|Publication type:||Article in scientific journal|
|Type of review:||Peer review (publication)|
|Title:||Deutschsprachige Messinstrumente für die Rehabilitation von Patienten im Wachkoma oder im minimalen Bewusstseinszustand|
|Authors :||Huber, Marion|
|Published in :||Ergoscience|
|Publisher / Ed. Institution :||Schulz-Kirchner|
|Subject (DDC) :||616.8: Neurology, diseases of nervous system|
|Abstract:||Introduction: Valid measurement instruments are necessary to evaluate the rehabilitation progress of brain-injured patients with severe disorders of consciousness such as persistent vegetative state and minimally conscious state. Method: Instruments and validation studies were identified by searching the databases MEDLINE, DIMDI, PEDro, OT Seeker, CINAHL, PsychInfo and PsychIndex and German journals according to following inclusion criteria: 1) the instrument should cover behavioural change in the rehabilitation of patients with persistent vegetative state and minimally conscious state, 2) it should be available as German version and 3) data on at least one psychometric property must be reported. A critical appraisal of the psychometric quality was carried out based on the identified validation studies. Results: 13 out of 28 instruments met the inclusion criteria. From these six were used to detect functional changes in everyday life and seven recorded the state of consciousness. The Glasgow Coma Instrument, the Early Functional Ability Assessment, the Functional Independent Measure and the Barthel Index demonstrated good metric properties. For the other instruments only in a few properties were reported. Conclusion: The Glasgow Coma Scale can be recommended for the assessment of coma depth in acute care, and the Functional Independent Measure to evaluate the progress of rehabilitation. Because only a few instruments were appropriately tested on reliability and validity, further validation studies are necessary.|
|Fulltext version :||Published version|
|License (according to publishing contract) :||Licence according to publishing contract|
|Appears in Collections:||Publikationen Gesundheit|
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