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Different Stroke Scales; Which Scale or Scales Should Be Use?
Shayan Alijanpour , Mostafa Mostafazadeh-Bora , Alijan Ahmadi Ahangar
5. Mobility Impairment Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran , ahmadiahangaralijan@yahoo.com
Abstract:   (68 Views)
Background: There has been considerable development in the clinometric of stroke. But, researcher is concerned that some scales are too generic, inherently and the insight may not be provided. The current study was conducted to determine which scale or scales should be used in stroke survivors.
Methods: We selected 67 studies which published between January 2010 and December 2018 from Up to date, CINAHL, ProQuest, Scopus, PubMed, Embase, Medline, Elsevier and Web of Science with MeSH terms. Inclusion criteria were: clinical trials, prospective studies, retrospective cohort studies, or cross-sectional studies; original research in adult human stroke survivors. We excluded the following articles: non-adult population; highly selected studies or treatment studies without incidence data; commentaries, single case reports, review article, editorials and non-English articles or articles without full text available.
Results: Face Arm Speech Test and Cincinnati Prehospital Stroke Scale scales because of easy to learning and rapidly administrating recommended to use in prehospital, but there is not gold standard in stroke diagnosis in prehospital. National Institutes of Health Stroke Scale valuable in the acute stage for middle cerebral artery, not chronic or long term post stroke outcome. The Barthel Index scores at approximately three weeks could predict activities of daily living disabilities at 6 months.
Conclusion: Every scale has advantage and disadvantage and we not able to introduce gold standard for each item, but some special scale was more used in studies, preferred for comparing with other studies to match the research results.
Keywords: stroke disability, stroke scale, quality of life.
     
Type of Study: Review Article | Subject: Neurology
Received: 2019/05/29 | Accepted: 2020/02/12 | Published: 2017/07/15
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Caspian Journal of Internal Medicine
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