Clinimetric methods used in neurological rehabilitation

Mariusz Drużbicki
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Anita Pacześniak-Jost
Andrzej Kwolek
Department of Physiotherapy, Institute of Health Sciences, College of Medical Sciences, University of Rzeszow, Rzeszow, Poland
Z Instytutu Fizjoterapii Uniwersytetu Rzeszowskiego
Institute of Physiotherapy of University of Rzeszów, Poland

Abstract

Clinimetrics is a branch of medical science objective of which consists in elaboration and application of methods (scales) making possible to measure clinical features occurring in a patient. A correct scale should be simple in application, sensitive, communicative and reproducible. Effectiveness of a scale depends not only on its structure, but also on practice and experience of the examining person. The objective of this paper is presentation of selected assessment scales used most frequently in neurological rehabilitation. Scales used in order to assess condition of patients with neurological diseases are being divided into injury scales, functional scales and those assessing the quality of life. Among used functional scales one can name the Barthel Index, Functional Independence Measure (FIM), and "Repty" Functional Index (developed in the Upper Silesian Rehabilitation Centre in Reply. Poland). For motorcity assessment, such scales as Modified Rivermead Mobility Index (RMI), Rankin Scale, Brunnstrom Scale, and Sodring Motor Evaluation of Stroke Patients (SMES) are designed. Assessment of balance and walking are clinically carried out by means of Timed Up & Go Tests, 10- or 20-Metre Walk Test, Two Balance Test, Standing Balance Test, Berg's Balance Scale, and Tinetti test. The most frequently used scales are Glasgow Coma Scale and Mathew Scale. Quality of life scales are Medical Outcome Study 36-Item Short-Form Health Survey (SF-36), EuroQol-5D, Quality of Life Index (QLI). Sickness Impact Profile (SIP), and Nottingham Health Profile (NHP).

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