Measurement instruments to assess basic functional mobility in Parkinson's Disease: A systematic review of clinimetric properties and feasibility for use in clinical practice
Measurement instruments to assess basic functional mobility in Parkinson's Disease: A systematic review of clinimetric properties and feasibility for use in clinical practice
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评估帕金森病基本功能活动能力的测量仪器
DOI：
10.11336/jjcrs.14.16
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Ariko Yamamoto
中科院分区：
文献类型：
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作者：
Seira Taniguchi;Ariko Yamamoto
谷口S，山本A.评估帕金森氏病基本功能活动度的测量仪器：临床测量特性和用于临床实践的可行性的系统评价。目的系统评价帕金森病(PD)患者基本功能活动的临床测量工具“改良帕金森活动量表(M-PAS)”和“林多普帕金森病活动度评估(LPA)”的临床应用价值和可行性，并探讨其在临床应用中的应用。结果11项研究包括：5项研究使用M-PAS(45%)，5项研究使用LPA(45%)，1项研究使用M-PAS和LPA(13%)。结论M-PAS和LPA在检测干预变化方面具有足够的信度、效度和响应性。M-PAS有更详细的定性评分选项，没有天花板效应，可以被PD的非专家使用。相比之下，M-PAS的缺点是在日常临床实践中应用非常耗时。另一方面，在严格时间限制的情况下，更简单的LPA可能会降低患者和评分员的负担。需要进一步的研究来确定新的资源。
Taniguchi S, Yamamoto A. Measurement instruments to assess basic functional mobility in Parkinson’s Disease: A systematic review of clinimetric properties and feasibility for use in clinical practice. Jpn J Compr Rehabil Sci 2023; 14: 16‒25.ObjectiveTo systematically review the evaluation of clinimetric properties and feasibility of the “Modified Parkinson Activity Scale (M-PAS)” and the “Lindop Parkinson’s Disease Mobility Assessment (LPA),” which are Parkinson’s Disease (PD)-specific measurement instruments to assess basic functional mobility, and to discuss their considerations for use in clinical practice.MethodsA systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A risk of bias assessment was also performed.ResultsEleven studies were included: five studies used M-PAS (45%), five studies used LPA (45%), and one study used M-PAS and LPA (13%). The risk of bias was low for all evaluated studies.ConclusionM-PAS and LPA showed adequate reliability, validity, and responsiveness in detecting intervention changes. M-PAS has more detailed qualitative scoring options, a lack of ceiling effect, and can be used by a non-expert in PD. In contrast, the drawback of M-PAS is that it is timeconsuming to apply in everyday clinical practice. On the other hand, LPA with greater simplicity may lead to lower burdens for both patients and raters in situations with strict time limitations. Further research is required to identify new resources.