Download PDF
Nervenheilkunde 2006; 25(03): 159-165
DOI: 10.1055/s-0038-1626445
Arbeiten zum Schwerpunkt - Theme Articles
Schattauer GmbH

Motorisches Assessment bei zentralen Paresen

Motor assessment in central paresis
S. van Kaick
1   Klinik Berlin, Abteilung für neurologische Rehabilitation, Charité – Universitätsmedizin Berlin (Ärztlicher Leiter: Prof. Dr. med. K.-H. Mauritz)
,
T. Platz
1   Klinik Berlin, Abteilung für neurologische Rehabilitation, Charité – Universitätsmedizin Berlin (Ärztlicher Leiter: Prof. Dr. med. K.-H. Mauritz)
› Author Affiliations
Further Information

Publication History

Publication Date:
19 January 2018 (online)

    Permissions and Reprints

Zusammenfassung

Im heutigen Gesundheitswesen ist es zunehmend wichtig, Zustand und Veränderungen von Patienten im Laufe der Behandlung objektiv und quantifizierbar beschreiben zu können. Die Anwendung von standardisierten Assessments bietet eine solche Möglichkeit. Es wird ein Überblick über Assessments vorgestellt, die für Praxen und Rehabilitationskliniken geeignet sind, Motorik in den Bereichen Spastik, Arm- und Beinmotorik, Gleichgewicht und Gehfähigkeit bei Patienten mit zentralen Paresen zu beurteilen.

Summary

In the health service it is nowadays increasingly important to give an objective and quantitative description of patients’ function over the course of treatment. Use of standardised assessments offers such a tool. An overview of tests is presented, suitable for clinics and rehabilitation hospitals for assessment in the areas of spasticity, upper and lower extremity motor function and activities, balance and gait in patients with central paresis.

Schlüsselwörter

Assessment - Motorik - zentrale Paresen

Keywords

Assessment - motor function - central paresis
 

  • Literatur

  • 1 Adams SA, Ashburn A, Pickering RM, Taylor D. The scalability of the rivermead motor assessment in acute stroke patients. Clinical Rehabilitation 1997; 11: 42-51.
    CrossrefPubMedGoogle Scholar
  • 2 Adams SA, Pickering RM, Ashburn A, Lincoln NB. The scalability of the rivermead motor assessment in nonacute stroke patients. Clinical Rehabilitation 1997; 11: 52-9.
    CrossrefPubMedGoogle Scholar
  • 3 Ashworth B. Preliminary trial of carisoprodol in Multiple Sclerosis. The Practitioner 1964; 192: 540-2.
    PubMedGoogle Scholar
  • 4 Berg K, Wood-Dauphinée S, Williams JI, Gayton D. Measuring balance in the elderly. Preliminary development of an instrument. Physiotherapy Canada 1989; 41: 304-11.
    CrossrefGoogle Scholar
  • 5 Berg K, Wood-Dauphinee S, Williams JI. The Balance Scale: reliability assessment with elderly residents and patients with an acute stroke. Scand J Rehabil Med 1995; 27: 27-36.
    Google Scholar
  • 6 Bhakta BB, Cozens JA, Chamberlain MA, Bamford JM. Impact of Botulinum Toxin Type A on disability and carer burden due to arm spasticity after stroke: a randomised double blind placebo controlled trial. J Neurol Neurosurg Psychiatry 2000; 69: 217-21.
    CrossrefPubMedGoogle Scholar
  • 7 Bohannon R, Smith M. Interrater reliability of a modified Ashworth Scale of muscle spasticity. Physical Therapy 1987; 67: 206-7.
    CrossrefPubMedGoogle Scholar
  • 8 Bohannon R, Walsh S. Nature, reliability, and predictive value of muscle performance measures in patients with hemiparesis following stroke. Arch Phys Med Rehabil 1992; 73: 721-5.
    PubMedGoogle Scholar
  • 9 Bohannon R. Motricity Index scores are valid indicators of upper extremity strength following stroke. J of Physical Therapy Science 1999; 11: 59-61.
    Google Scholar
  • 10 Cameron D, Bohannon R. Criterion validity of lower extremity motricity Index scores. Clinical Rehabilitation 2000; 14: 208-11.
    CrossrefPubMedGoogle Scholar
  • 11 Carr J, Shephard R, Nordholm L, Lynne D. Investigation of a new motor assessment scale for stroke patients. Physical Therapy 1985; 65: 175-80.
    CrossrefPubMedGoogle Scholar
  • 12 Collen F, Wade D, Bradshaw C. Mobility after stroke: reliability of measures of impairment and disability. Int Disability Studies 1990; 12: 6-9.
    Google Scholar
  • 13 Collin C, Wade D. Assessing motor impairment after stroke: a pilot reliability study. J Neurol Neurosurg Psychiatry 1990; 53: 576-9.
    CrossrefPubMedGoogle Scholar
  • 14 Demeurisse G, Demol O, Robaye E. Motor evaluation in vascular hemiplegia. European Neurology 1980; 19: 382-9.
    CrossrefPubMedGoogle Scholar
  • 15 Desrosiers J, Hébert R, Dutil E, Bravo G. Development and reliability of an upper extremity function test for the elderly: The TEMPA. Can J Occupational Therapy 1993; 60: 9-16.
    Google Scholar
  • 16 Desrosiers J, Bravo G, Hébert R, Dutil E, Mercier L. Validation of the box and lock test as a measure of dexterity of elderly people: Reliability, validity, and norms studies. Arch Phys Med Rehabil 1994; 75: 751-5.
    PubMedGoogle Scholar
  • 17 Duarte E, Marco E, Muniesa JM, Belmonte R, Diaz P, Tejero M, Escalada F. Trunk control test as a functional predictor in stroke patients. J Rehabil Med 2002; 34: 267-72.
    CrossrefPubMedGoogle Scholar
  • 18 Feld J, Rabadi M, Blau A, Jordan B. Berg Balance Scale and outcome measures in asquired brain injury. Neurorehabil Neural Repair 2001; 15: 239-44.
    CrossrefPubMedGoogle Scholar
  • 19 Feys H, de Weerdt W, Nuyens G, van de Winckel A, Selz B, Kiekens C. Predicting motor recovery of the upper limb after stroke rehabilitation: Value of a clinical examination. Physiotherapy Research International 2000; 05: 1-18.
    CrossrefPubMedGoogle Scholar
  • 20 Feys P, Duportail M, Kos D, van Asch P, Ketelaer P. Validity of the TEMPA for the measurement of upper limb function in multiple sclerosis. Clin Rehabil 2002; 16: 166-73.
    CrossrefPubMedGoogle Scholar
  • 21 Franchignoni FP, Tesio L, Ricupero C, Martino MT. Trunk control test as an early predictor of stroke rehabilitation outcome. Stroke 1997; 28: 1382-5.
    CrossrefPubMedGoogle Scholar
  • 22 Fugl-Meyer A, Jääskö L, Leyman I, Olsson S, Steglind S. The post-stroke hemiplegic patient. Scand J Rehabil Med 1975; 07: 13-31.
    Google Scholar
  • 23 Functional Independence Measure (FIM). Center for functional assessment research foundation, State University of New York, Buffalo: März 1990. Deutschsprachige Übersetzung: Zimmermann G, Frommelt P. Schaufling 1993
    PubMedGoogle Scholar
  • 24 Heller A, Wade D, Wood V, Sunderland A, Langton RHewer, Ward E. Arm function after stroke: measurement and recovery over the first three months. J Neurol Neurosurg Psychiatry 1987; 50: 714-9.
    CrossrefPubMedGoogle Scholar
  • 25 Hesse S, Reiter F, Konrad M, Jahnke M. Botulinum toxin type A and short-term electrical stimulation in the treatment of upper limb flexor spasticity after stroke: a randomized, doubleblind, placebo-controlled trial. Clin Rehabil 1998; 12: 381-8.
    CrossrefPubMedGoogle Scholar
  • 26 Holden M, Gill K, Magliozzi M. Gait assessment for neurologically impaired patients. Physical Therapy 1986; 66: 1530-9.
    CrossrefPubMedGoogle Scholar
  • 27 van der Lee JH, Beckerman H, Lankhorst GJ, Bouter LM. The responsiveness of the action research arm test and the Fugl-Meyer-Assessment scale in chronic stroke patients. J Rehabil Med 2001; 33: 110-3.
    CrossrefPubMedGoogle Scholar
  • 28 van der Lee JH, Roorda LD, Beckerman H, Lankhorst GJ, Bouter LM. Improving the action research arm test: a unidimensional hierarchical scale. Clin Rehabil 2002; 16: 646-53.
    CrossrefPubMedGoogle Scholar
  • 29 Lincoln N, Leadbitter D. Assessment of motor function in stroke patients. Physiotherapy 1979; 65: 48-51.
    PubMedGoogle Scholar
  • 30 Lyle RC. A performance test for assessment of upper limb function in physical rehabilitation treatment and research. Int J Rehabil Res 1981; 04: 483-92.
    CrossrefPubMedGoogle Scholar
  • 31 Mahoney F, Barthel D. Funtional Evaluation: The Barthel Index. Md State Med J 1965; 14: 61-5.
    PubMedGoogle Scholar
  • 32 Mao H, Hsueh I, Tang P, Sheu C, Hsieh C. Analysis and comparison of the psychometric properties of three balance measures for stroke patients. Stroke 2002; 33: 1022-7.
    CrossrefPubMedGoogle Scholar
  • 33 Masur H. Skalen und Scores in der Neurologie. Stuttgart: Thieme Verlag 2000
    PubMedGoogle Scholar
  • 34 Mathiowetz V, Volland G, Kashman N, Weber K. Adult norms for the box and block test of manual dexterity. Am J Occupational Therapy 1985; 39: 386-91.
    Google Scholar
  • 35 Mathiowetz V, Weber K, Kashman N, Volland G. Adult norms for nine hole peg test of finger dexterity. Occupational TherapyJ Res 1985; 05: 25-38.
    Google Scholar
  • 36 Mosely A, Yap M. Interrater reliability of the TEMPA for the measurement of upper limb function in adults with tramumatic brain injury. J Head Trauma Rehabil 2003; 18: 526-31.
    CrossrefPubMedGoogle Scholar
  • 37 Parker VM, Wade DT, Hewer RL. Loss of arm function after stroke: measurement, frequency and recovery. Int Rehabil Med 1986; 08: 69-73.
    Google Scholar
  • 38 Pandyan A, Johnson G, Price C, Curless R, Barnes M, Rodgers H. A Review of the properties and limitations of the Ashworth and modified Ashworth scale as measures of spasticity. Clin Rehabil 1999; 13: 373-83.
    CrossrefPubMedGoogle Scholar
  • 39 Perry J, Garrett M, Gronley JK, Mulroy SJ. Classification of walking handicap in the stroke population. Stroke 1995; 26: 982-9.
    CrossrefPubMedGoogle Scholar
  • 40 Pinkowski C. Untersuchung von Validität und Reliabilität einer deutschsprachigen Version des TEMPA (Test zur Erfassung von alltagsrelevanten Armfunktionsstörungen) bei neurologischen Patienten. Berlin: Diplomarbeit, Humboldt-Universität 1999
    PubMedGoogle Scholar
  • 41 Platz T, Pinkowski C, van Wijck F, Kim IH, di Bella P, Johnson G. Reliability and validity of arm function assessment with standardized guidelines for the Fugl-Meyer Test, action research arm test and box and block test: a multicentre study. Clin Rehabil 2005; 19: 404-11.
    CrossrefPubMedGoogle Scholar
  • 42 Platz T, Eickhof C, Nuyens G, Vuadens P. Clinical scales fort he assessment of spasticity, associated phenomena, and function: a systematic review of the literature. Disability and Rehabilitation 2005; 27: 7-18.
    CrossrefPubMedGoogle Scholar
  • 43 Platz T, Pinkowski C, van Wijck F, Johnson GARM. Arm Rehabilitation Measurement, Manual for performance and scoring. Baden-Baden: Deutscher Wissenschafts-Verlag; 2005
    Google Scholar
  • 44 Platz T. IOT Impairment-Oriented Training. Schädigungs-orientiertes Training. Theorie und deutschsprachige Manuale für Therapie und Assessment. Arm-BASIS-Training, Arm-Fähigkeits-Training, Fugl-Meyer test (Arm), TEMPA. Baden-Baden: Deutscher Wissenschafts-Verlag (DWV), in press.
    Google Scholar
  • 45 Platz T, Eickhof C, Heise F, Arnold P, Vuadens P. REPAS, REsistance to PASsive movement scale: a summated rating scale for resistance to passive movement. Results froma reliability and validity study. Abstract for the 4th World Congress for Neurorehabiliation, 12–16 February 2006, in press.
    Google Scholar
  • 46 Simondson JA, Goldie P, Greenwood KM. The mobility scale for acute stroke patients: concurrent validity. Clin Rehabil 2003; 17: 558-64.
    CrossrefPubMedGoogle Scholar
  • 47 Smith YA, Hong E, Presson C. Normative and validation studies of the nine-hole peg test with children. Percept Mot Skills 2000; 90: 823-43.
    CrossrefPubMedGoogle Scholar
  • 48 Snow BJ, Tsui JK, Bhatt MH, Varelas M, Hashimoto SA, Calne DB. Treatment of spasticity with Botulinum Toxin: a double-blind study. Ann Neurol 1990; 28: 512-5.
    CrossrefPubMedGoogle Scholar
  • 49 Stevensen TJ. Detecting change in patients with stroke using the Berg balance scale. Aust J Physiother 2001; 47: 29-38.
    CrossrefPubMedGoogle Scholar
  • 50 Sunderland A, Tinson D, Bradley L, Hewer R. Arm Function after Stroke: An evaluation of grip strength as a measure of recovery over the first three months. J Neurol Neurosurg Psychiatry 1989; 52: 1267-72.
    CrossrefPubMedGoogle Scholar
  • 51 Thorbahn LD, Newton RA. Use of the Berg Balance Test to predict falls in elderly persons. Phys Ther 1996; 76: 576-83.
    CrossrefPubMedGoogle Scholar
  • 52 Wade D, Wood V, Heller A, Maggs J, Langton RHewer. Walking after stroke. ScandJ Rehabil Med 1987; 19: 25-30.
    Google Scholar
  • 53 Wade D. Measurement in Neurological Rehabilitation. Oxford Medical Publications; 1992
    Google Scholar
  • 54 Wee J, Bagg S, Palepu A. The Berg balance scale as a predictor of length of stay and discharge destination in an acute stroke rehabilitation setting. Arch Phys Med Rehabil 1999; 80: 448-52.
    CrossrefPubMedGoogle Scholar
  • 55 de Weerdt W, Harrison M. Measuring Recovery of arm-hand-function in stroke patients:A comparison of the Brunnstrom-Fugl-Meyer test and action research arm test. Physiotherapy Canada 1985; 37: 65-70.
    CrossrefGoogle Scholar
  • 56 Witte US, Carlsson JY. Self-selected walking speed in patients with hemiparesis after stroke. Scand J Rehabil Med 1997; 29: 161-5.
    Google Scholar
  • 57 World Health Organization. International classification of functioning, disability and health. 2001
    PubMedGoogle Scholar
  • 58 www.physio-akademie.de/DAS_ZVK_Hand buch.412.0.html.