Evaluación de la funcionalidad del miembro superior en personas adultas con daño cerebral adquirido realizada por los/as profesionales de la terapia ocupacional en España, estudio transversal
Resumen
Introducción: La evaluación de las actividades y la participación son dos elementos claves en la funcionalidad del miembro superior (MS) para el proceso de neurorrehabilitación. Conocer la evaluación que realizan los/as profesionales de la terapia ocupacional puede ser de utilidad para la rehabilitación. Por tanto, el objetivo principal del estudio fue describir el proceso de evaluación del MS en adultos con daño cerebral adquirido (DCA), realizado por terapeutas ocupacionales en España.
Métodos: Se diseñó un estudio transversal con terapeutas ocupacionales españoles que trataban el MS en pacientes con DCA mediante una encuesta online, entre marzo y mayo del 2020. En ella, se recogió información sobre variables sociodemográficas, formativas, laborales y sobre el proceso de evaluación.
Resultados: Un total de 47 terapeutas ocupacionales de una edad mediana de 31 años y mayoritariamente mujeres participaron en el estudio. El 57% reportó dedicar menos del 25% de su jornada a la tarea de evaluación. Se identificaron 110 escalas de evaluación, de las cuales el 62% se dedicaban a evaluar funciones y estructuras, el 19% actividades y 19% a participación. Las herramientas más utilizadas fueron Fulg Meyer Assessment, Nine Hole Peg Test y Disabilities of the Arm, Shoulder and Hand.
Conclusiones: El tiempo dedicado a la evaluación fue escaso y un pequeño porcentaje de terapeutas ocupacionales evaluaron las actividades y participación.
Cómo citar
Referencias
Boop C, Cahill SM, Davis C, Dorsey J, Gibbs V, Herr B, Kearney K, Liz Griffin Lannigan E, Metzger L, Miller J, Owens A, Rives K, Synovec C, Winistorfer WL, Lieberman D. Occupational therapy practice framework: Domain and process fourth edition. Vol. 74, American Journal of Occupational Therapy. 2020. DOI: http://dx.doi.org/10.5014/ajot.2020.74S2001. DOI: https://doi.org/10.5014/ajot.2020.74S2001
Borges LR, Fernandes AB, Melo LP, Guerra RO, Campos TF. Action observation for upper limb rehabilitation after stroke. Cochrane Database Syst Rev. 2018;2018(10) DOI: http://dx.doi.org/10.1002/14651858.CD011887.pub2. DOI: https://doi.org/10.1002/14651858.CD011887.pub2
Bruno L. The burden of stroke in Europe report. Vol. 53, Journal of Chemical Information and Modeling. 2019.
Connell L, Tyson S. Measures of sensation in neurological conditions: a systematic review. Clin Rehabil. 2012;26(1):68–80 DOI: http://dx.doi.org/10.1177/0269215511412982. DOI: https://doi.org/10.1177/0269215511412982
Díaz-Guzmán J, Egido JA, Gabriel-Sánchez R, Barberá-Comes G, Fuentes-Gimeno B, Fernández-Pérez C. Stroke and transient ischemic attack incidence rate in Spain: The IBERICTUS study. Cerebrovasc Dis. 2012;34(4):272–81 DOI: http://dx.doi.org/10.1159/000342652. DOI: https://doi.org/10.1159/000342652
Dixon D, Johnston M, McQueen M, Court-Brown C. The Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH) can measure the impairment, activity limitations and participation restriction constructs from the International Classification of Functioning, Disability and Health (ICF). BMC Musculoskelet Disord. 2008;9:1–6 DOI: http://dx.doi.org/10.1186/1471-2474-9-114. DOI: https://doi.org/10.1186/1471-2474-9-114
Eysenbach G. Improving the quality of web surveys: The Checklist for Reporting Results of Internet E-Surveys (CHERRIES). J Med Internet Res. 2004;6(3):1–6 DOI: http://dx.doi.org/10.2196/jmir.6.3.e34. DOI: https://doi.org/10.2196/jmir.6.3.e34
Feigin VL, Forouzanfar MH, Krishnamurthi R, Mensah GA, Bennett DA, Moran AE, Sacco RL, Anderson L, Donnell MO, Venketasubramanian N, Barker-collo S, Lawes CMM, Wang W, Shinohara Y, Witt E, Ezzati M. from the Global Burden of Disease Study 2010. 2014;383(9913):245–54. DOI: https://doi.org/10.1016/S0140-6736(13)61953-4
Ferrer González BM, Periñan Zarco MJ, Echevarría Ruíz de Vargas C. Adaptación y validación al español de la escala Fugl-Meyer en el manejo de la rehabilitación de pacientes con ictus. 2016.
Gowland C, Stratford P, Ward M, Moreland J, Torresin W, Van Hullenaar S, Sanford J, Barreca S, Vanspall B, Plews N. Measuring physical impairment and disability with the chedoke-mcmaster stroke assessment. Stroke. 1993;24(1):58–63 DOI: http://dx.doi.org/10.1161/01.STR.24.1.58. DOI: https://doi.org/10.1161/01.STR.24.1.58
Houwink A, Roorda LD, Smits W, Molenaar IW, Geurts AC. Measuring upper limb capacity in patients after stroke: Reliability and validity of the stroke upper limb capacity scale. Arch Phys Med Rehabil. Elsevier Inc.; 2011;92(9):1418–22 DOI: http://dx.doi.org/10.1016/j.apmr.2011.03.028. DOI: https://doi.org/10.1016/j.apmr.2011.03.028
Innes CL. Migrant fiction. Oxford Hist Nov English Vol 7 Br Irish Fict Since 1940. 2018;608(1 996):94–109 DOI: http://dx.doi.org/10.1093/oso/9780198749394.003.0008. DOI: https://doi.org/10.1093/oso/9780198749394.003.0008
Jeevanantham D, Dyszuk E, Bartlett D. The Manual Ability Classification System: A Scoping Review. Pediatr Phys Ther. 2015;27(3):236–41 DOI: http://dx.doi.org/10.1097/PEP.0000000000000151. DOI: https://doi.org/10.1097/PEP.0000000000000151
Jolliffe L, Lannin NA, Cadilhac DA, Hoffmann T. Systematic review of clinical practice guidelines to identify recommendations for rehabilitation after stroke and other acquired brain injuries. BMJ Open. 2018;8(2) DOI: http://dx.doi.org/10.1136/bmjopen-2017-018791. DOI: https://doi.org/10.1136/bmjopen-2017-018791
Karol RL. Team models in neurorehabilitation: Structure, function, and culture change. NeuroRehabilitation. 2014;34(4):655–69 DOI: http://dx.doi.org/10.3233/NRE-141080. DOI: https://doi.org/10.3233/NRE-141080
Kernan WN, Ovbiagele B, Black HR, Bravata DM, Chimowitz MI, Ezekowitz MD, Fang MC, Fisher M, Furie KL, Heck D V., Johnston SC, Kasner SE, Kittner SJ, Mitchell PH, Rich MW, Richardson D, Schwamm LH, Wilson JA. Guidelines for the prevention of stroke in patients with stroke and transient ischemic attack: A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Vol. 45, Stroke. 2014. DOI: http://dx.doi.org/10.1161/STR.0000000000000024. DOI: https://doi.org/10.1161/STR.0000000000000024
Kwakkel G, Lannin NA, Borschmann K, English C, Ali M, Churilov L, Saposnik G, Winstein C, Van Wegen EEH, Wolf SL, Krakauer JW, Bernhardt J. Standardized Measurement of Sensorimotor Recovery in Stroke Trials: Consensus-Based Core Recommendations from the Stroke Recovery and Rehabilitation Roundtable. Neurorehabil Neural Repair. 2017;31(9):784–92 DOI: http://dx.doi.org/10.1177/1545968317732662. DOI: https://doi.org/10.1177/1545968317732662
Lang CE, Bland MD, Bailey RR, Schaefer SY, Birkenmeier RL. Assessment of upper extremity impairment, function, and activity after stroke: Foundations for clinical decision making. J Hand Ther. 2013;26(2):104–15 DOI: http://dx.doi.org/10.1016/j.jht.2012.06.005. DOI: https://doi.org/10.1016/j.jht.2012.06.005
Lesher DA, Mulcahey MJ, Hershey P, Stanton DB TA. Alignment of Outcome Instruments Used in Hand Therapy With the Occupational Therapy Practice Framework: Domain and Process and the International Classification of Functioning, Disability and Health: A Scoping Review. Am J Occup Ther. 2017;Jan/Feb(71 (1)):7101190060p1–12 DOI: http://dx.doi.org/doi: 10.5014/ajot.2017.016741. PMID: 28027048. DOI: https://doi.org/10.5014/ajot.2017.016741
Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V, Abraham J, Adair T, Aggarwal R, Ahn SY, AlMazroa MA, Alvarado M, Anderson HR, Anderson LM, Andrews KG, Atkinson C, Baddour LM, Barker-Collo S, Bartels DH, Bell ML, Benjamin EJ, Bennett D, Bhalla K, Bikbov B, Bin Abdulhak A, Birbeck G, Blyth F, Bolliger I, Boufous S, Bucello C, Burch M, Burney P, Carapetis J, Chen H, Chou D, Chugh SS, Coffeng LE, Colan SD, Colquhoun S, Colson KE, Condon J, Connor MD, Cooper LT, Corriere M, Cortinovis M, Courville De Vaccaro K, Couser W, Cowie BC, Criqui MH, Cross M, Dabhadkar KC, Dahodwala N, De Leo D, Degenhardt L, Delossantos A, Denenberg J, Des Jarlais DC, Dharmaratne SD, Dorsey ER, Driscoll T, Duber H, Ebel B, Erwin PJ, Espindola P, Ezzati M, Feigin V, Flaxman AD, Forouzanfar MH, Fowkes FGR, Franklin R, Fransen M, Freeman MK, Gabriel SE, Gakidou E, Gaspari F, Gillum RF, Gonzalez-Medina D, Halasa YA, Haring D, Harrison JE, Havmoeller R, Hay RJ, Hoen B, Hotez PJ, Hoy D, Jacobsen KH, James SL, Jasrasaria R, Jayaraman S, Johns N, Karthikeyan G, Kassebaum N, Keren A, Khoo JP, Knowlton LM, Kobusingye O, Koranteng A, Krishnamurthi R, Lipnick M, Lipshultz SE, Lockett Ohno S, Mabweijano J, MacIntyre MF, Mallinger L, March L, Marks GB, Marks R, Matsumori A, Matzopoulos R, Mayosi BM, McAnulty JH, McDermott MM, McGrath J, Memish ZA, Mensah GA, Merriman TR, Michaud C, Miller M, Miller TR, Mock C, Mocumbi AO, Mokdad AA, Moran A, Mulholland K, Nair MN, Naldi L, Narayan KMV, Nasseri K, Norman P, O’Donnell M, Omer SB, Ortblad K, Osborne R, Ozgediz D, Pahari B, Pandian JD, Panozo Rivero A, Perez Padilla R, Perez-Ruiz F, Perico N, Phillips D, Pierce K, Pope CA, Porrini E, Pourmalek F, Raju M, Ranganathan D, Rehm JT, Rein DB, Remuzzi G, Rivara FP, Roberts T, Rodriguez De León F, Rosenfeld LC, Rushton L, Sacco RL, Salomon JA, Sampson U, Sanman E, Schwebel DC, Segui-Gomez M, Shepard DS, Singh D, Singleton J, Sliwa K, Smith E, Steer A, Taylor JA, Thomas B, Tleyjeh IM, Towbin JA, Truelsen T, Undurraga EA, Venketasubramanian N, Vijayakumar L, Vos T, Wagner GR, Wang M, Wang W, Watt K, Weinstock MA, Weintraub R, Wilkinson JD, Woolf AD, Wulf S, Yeh PH, Yip P, Zabetian A, Zheng ZJ, Lopez AD, Murray CJL. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: A systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2095–128 DOI: http://dx.doi.org/10.1016/S0140-6736(12)61728-0. DOI: https://doi.org/10.1016/S0140-6736(12)61728-0
Mehrholz J EB. Cochrane Database of Systematic Reviews Electromechanical and robot-assisted arm training for improving activities of daily living, arm function, and arm muscle strength after stroke (Review) www.cochranelibrary.com. Cochrane database Syst Rev. 2015;2015(11):CD006876 DOI: http://dx.doi.org/10.1002/14651858.CD006876.pub4.www.cochranelibrary.com.
Murphy M, Resteghini C, Feys P, Lamers I. An overview of systematic reviews on upper extremity outcome measures after stroke. BMC Neurol. 2015;1–15. DOI: https://doi.org/10.1186/s12883-015-0292-6
Pohl J, Held JPO, Verheyden G, Alt Murphy M, Engelter S, Flöel A, Keller T, Kwakkel G, Nef T, Ward N, Luft AR, Veerbeek JM. Consensus-Based Core Set of Outcome Measures for Clinical Motor Rehabilitation After Stroke—A Delphi Study. Front Neurol. 2020;11(September):1–9 DOI: http://dx.doi.org/10.3389/fneur.2020.00875. DOI: https://doi.org/10.3389/fneur.2020.00875
Pumpa L, Cahil L, Carey L. Somatosensory assessment and treatment after stroke: An evidence-practice gap. Aust Occup Ther J. 2015;62(2):93–104. DOI: http://dx.doi.org/doi:10.1111/1440-1630.12170. DOI: https://doi.org/10.1111/1440-1630.12170
Romli MH, Wan Yunus F, Mackenzie L. Overview of reviews of standardised occupation-based instruments for use in occupational therapy practice. Aust Occup Ther J. 2019;66(4):428–45 DOI: http://dx.doi.org/10.1111/1440-1630.12572. DOI: https://doi.org/10.1111/1440-1630.12572
Santisteban L, Térémetz M, Bleton JP, Baron JC, Maier MA, Lindberg PG. Upper limb outcome measures used in stroke rehabilitation studies: A systematic literature review. PLoS One. 2016;11(5):1–16 DOI: http://dx.doi.org/10.1371/journal.pone.0154792. DOI: https://doi.org/10.1371/journal.pone.0154792
Stinear CM, Barber PA, Petoe M, Anwar S, Byblow WD. The PREP algorithm predicts potential for upper limb recovery after stroke. Brain. Oxford University Press; 2012;135(8):2527–35 DOI: http://dx.doi.org/10.1093/brain/aws146. DOI: https://doi.org/10.1093/brain/aws146
Sullivan JE, Crowner BE, Kluding PM, Nichols D, Rose DK, Yoshida R, Zipp GP. Outcome Measures for Individuals with Stroke: Process and Recommendations from APTA. Phys Ther. 2013;93(10):1383–96. DOI: https://doi.org/10.2522/ptj.20120492
Uswatte G, Taub E, Bowman MH, Delgado A, Bryson C, Morris DM, McKay S, Barman J, Mark VW. Rehabilitation of stroke patients with plegic hands: Randomized controlled trial of expanded Constraint-Induced Movement therapy. Restor Neurol Neurosci. 2018;36(2) DOI: http://dx.doi.org/10.3233/RNN-170792. DOI: https://doi.org/10.3233/RNN-170792
Yang SY, Lin CY, Lee YC, Chang JH. The Canadian occupational performance measure for patients with stroke: A systematic review. J Phys Ther Sci. 2017;29(3):548–55 DOI: http://dx.doi.org/10.1589/jpts.29.548. DOI: https://doi.org/10.1589/jpts.29.548