: 17) 宮田一弘， 朝倉智之， 篠原智行， 臼田滋：Mini- Balance Evaluation Systems Test とBerg Balance Scale のminimal clinicallyimportant differenceの検証─システマティックレビュー─．Jpn J Rehabil Med 58(5)：555-564，2021． – reference: 28) Arya KN, Verma R, Garg RK, Sharma VP, Agarwal M, et al: Meaningful task-specific training (MTST) for stroke rehabilitation : a randomized controlled trial. Top Stroke Rehabil 19(3): 193-211, 2012. – reference: 33) Copay AG, Glassman SD, Subach BR, Berven S, Schuler TC, et al : Minimum clinically important difference in lumbar spine surgery patients: a choice of methods using the Oswestry Disability Index, Medical Outcomes Study questionnaire Short Form 36, and pain scales. Spine J 8(6): 968-974, 2008. – reference: 26) Lang CE, Edwards DF, Birkenmeier RL, Dromerick AW : Estimating minimal clinically important differences of upper-extremity measures early after stroke. Arch Phys Med Rehabil 89(9) : 1693-1700, 2008. – reference: 13) Uswatte G, Taub E, Morris D, Vignolo M, McCulloch K : Reliability and validity of the upper-extremity Motor Activity Log-14 for measuring real-world arm use. Stroke 36(11): 2493-2496, 2005. – reference: 23) Hsueh IP, Hsu MJ, Sheu CF, Lee S, Hsieh CL, et al : Psychometric comparisons of 2 versions of the Fugl-Meyer Motor Scale and 2 versions of the Stroke Rehabilitation Assessment of Movement. Neurorehabil Neural Repair 22(6): 737-744, 2008. – reference: 20) Arya KN, Verma R, Garg RK: Estimating the minimal clinically important difference of an upper extremity recovery measure in subacute stroke patients. Top Stroke Rehabil 18 (Suppl 1): 599-610, 2011. – reference: 29) 平上尚吾，井上優，佐藤ゆかり，原田和宏，香川幸次郎：脳卒中片麻痺患者の手指運動機能障害に対するミラーセラピーの効果．理学療法学 39(5)：330-337， 2012． – reference: 9) Fugl-Meyer AR, Jääskö L, Leyman I, Olsson S, Steglind S : The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance. Scand J Rehabil Med 7(1): 13-31, 1975. – reference: 32) Ramachandran VS, Rogers-Ramachandran D : Synaesthesia in phantom limbs induced with mirrors. Proc Biol Sci 263(1369): 377-386, 1996. – reference: 6) Mouelhi Y, Jouve E, Castelli C, Gentile S: How is the minimal clinically important difference established in health-related quality of life instruments? Review of anchors and methods. Health Qual Life Outcomes 18(1): 136, 2020, doi: 10.1186/s12955-020-01344-w. – reference: 10) Lyle RC : A performance test for assessment of upper limb function in physical rehabilitation treatment and research. Int J Rehabil Res 4(4): 483-492, 1981. – reference: 8) King MT : A point of minimal important difference (MID) : a critique of terminology and methods. Expert Rev Pharmacoecon Outcomes Res 11(2) : 171-184, 2011. – reference: 22) Page SJ, Fulk GD, Boyne P : Clinically important differences for the upper-extremity Fugl-Meyer Scale in people with minimal to moderate impairment due to chronic stroke. Phys Ther 92(6): 791-798, 2012. – reference: 16) Bohannon RW, Glenney SS : Minimal clinically important difference for change in comfortable gait speed of adults with pathology: a systematic review. J Eval Clin Pract 20(4): 295-300, 2014. – reference: 18) Bernhardt J, Hayward KS, Kwakkel G, Ward NS, Wolf SL, et al : Agreed Definitions and a Shared Vision for New Standards in Stroke Recovery Research : The Stroke Recovery and Rehabilitation Roundtable Taskforce. Neurorehabil Neural Repair 31(9): 793-799, 2017. – reference: 3) Pundik S, McCabe J, Kesner S, Skelly M, Fatone S : Use of a myoelectric upper limb orthosis for rehabilitation of the upper limb in traumatic brain injury: A case report. J Rehabil Assist Technol Eng 7: 2055668320921067, 2020, doi: 10.1177/2055668320921067 – reference: 21) Hiragami S, Inoue Y, Harada K : Minimal clinically important difference for the Fugl-Meyer assessment of the upper extremity in convalescent stroke patients with moderate to severe hemiparesis. J Phys Ther Sci 31(11): 917-921, 2019. – reference: 14) 高橋香代子，道免和久，佐野恭子，竹林崇，蜂須賀研二，他：新しい上肢運動機能評価法・日本語版Motor Activity Logの信頼性と妥当性の検討．作業療法 28(6)：628-636，2009． |
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| Title | The minimum clinically important difference and minimal detectable change in the assessment of upper limb function after stroke: A systematic review |
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