Publications by authors named "Giovanni Galeoto"

46 Publications

Evaluation of the Psychometric Properties of the Scale A-ONE: An Italian Cross-Sectional Study.

Occup Ther Int 2021 17;2021:8874953. Epub 2021 Mar 17.

Department of Human Neurosciences, Sapienza University of Rome, Italy.

Purpose: This study is aimed at validating the A-ONE scale in an Italian population with Central Nervous System (CNS) dysfunction. . Between May and November 2018, people aged between 60 and 90 with CNS dysfunction were recruited in a hospital in Rome, Italy. Patients were observed and evaluated during the activities of daily living. Internal consistency and reliability were evaluated with Cronbach's coefficient alpha and intraclass correlation coefficient, respectively. As measured with Pearson's correlation coefficient, the validity was examined comparing results of the A-ONE with the Barthel index. Responsiveness was evaluated 30 days after the first administration.

Results: A total of 70 people having a diagnosis of neurological disorders were evaluated. The internal consistency showed Cronbach's coefficient alpha ranging from 0.634 to 0.959. The measurement of reliability varied from 0.984 to 0.997 for intrarater and from 0.979 to 0.998 for interrater. Pearson's correlation coefficient between the A-ONE and the Barthel index and the responsiveness showed statistically significant values ( < 0.01).

Conclusions: The present study provides preliminary evidence of reliability, validity, and responsiveness of the A-ONE when using elderly people with CNS dysfunction.
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http://dx.doi.org/10.1155/2021/8874953DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7994097PMC
April 2021

Evaluation instruments for executive functions in children and adolescents: a systematic review.

Expert Rev Pharmacoecon Outcomes Res 2021 Apr 8:1-12. Epub 2021 Apr 8.

Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy.

Introduction: The present study aimed to perform a systematic review of instruments for evaluating the executive functions (EFs) in a pediatric population to assess their measurement properties, focusing on the professional who administers it.

Area Covered: A systematic search of the literature was performed on Cinahl, PsycINFO, Scopus, Web of Science and Medline to identify studies in which an instrument for evaluating the EFs was described. Included only were the papers reporting the evaluation of EFs, with any instrument, on a population aged 0 to 18 consisting of healthy individuals or people with neurodevelopmental disorder. The evaluation of the Risk of Bias has been carried out with the administration of a part of the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) Checklist.

Expert Opinion: The search ended on the 2nd of August. Only 19 articles met the inclusion criteria and were included in the study; the papers refer to 16 different evaluation tools of the EF. Analysis of the methodological quality shows that most of the papers assessed received an 'inadequate' or 'insufficient' score. Indeed, only two articles received six or five 'sufficient' out of 8 items; instead, ten papers received one or zero 'sufficient.'
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http://dx.doi.org/10.1080/14737167.2021.1908889DOI Listing
April 2021

The efficacy of rehabilitation in people with Guillain-Barrè syndrome: a systematic review of randomized controlled trials.

Expert Rev Neurother 2021 Feb 23:1-7. Epub 2021 Feb 23.

Department of Human Neurosciences, Sapienza University of Rome, Viale Dell' Università, Rome, Italy.

Introduction: Individuals with Guillain-Barrè syndrome (GBS) showed significant longer-term psychological sequelae, due to persistent disability. In recent years, great advances have been made in medical care for patients with GBS. However, the focus has been mainly on patient care in the acute phase and improving survival instead of long-term disability. The purpose of this study was to evaluate the efficacy of rehabilitation in people with GBS through a systematic review of randomized controlled trials.

Area Covered: PRISMA guidelines were used to perform this systematic review. Six bibliographic databases were searched: PUBMED, WEB OF SCIENCE, PEDro, CINHAL, PSYCHINFO, and SCOPUS. Papers included in the systematic review should have a search design of a randomized controlled trial. The quality of the clinical trials included was evaluated according to Jadad score.

Expert Opinion: After eliminating duplicates, 472 records got screened, three RCTs were included in the systematic review. Overall, the analysis of the three randomized controlled trials showed that various types of rehabilitation interventions are correlated to an improvement in the patient's well-being. Finally, it is not possible to extrapolate definite conclusions on the effectiveness of rehabilitation treatment in patients with GBS. Therefore, high-quality future studies are needed to confirm these hypotheses.
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http://dx.doi.org/10.1080/14737175.2021.1890034DOI Listing
February 2021

Outcome measures for physical fatigue in individuals with multiple sclerosis: a systematic review.

Expert Rev Pharmacoecon Outcomes Res 2021 Jan 28. Epub 2021 Jan 28.

Department of Human Neurosciences, Sapienza University of Rome , Piazzale Aldo Moro 5, 00185, Rome, Italy.

Introduction: : Physical fatigue can be a common reason for early retirement or sick leave since it appears in the earliest stages of multiple sclerosis (MS). Therefore, a prompt and accurate diagnosis is essential. This systematic review aims to identify and describe the instruments used to assess physical fatigue in MS patients with consideration for the languages used to validate the instruments and their methodological qualities.

Area Covered: : This study has been carried out through "Medline," "Scopus," "Cinhal," and "Web of Science" databases for all the papers published before January 24, 2020. Three independent authors have chosen the eligible studies based upon pre-set criteria of inclusion. Data collection, data items, and assessment of the risk of bias: the data extraction approach was chosen based on the Cochrane Methods. For data collection, the authors followed the recommendations from the COSMIN initiative. Study quality and risk of bias were assessed using the COSMIN Check List.

Expert Opinion: : 119 publications have been reviewed. The 45 assessment scales can be divided into specific scales for physical fatigue and specific scales for MS. The most popular tools are the Fatigue Severity Scale and the Modified Fatigue Impact Scale.
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http://dx.doi.org/10.1080/14737167.2021.1883430DOI Listing
January 2021

Internal consistency and validity of the Italian version of the Jebsen-Taylor hand function test (JTHFT-IT) in people with tetraplegia.

Spinal Cord 2021 Mar 14;59(3):266-273. Epub 2021 Jan 14.

Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy.

Study Design: Psychometric study.

Objectives: This study aimed to evaluate the internal consistency and validity of the Italian version of the Jebsen-Taylor hand function test (JTHFT-IT) in people with tetraplegia.

Setting: Italian spinal units.

Methods: Psychometric properties of the JTHFT-IT were assessed following international guidelines. The internal consistency was examined using Cronbach's alpha coefficient. Pearson's correlation coefficient was calculated for the concurrent validity of JTHFT-IT with a dynamometer, while the construct validity was calculated in comparison to that of the Van Lieshout test short version in Italian (VLT-SV-IT).

Results: The test was administered to 48 right-hand dominant people with tetraplegia. Cronbach's alpha calculation resulted in a value of 0.96 for the right hand and 0.94 for the left hand. In terms of the validity of the scale, the Pearson's correlation, as measured in relation to the VLT-SV-IT and dynamometer, showed statistically significant results (range for the correlation coefficient of between -0.96 and -0.12, p < 0.05).

Conclusions: The findings of this study support the internal consistency and validity of the JTHFT-IT and its use among a population with cervical SCI as a measure of hand functionality.
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http://dx.doi.org/10.1038/s41393-020-00602-4DOI Listing
March 2021

Pregnancy in women with physical and intellectual disability: psychiatric implications.

Riv Psichiatr 2020 Nov-Dec;55(6):331-336

Department of Gynecology, Obstetric, and Urology, Sapienza University of Rome, Italy.

Women with disabilities feel the desire for motherhood as much as women without special clinical needs. Their fertility is often not impacted by disability and they can have children. However, several issues must be considered, depending on the physical, mental or developmental disability. Women with a physical disability often experience higher risks of caesarean section, preterm birth, growth restriction and low birth weight when compared to controls. Women with intellectual or developmental disabilities are often young, unmarried, unemployed and have limited access to care. They often struggle following instructions or recognizing the conditions that require medical help. They are more likely to experience preeclampsia, diabetes, venous thromboembolism, cesarean delivery, infant low birth weight, preterm birth, neonatal intensive care unit admission, and perinatal death. Moreover, an association between psychiatric morbidity and alcohol abuse was proved by several pieces of evidence and it can cause serious damage to fetus and newborn causing Fetal Alcohol Spectrum Disorders. Fetus and the newborn of disabled mothers are exposed to specific risks depending on the mother's conditions: the main risk fetuses are exposed to during pregnancy is exposure to drugs and therapies which cannot be suspended and whose effects over pregnancy are not known. Moreover, some conditions causing maternal disability could elevate the risk for the baby to be similarly affected. It is important that both women and men with disabilities could be provided with accurate, accessible, and understandable information about sexual health and options regarding contraception and reproduction. It's important for women with disabilities to have the chance to discuss sexual matters, pregnancy desires and concerns with healthcare providers so they can provide appropriate screenings, contraceptive services, preconception, and prenatal care. Among healthcare providers, midwives are the frontline healthcare professionals who have the role, the possibility and the education to perform influential counseling on women about lifestyles and reproductive health.
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http://dx.doi.org/10.1708/3503.34890DOI Listing
December 2020

Efficacy of Occupational Therapy Interventions on Quality of Life in Patients with Parkinson's Disease: A Systematic Review and Meta-Analysis.

Mov Disord Clin Pract 2020 Nov 2;7(8):891-901. Epub 2020 Oct 2.

Department Human Neurosciences Sapienza University of Rome Rome Italy.

Objective: To review studies assessing the efficacy of occupational therapy interventions on quality of life in patients with Parkinson's disease.

Method: We followed the international guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. Databases (PubMed, Physiotherapy Evidence Database, OTsekeer, Scopus, Cinhal, and Web of Science) were searched to identify randomized controlled trials of occupational therapy interventions in patients with Parkinson's disease up to 2019 and with no restriction on language. The primary outcome of the meta-analysis was the evaluation of quality of life following occupational therapy interventions. Because of the heterogeneity of the studies, we examined the data by using a random effect model.

Results: We identified 15 randomized controlled trials that met the inclusion criteria, and 4 of these were included in the meta-analysis. Studies with a follow-up of 2 to 3 months showed that occupational therapy interventions significantly improved the quality of life in patients with Parkinson's disease, with a mean difference of -2.08 (95% confidence interval, -2.52 to -1.64;  < 0.00001). Studies reporting a longer follow-up (6-12 months) also showed that occupational therapy interventions improved the quality of life, with a mean difference of -2.56 (95% confidence interval, -3.52 to -1.61;  < 0.00001).

Conclusion: Different occupational therapy interventions may be effective in improving the quality of life in patients with Parkinson's disease. However, because of the limited number of studies available, the strength of the evidence should be considered moderate.
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http://dx.doi.org/10.1002/mdc3.13089DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7604677PMC
November 2020

Tools to assess the quality of life in patients with Parkinson's disease: a systematic review.

Expert Rev Pharmacoecon Outcomes Res 2021 Feb 5;21(1):55-68. Epub 2020 Nov 5.

Department of Human Neurosciences, Sapienza University of Rome , Rome, Italy.

Introduction: The clinical, social, and economic implications of Parkinson's disease (PD) are significant; disability occurs leading to a low quality of life (QoL). Information on the QoL of patients with PD and studies on the relationship between QoL and motor and cognitive function are necessary for both research and clinical use to make informed decisions in healthcare and rehabilitation. The aim of this study was to determine which scales are most used to assess QoL in patients with PD.

Area Covered: A literature search was conducted in MEDLINE, Scopus, CINAHL, PsycINFO, and Web of Science. Two authors independently identified eligible studies based on predefined inclusion criteria and extracted the data. Study quality and the risk of bias were assessed using the COSMIN checklist.

Expert Opinion: 116 suitable studies were included, and 42 different instruments were identified. The most frequently used scales were the 39-items and 8-items Parkinson's Disease Questionnaire (PDQ-39) (PDQ-8). These findings suggest further investigation of existing PD outcome measures would benefit patients, researchers, and clinicians. Validated, universal outcome measures are required to allow comparisons across practice; therefore, we recommend that future researchers use a common set of outcome assessments based on the results of this review.
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http://dx.doi.org/10.1080/14737167.2021.1841638DOI Listing
February 2021

Measuring Environmental Barriers: Validation and Cultural Adaptation of the Italian Version of the Craig Hospital Inventory of Environmental Factors (CHIEF) Scale.

Occup Ther Health Care 2020 Oct 20;34(4):373-385. Epub 2020 Oct 20.

Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy.

The study aimed to validate an Italian translation of the Craig Hospital Inventory of Environmental Factors (CHIEF) environmental assessment tool. The CHIEF scale was administered throughout Italy to 506 individuals who did not present with serious and/or disabling diseases. The results show an excellent interrelation between CHIEF scale items and the subscales. Furthermore, our analysis demonstrates that following repeated administration to the same participants, the instrument maintains excellent stability of each subscale for the frequency, magnitude, and impact of the barriers. This study demonstrates that the Italian version of the CHIEF scale is reliable for measuring environmental barriers. The findings show that the scale is suitable for the clinical and research fields to broaden our knowledge about this relevant yet poorly studied field.
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http://dx.doi.org/10.1080/07380577.2020.1834174DOI Listing
October 2020

Crosscultural Validation of the Community Integration Questionnaire-Revised in an Italian Population.

Occup Ther Int 2020 28;2020:8916541. Epub 2020 Aug 28.

Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy.

Objective: The aims of this study are the translation, cultural adaptation, and validation of the Community Integration Questionnaire-Revised (CIQ-R) in Italian in a group of individuals with no clinical evidence of disability.

Methods: The test's internal consistency and validity were assessed by following international guidelines. The test's internal consistency was examined using Cronbach's alpha () coefficient. Pearson's correlation coefficient was calculated to assess the test's concurrent validity compared with the Short Form-12 (SF-12) health survey.

Results: The CIQ-R was administrated to 400 people with no clinical evidence of disease, impairment, or disability, aged between 18 and 64. Cronbach's reported a value of 0.82 in the home integration subscale. The test also showed a good test-retest reliability, with an Intraclass Correlation Coefficient of 0.78, and a significant correlation between the total score of the CIQ-R and the Physical Component Summary (PCS) of the SF-12 ( = 0.118), between the "social integration" subscale's score and PCS12 ( = 0.121) and between the "Electronic Social Networking integration" subscale's score and PCS12 ( = 0.184), with < 0.05.

Conclusion: This is the first study to report the results of the translation and validation of the CIQ-R in Italian. The CIQ-R is an important tool for Italian professionals and can be useful in both clinical practice and research for measuring the level of community integration among the healthy population.
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http://dx.doi.org/10.1155/2020/8916541DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7481919PMC
February 2021

Sensor-based technology for upper limb rehabilitation in patients with multiple sclerosis: A randomized controlled trial.

Restor Neurol Neurosci 2020 ;38(4):333-341

Santa Lucia Foundation, IRCCS, Rome, Italy.

Background: Sensor-based technological therapy devices may be good candidates for neuromotor rehabilitation of people with Multiple Sclerosis (MS), especially for treating upper extremities function limitations. The sensor-based device rehabilitation is characterized by interactive therapy games with audio-visual feedback that allows training the movement of shoulders, elbows, and wrist, measuring the strength and the active range of motion of upper limb, registering data in an electronic database to quantitatively monitoring measures and therapy progress.

Objective: This study aimed to investigate the effects of sensor-based motor rehabilitation in add-on to the conventional neurorehabilitation, on increasing the upper limb functions of patients with MS.

Methods: Thirty patients were enrolled in the study and randomly assigned to the experimental group and the control group. The training consisting of twelve sessions of upper limb training was compared with twelve sessions of upper limb sensory-motor training, without robotic support. Both rehabilitation programs were performed for 40 minutes three times a week, for 4 weeks, in addition to conventional therapy. All patients were evaluated at the baseline (T0) and after 4 weeks of training (T1).

Results: The within-subject analysis showed a statistically significant improvement in both groups, in the Modified Barthel Index and in the Rivermead Mobility Index scores and a significant improvement in Multiple Sclerosis Quality of Life-54 in the experimental. The analysis of effectiveness revealed that, compared with baseline (T0), the improvement percentage in all clinical scale scores was greater in the experimental group than the control group.

Conclusions: Proposed training provides an intensive and functional-oriented rehabilitation that objectively evaluates achieved progress through exercises. Therefore, it can represent a good complementary strategy for hand rehabilitation in MS patients.
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http://dx.doi.org/10.3233/RNN-201033DOI Listing
January 2020

The Italian version of the General Sleep Disturbance Scale (GSDS-IT): Psychometric properties in a sample with hip and knee replacement.

Cranio 2020 Sep 1:1-5. Epub 2020 Sep 1.

Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, "Sapienza" University of Rome , Rome, Italy.

Objective: To use the Italian version of the General Sleep Disturbance Scale (GSDS-IT) to assess the psychometric properties in a sample of orthopedic patients.

Methods: Participants were divided into sleepless and non-sleepless according to the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-V). Reliability was assessed with Cronbach's alpha. To evaluate responsiveness, the scale was administered a second time after the rehabilitation program.

Results: The scale was administered to the 158 patients recruited. The GSDS-IT had good internal consistency (Cronbach's α of 0.752) and good responsiveness (ICC of 0.78). The optimal cut-off point for the GSDS-IT was 48.5.

Conclusion: The GSDS-IT was demonstrated to be a valid and rapid tool to detect the presence of sleep disorders in a clinical setting in patients admitted to an intensive care unit and allowed the detection of the onset one week after admission and persisting until the time of discharge.
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http://dx.doi.org/10.1080/08869634.2020.1817649DOI Listing
September 2020

Development of the Pregnancy and Motherhood Evaluation Questionnaire (PMEQ) for evaluating and measuring the impact of physical disability on pregnancy and the management of motherhood: a pilot study.

Disabil Rehabil 2020 Aug 4:1-7. Epub 2020 Aug 4.

Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy.

Purpose: The aim of this study was to develop a questionnaire that allows researchers to investigate and measure the impact of physical disability on pregnancy and the management of motherhood. Such a questionnaire requires good internal consistency.

Methods: The tool was developed following a study conducted in 2013 in the United States consisting of a semi-structured interview with open-ended questions. A team of three experts drafted and refined the questions, generating 31 retrospective, self-rated, and predefined questions (answered using a 5-point Likert scale). A statistical analysis of the instrument was also included, to assess its reliability and internal consistency.

Results: The Pregnancy and Motherhood Evaluation Questionnaire (PMEQ) was prepared. It is a self-administered questionnaire consisting of an initial section and three subscales. In this phase of the study, 35 women with different pathologies leading to physical disability were recruited and completed the questionnaire. The PMEQ was found to have a good internal consistency. Cronbach's was 0.812 ( > 0.05).

Conclusion: The PMEQ has proven to be a valid, reliable, and rapid administrative tool useful for investigating and measuring the impact of physical disability on the management of pregnancy and motherhood. IMPLICATION FOR REHABILITATION This study provides researchers and clinicians a new tool for the evaluation of motherhood and pregnancy in women with physical disabilities. The PMEQ has proven to be a valid, reliable, and rapid administrative tool (10 min) useful for investigating and measuring the impact of physical disability on the management of pregnancy and motherhood. It is a new tool useful in both clinical and research practice to underline the importance of carrying out preventive and woman-centered assistance interventions. This tool is useful for promoting the autonomous management of pregnancy and motherhood in women with physical disabilities, and improving these women's quality of life and sense of satisfaction and competence in managing maternal tasks.
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http://dx.doi.org/10.1080/09638288.2020.1802520DOI Listing
August 2020

Athletes with disability' satisfaction with sport wheelchairs: an Italian cross sectional study.

Disabil Rehabil Assist Technol 2020 Jul 30:1-5. Epub 2020 Jul 30.

Neurorehabilitation Unit, Department of Neurosciences and Neurorehabilitation, Bambino Gesù Children's Hospital IRCCS, Vatican City, Italy.

Purpose: Physical activity is essential for health and well-being. People with physical disability often experience barriers in performing sports due to the lack of appropriate assistive technologies. The present research aimed to investigate athletes with disability satisfaction when using sports wheelchairs and to explore clinometric properties of the Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST).

Materials And Methods: One hundred and twenty-eight athletes were involved in the present study. Data on sport discipline and wheelchair provision were collected with qualitative approach. Internal consistency and reliability of QUEST were respectively analyzed with Cronbach's Alpha and Intraclass Correlation Coefficient. Validity was investigated with the correlation of the Wheelchair Use Confidence Scale for Manual users.

Results: Results revealed good internal consistency (.858) and moderate inter-rater reliability for service subscale (.664) and for the total score (.675), while for device subscale (.802) reliability was high. Validity revealed moderate correlation (.300) with a p < 0.05. Qualitative analysis highlighted economic barriers as primary social determinant who affect participation in sport activities.

Conclusions: The present study confirms preliminary evidence of the QUEST for athletes with disability. The research group also recommends an international effort to promote a comprehensive evaluation of sports wheelchair involving rehabilitation professionals, sport technicians and people with disability. Implications for rehabilitation Economic factors linked to the purchase of a wheelchair seem being the main barrier for practising sport The Quebec User Evaluation of Satisfaction with Assistive Technology is a useful tool to measure athletes' satisfaction using a wheelchair Rehabilitation professionals and sport technicians should collaborate together with people with disability in determining how choose appropriate sport wheelchairs.
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http://dx.doi.org/10.1080/17483107.2020.1800114DOI Listing
July 2020

[An evaluation of work-related musculoskeletal disorders in physiotherapists: a systematic review.]

G Ital Med Lav Ergon 2020 03;42(1):16-28

Istituto Superiore di Sanità, Roma.

Summary: Background. Musculoskeletal disorders (MSD) have been described as one of the major causes of physical pain and disability. Health professions, in general, are among those at higher risk of injury. Objective. The aim of the study was to carry out a systematic review of cross-sectional studies on physical-physiotherapeutic musculoskeletal disorders in physiotherapists. Materials and Methods. Bibliographic research was carried out through the PUBMED, PEDRO, and CINAHL databases. The selected articles had to comply with the following inclusion criteria: original peer review articles, English and Italian articles, cross-sectional studies with sample sizes of at least 25 physiotherapists, and no time limit. Results. In general, the results of studies on the WRMDs of physiotherapists have been comparable, with the exception of some differences between the various countries linked to both the level of development and the psychosocial and epidemiological status of the physiotherapy profession. Healthcare workers are among the professional categories most exposed to work-related musculoskeletal disorders because they are in direct contact with the patient, which often requires an important physical commitment to lifting and relocating patients for long-held incongruous postures, for repetitive movements, for joint effort, and for overload in manual techniques.
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March 2020

General Sleep Disturbance Scale (GSDS-IT) in people with spinal cord injury: a psychometric study.

Spinal Cord 2020 Nov 12;58(11):1183-1188. Epub 2020 Jun 12.

Sapienza University of Rome, Rome, Italy.

Study Design: Psychometric study.

Objective: This study sought to analyze the psychometric properties of the Italian version of the General Sleep Disturbance Scale (GSDS-IT) in a population of individuals with spinal cord injury (SCI).

Setting: Italy.

Methods: Its reliability was assessed using the Cronbach's alpha and intraclass correlation coefficient (ICC), while its concurrent validity was assessed using the Pearson's correlation coefficient in relation to the Pittsburgh Sleep Quality Index (PSQI). The obtained scores were compared with the cut-off score for the GSDS-IT among a healthy Italian population (38.5).

Results: The GSDS-IT was administered to 57 participants with SCI who were recruited from all over Italy. The GSDS-IT was found to have good internal consistency (Cronbach's α of 0.76) and good test-retest reliability (ICC of 0.7), and it showed positive and significant values for all the PSQI domains. Based on the cut-off score of 38.5, 56% of participants tested positive for sleep disturbances upon admission (t0), while among the randomized participants submitted for the test-retest after 24 h (t1), 75% tested positive for sleep disturbances.

Conclusion: The GSDS-IT is a valid, reliable, and time-efficient tool for measuring sleep disturbances over the past week in a population with SCI.
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http://dx.doi.org/10.1038/s41393-020-0500-0DOI Listing
November 2020

Validity and reliability of the 12-item Berg Balance Scale in an Italian population with Parkinson's disease: A cross sectional study.

Arq Neuropsiquiatr 2020 07 8;78(7):419-423. Epub 2020 Jun 8.

Ospedale Pediatrico Bambino Gesù, Dipartimento di Neuroscienze e Neuroriabilitazione, Unità di Neuroriabilitazione, Fiumicino, RM, Italy.

Background: The Berg Balance Scale is widely used to measure balance ability in clinical practice. Recently, the original version was redefined from 14 into 12 items. Its psychometric properties were investigated for different populations. However, for Parkinson disease the new version has not been validated yet.

Objective: The purpose of the present study was to evaluate psychometric properties of the 12-item Berg Balance Scale (BBS-12) in a population with Parkinson disease.

Methods: Internal consistency was evaluated with Cronbach's alpha coefficient, whereas reliability was assessed with the intraclass correlation coefficient. For validity analysis, the Pearson correlation coefficient of the BBS-12 was evaluated with the Tinetti Scale and the Physical Activity Scale for the Elderly.

Results: The BBS-12 was applied to 50 individuals with a mean age of 65.6 years (SD 11.8). The internal consistency showed a good value (Cronbach's alpha 0.886) and reproducibility reveled very high performances for both inter-rater and intra-rater reliabilities (ICC 0.987 and 0.986, respectively). The validity study demonstrated good linear correlation with the Tinetti Scale (p<0.01) and with the Sport and Home Subscales of the Physical Activity Scale for the Elderly (p<0.01).

Conclusions: The present findings revealed the BBS-12 as a reliable and valid assessment tool to measure balance ability in Parkinson disease. Italian health professionals can now use it with more confidence.
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http://dx.doi.org/10.1590/0004-282X20200030DOI Listing
July 2020

The effect of aquatic physical therapy in patients with stroke: A systematic review and meta-analysis.

Top Stroke Rehabil 2021 Jan 27;28(1):19-32. Epub 2020 Apr 27.

Department of Public Health and Infectious Disease, Sapienza University of Rome and UniCamillus University of Rome , Rome, Italy.

: The purpose of this study was to evaluate the literature reports of qualitative and quantitative results of physical therapy treatments in the alternative aquatic setting for individuals affected by strokes. : PRISMA guidelines were used to carry out the systematic review and meta-analysis. Three bibliographic databases were searched: MEDLINE, PEDro, and the Cochrane Library. Papers included in the study were required to: (a) have a randomized controlled trial (RCT) design of research; and (b) be published in English; (c) be published during the last 10 years (2008-2018). Only randomized controlled trials were employed in the study. The quality of the clinical trials to be included was evaluated according to the Jadad scale. The internal validity was assessed according to the PEDro scale. : Eleven RCTs were initially identified in the systematic review. Eight of these were involved in the meta-analysis comparing outcomes and follow-up. Eight studies received a Jadad score of three, indicating a high level of quality. The remaining three studies achieved a lower score which indicated lower qualitative level. Nearly all of the results of the quantitative analysis were statistically significant ( < 0,05) and most of them favored of the experimental group subject to aquatic treatment. : Aquatic physical therapy may be a valid means for the rehabilitation of people affected by stroke. The integration of this methodological approach with conventional physical therapy should be considered. However, more studies; a larger number of participants; and varying lengths of follow-up times are necessary.
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http://dx.doi.org/10.1080/10749357.2020.1755816DOI Listing
January 2021

The Multiple Sclerosis Intimacy and Sexuality Questionnaire (MSISQ-15): validation of the Italian version for individuals with spinal cord injury.

Spinal Cord 2020 Oct 24;58(10):1128-1133. Epub 2020 Apr 24.

Department of Public Health, Sapienza University of Rome, Roma, Italy.

Study Design: Psychometric study.

Objective: The aim of the study was to translate and culturally adapt the MSISQ-15 into Italian and to administer it to individuals with a spinal cord injury (SCI).

Setting: Rome's Wheelchair Rugby Team and three spinal units in Italy.

Methods: Translation and validation of the MSISQ-15 were performed based on international guidelines. The questionnaire, which was in a paper and online format, was administered with the Short Form-12 Health Survey (SF-12) and the Spinal Cord Independence Measure Self-Report.

Results: Sixty-five participants were recruited. Internal consistency coefficient of MSISQ-15 scale, assessed by Cronbach's alpha, was 0.75. Test-retest reliability interclass correlations was, for example, 0.86. The construct validity was calculated and showed statistically significant results in relation to the mental health status investigated with the SF-12.

Conclusions: The MSISQ-15 is a valid, reliable, and useful questionnaire for investigating how often the symptoms of an SCI interfere with a person's satisfaction or sexual activity.
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http://dx.doi.org/10.1038/s41393-020-0469-8DOI Listing
October 2020

The effect of aquatic physical therapy on patients with multiple sclerosis: A systematic review and meta-analysis.

Mult Scler Relat Disord 2020 Jun 22;41:102022. Epub 2020 Feb 22.

Department of Public Health and Infectious Diseases, Sapienza University of Rome, Piazzale Aldo Moro 5, Rome 00185, Italy. Electronic address:

Background: The aquatic environment has unique properties, such a buoyancy, turbulence, hydrostatic pressure, and resistance, which can be used to gain a range of exercise benefits. During the last decade, hydrotherapy has spread in a very heterogeneous rehabilitation field. However, the efficacy of this kind of rehabilitation is not clear in scientific literature. The purpose of this study is to conduct a systematic review with meta-analysis to evaluate the qualitative and quantitative results of physical therapy treatments in an aquatic setting for individuals with Multiple Sclerosis.

Method: PRISMA guidelines were used to carry out the systematic review and meta-analysis. Three bibliographic databases were searched: MEDLINE, PEDro, and the Cochrane Library. Papers included in the study have the following characteristics: (a) a randomized controlled trial design of research and (b) published in English. The quality of the clinical trials included were evaluated according to a Jadad score and through meta-analysis.

Results: After the elimination of duplicates, 116 records were screened. Among these, 11 Randomized Controlled Trials (RCTs) were included in the systematic review. Ten of these were involved in the meta-analysis. From the qualitative analysis, a larger number of studies were found with a high level of quality. Most of the results of the quantitative analysis were statistically significant (p< 0.05).

Conclusion: Aquatic physical therapy is a valid means of rehabilitation for people with Multiple Sclerosis. The integration of this methodological approach with conventional physical therapy is recommended. Nevertheless, more studies, a larger number of participants, and short-, medium-, and long-term follow-up are required to confirm current results.
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http://dx.doi.org/10.1016/j.msard.2020.102022DOI Listing
June 2020

Quality of life, concern of falling and satisfaction of the sit-ski aid in sit-skiers with spinal cord injury: observational study.

Spinal Cord Ser Cases 2020 02 7;6(1). Epub 2020 Feb 7.

Paraplegic Center of Ostia, Rome, Italy.

Study Design: Observational study.

Objective: To describe (1) user satisfaction, (2) the Quality of Life (QoL) and (3) fear of falling in individuals with tetraplegia or paraplegia who used a mono-ski for sit-skiing.

Setting: Spinal units and Sport associations.

Methods: An observational study of people with spinal cord injury (SCI) who used a sit-ski. Participants were recruited in various SCI rehabilitation centers and sport associations. Participants completed three assessment tools: the Quebec User Evaluation of Satisfaction with assistive Technology (QUEST 2.0); the World Health Organization Quality of Life (WHOQoL-BREF); the Spinal Cord Injury Fall Concern Scale (SCI-FCS). Results were evaluated with chi-squared test and Kolmogorov-Smirnov's test and the significance was set for p values < 0.05.

Results: Fifteen participants were included. Results showed positive and statistically significant values for all the items of the SCI-FCS related to fear of falling, and for most of the items of the WHOQoL-BREF related to QoL and the QUEST 2.0 related to satisfaction with the device.

Conclusions: This study highlights that sit skiing is correlated with high levels of satisfaction with the mono-ski, increases in QoL, and low levels of fear of falling. In adding these findings to the existent literature, it can be stated with more certainty that sit-skiing is a sport that can be recommended in rehabilitation and sports therapy programs.
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http://dx.doi.org/10.1038/s41394-020-0257-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7007432PMC
February 2020

Validation and Cross-Cultural Adaptation of the Volitional Questionnaire in an Italian Population with Psychiatric Disorders: A Cross-Sectional Study.

Occup Ther Health Care 2020 Jan 14;34(1):19-31. Epub 2019 Dec 14.

Dipartimento di Sanita Pubblica e Malattie Infettive, Universita degli Studi di Roma La Sapienza, Roma, Italy.

The aims of this study were to translate and culturally adapt the Volitional Questionnaire (VQ) into Italian and to evaluate its psychometric properties in an Italian population of patients with psychiatric disorders. The translation process from English into Italian was carried out in agreement with the authors of the original scale. The study was carried out in three psychiatric facilities, with 33 patients with psychiatric diagnoses, who were older than 18 years, and two raters (6 total) for each facility in Rome, Italy. The psychometric properties were assessed via its internal consistency, test-retest and inter-rater reliability and construct validity through comparisons with the Barthel Index, Short Form-12, Beck Depression Inventory-II and Camberwell Assessment of Need (CAN). Results showed internal consistency, using Cronbach's alpha, was significant at 0.92. In the test-retest reliability evaluation, the intraclass correlation coefficient was 0.97 and the interclass correlation coefficient was 0.99. The Spearman correlation showed significant results in the comparison with the CAN (r = -0.45, p < 0.05). These results suggest that the IT-VQ may be a valid, standardized and reliable evaluation tool that can be used to detect volitional performance improvements in a population of Italian psychiatric patients.
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http://dx.doi.org/10.1080/07380577.2019.1703237DOI Listing
January 2020

Internal consistency and validity of the Jebsen-Taylor hand function test in an Italian population with hemiparesis.

NeuroRehabilitation 2019 ;45(3):331-339

Department of Public Health, Sapienza University of Rome, Rome, Italy.

Purpose: The aim of this study was to evaluate the internal consistency and validity of the Italian version of the Jebsen- Taylor Hand Function Test (JTHFT-IT) in Italian post-stroke adults with chronic hemiplegia or hemiparesis.

Methods: The test's internal consistency and validity were assessed by following international guidelines. Its internal consistency was examined using Cronbach's alpha (α) coefficient. Pearson's correlation coefficient was calculated for concurrent validity in comparison with a dynamometer instrument, whereas for construct validity, it was calculated in comparison with the mean execution time of the Wolf Motor Function Test time subscale (WMFT-IT-TIME).

Results: The test was administrated to 48 people with chronic stroke. Cronbach's alpha reported a value of 0.96 for the dominant hand and 0.92 for the non-dominant hand. To define the validity of the scale, Pearson's correlation as measured using the WMFT-IT-TIME, and the dynamometer showed statistically significant results.

Conclusions: The present study supports the use of the JTHFT-IT as a measure of hand functionality in post-stroke adults with chronic hemiplegia or hemiparesis. It is an important tool for Italian professionals, and it can be useful both in clinical practice to evaluate improvement after rehabilitation treatments and for research in hand rehabilitation.
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http://dx.doi.org/10.3233/NRE-192867DOI Listing
March 2020

Construct validity, test-retest reliability, and the ability to detect change of the Canadian Occupational Performance Measure in a spinal cord injury population.

Spinal Cord Ser Cases 2019 29;5:52. Epub 2019 May 29.

7Neurorehabilitation Unit, Department of Neurosciences and Neurorehabilitation Bambino Gesù Children's Hospital, Rome, Italy.

Study Design: Cross-sectional study.

Objectives: To examine the construct validity and the ability to detect change, of the Italian version of the Canadian Occupational Performance Measure (COPM) in a spinal cord injury (SCI) population.

Settings: Rehabilitation service of the Paraplegic Center of Ostia, Italy.

Methods: Thirty-nine spinal cord injury participants were recruited. The clinimetric properties of the measure were assessed following international guidelines. Cronbach's alpha and the intraclass correlation coefficient were assessed for internal consistency and test-retest reliability, respectively. Construct validity was evaluated, by calculating correlation between COPM and the Spinal Cord Independence Measure (SCIM) through Pearson's correlation coefficient and Spearman's Rho. The ability to detect change was evaluated on the overall sample.

Results: The COPM was shown to be reliable in a spinal cord injury sample with positive and statistically significant results for Cronbach's alpha (0.89) and ICC (0.99 for the performance subtest and 0.98 for the satisfaction subtest). Correlation coefficients did not show a correlation between the COPM total score and the SCIM. The COPM scores improved significantly during in-patient rehabilitation, moreover the mean change between the start of treatment and the end of the therapy as evaluated with the Wilcoxon signed-rank test was -4.25 points for the performance score and -2.96 points for the satisfaction score.

Conclusions: This study showed that the COPM is a reliable tool for assessing SCI clients' perceived performance of daily activities and their satisfaction with their performance.
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http://dx.doi.org/10.1038/s41394-019-0196-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6786371PMC
July 2020

Reliability and validity of the Italian version of Quebec User Evaluation of Satisfaction with Assistive Technology 2.0 (QUEST-IT 2.0) with users of mobility assistive device.

Disabil Rehabil Assist Technol 2019 Sep 25:1-4. Epub 2019 Sep 25.

Department of Public Health and Infectious Disease, "Sapienza" University of Rome , Rome , Italy.

The aim of the study is the translation, culturally adaptation and validation of the Italian version of Quebec User Evaluation of Satisfaction with Assistive Technology 2.0 (QUEST-IT 2.0) in an Italian population with users of mobility assistive device, through a cross sectional study. To evaluate internal consistency and test-retest reliability, Cronbach's? and Intraclass Correlation Coefficient (ICC) were respectively calculated. The WheelCon-M is administered together, and Pearson's correlation coefficient was calculated for validity. The scale was submitted to 130. The mean QUEST-IT 2.0 score in this study was 37.39 ± 9.35. Cronbach's? was 0.740 ( < 0.01) and ICC was 0.853 and >0.994 in each domain. The correlation with WheelCon-M short form a was 0.30 ( < 0.05). the QUEST-IT 2.0 showed out good consistent results for reliability and validity. This scale will be very useful for doctors, researchers and occupational therapist in the valuation and management of mobility assistive device. IMPLICATIONS FOR REHABILITATION The Italian version of the QUEST 2.0 (QUEST-IT 2.0) in now available and health professionals can use it with more confidence. The QUEST-IT 2.0 is a valid and reliable assessment tool when used with a sample of assistive mobility device users.
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http://dx.doi.org/10.1080/17483107.2019.1668975DOI Listing
September 2019

Haptic perception of verticality correlates with postural and balance deficits in patients with Parkinson's disease.

Parkinsonism Relat Disord 2019 09 2;66:45-50. Epub 2019 Jul 2.

Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics and Maternal Child Health, University of Genoa, Italy; Ospedale Policlinico San Martino, IRCSS, Genova, Italy.

Introduction: Perception of verticality is fundamental for postural stability that is often impaired in patients with Parkinson's disease (PD). Haptic perception of verticality has not been fully investigated in PD. The aim of the study was to assess subjective haptic vertical (SHV) in PD patients in relation to postural and balance impairments.

Methods: 39 PD patients (mean age 72.87 ± 5.78) and 28 gender and age-matched healthy elderly (ELD, mean age 69.16 ± 13.89) were enrolled. The Pull test and the Activities-specific Balance Confidence (ABC) were used for evaluating balance performance, whereas measurement of posture was performed using the Physical Analyzer System. For evaluating SHV, participants were instructed to provide their subjective vertical by manipulating with two hands a road while standing with their eyes closed.

Results: SHV data showed that PD subjects had a greater deviation from the objective vertical than controls (p < 0.001). Significant differences in balance performance (ABC and Pull test) and postural alignment were found between PD and ELD. Only in PD participants, SHV deviations significantly correlated with the lateral inclination of the trunk (r = 0.618, p < 0.001), pull test (r = 0.519; p = 0.001) and ABC (r = 0.471, p = 0.002) scores.

Conclusions: The perception of verticality, driven by multimodal sensory integration, is defective in PD subjects. Deficits in SHV correlated with postural alignment and balance performances, independently from age, disease severity or cognitive decline. Our findings support that PD pathology is associated with a decline in haptic perception suggesting that perception per se might have a causal role in postural and balance deficits.
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http://dx.doi.org/10.1016/j.parkreldis.2019.06.026DOI Listing
September 2019

A study validating the Italian version of the Level of Sitting Scale in children with cerebral palsy.

Clin Rehabil 2019 Nov 24;33(11):1810-1818. Epub 2019 Jun 24.

Neurorehabilitation Unit, Department of Neurosciences and Neurorehabilitation, Bambino Gesù Children's Hospital, Rome, Italy.

Objectives: To assess measurement properties of the Italian version of the Level of Sitting Scale when classifying sitting ability of children with cerebral palsy.

Design: Methodological study.

Setting: Children's hospital (inpatients and outpatients).

Subjects: Children 18 years of age or younger with cerebral palsy.

Methods: The original English version of the Level of Sitting Scale was translated and culturally adapted for the Italian culture following international guidelines. Examination of reliability and validity of the Italian Level of Sitting Scale was then undertaken. Inter-rater and one-week test-retest reliability were estimated using both intraclass correlation coefficients (ICCs) with 95% confidence intervals and Bland-Altman plots. Construct validity of the Italian Level of Sitting was evaluated using three approaches examining Pearson's correlation coefficient () and Mann-Whitney test (-value < 0.05).

Main Measures: Italian Level of Sitting Scale and Gross Motor Function Classification System.

Results: The Italian Level of Sitting Scale was administered to 109 subjects. Inter-rater reliability and one-week test-retest showed excellent value with ICCs of 0.99 for both. (1) The Pearson correlation coefficient comparing Italian Level of Sitting Scale with Gross Motor Function Classification System was -0.91 and (2) correlation with total amount of adaptive seating components was -0.90. Differences in sitting abilities and use/non-use of wheelchair were found. All reported a statistical significance of  < 0.01.

Conclusion: Our findings provide evidence of reliability and validity when using the Italian Level of Sitting Scale to classify seated postural abilities in a sample of Italian children with cerebral palsy.
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http://dx.doi.org/10.1177/0269215519858387DOI Listing
November 2019

General Sleep Disturbance Scale: Translation, cultural adaptation, and psychometric properties of the Italian version.

Cranio 2019 Jun 11:1-9. Epub 2019 Jun 11.

b Department of Anatomical, Histological, Forensic and Orthopaedic Sciences , "Sapienza" University of Rome , Rome , Italy.

: The aim of this study was to translate, culturally adapt, and test the psychometric characteristics of the General Sleep Disturbance Scale (GSDS) and to detect and explore the presence of sleep disorders in the healthy Italian population. : Reliability was assessed through Cronbach's alpha and intraclass correlation coefficient; concurrent validity was assessed with the Pittsburgh Sleep Quality Index (PSQI). : The scale was administered to 426 subjects recruited all over Italy. The Italian GSDS was found to have good internal consistency (Cronbach's α was 0.77) and a good test-retest reliability (ICC of 0.78). The optimal cut-off point for the GSDS-IT was 38.5. : The GSDS-IT is a valid and reliable tool, which can be completed in less than five minutes and is a noninvasive method for measuring sleep disturbances consistent with the DSM-V insomnia criteria, during a past week.
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http://dx.doi.org/10.1080/08869634.2019.1627067DOI Listing
June 2019

Italian Version of the Jebsen-Taylor Hand Function Test for the Assessment of Hand Disorders: A Cross-Sectional Study.

Am J Occup Ther 2019 May/Jun;73(3):7303205080p1-7303205080p6

Giovanni Galeoto, MSc, PT, is Research Fellow, Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy;

Importance: Having a test to evaluate hand function is fundamental to occupational therapy practice.

Objective: To assess the psychometric properties of the Italian version of the Jebsen-Taylor Hand Function Test (JTHFT).

Design: Cross-sectional study.

Setting: Three health care institutions in Rome, Italy.

Participants: 136 people with injuries, burns, or neurological diseases of the hand.

Intervention: No intervention was provided.

Outcomes And Measures: We administered the JTHFT, an assessment of fine motor skills during performance of activities of daily living, and compared results with dynamometer readings.

Results: The mean ± standard deviation total time required to perform all subtests was 89.47 ± 67.98 s for the dominant hand (DH) and 167.11 ± 257.58 s for the nondominant hand (NDH). Reliability procedures were applied to data from 51 participants; mean intrarater intraclass correlation coefficient (ICC) was .814 for the DH and .981 for the NDH, and mean interrater ICC was .818 for the DH and .821 for the NDH. Pearson's correlation coefficients were significant.

Conclusion And Relevance: Results support the use of the Italian version of the JTHFT as a measure of functional dexterity in people with upper limb disorders.

What This Article Adds: The JTHFT is a valid and reliable assessment tool for nonspecific hand diseases. Italian health professionals can now use the JTHFT with more confidence.
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http://dx.doi.org/10.5014/ajot.2019.030080DOI Listing
June 2019

The outcome measures for loss of functionality in the activities of daily living of adults after stroke: a systematic review.

Top Stroke Rehabil 2019 04 18;26(3):236-245. Epub 2019 Feb 18.

b Sapienza, University of Rome , Rome , Italy.

Objective: To provide clinicians and researchers information regarding (1) the existing outcome measures to assess the loss of functionality in the activities of daily living (ADLs) of patients with stroke and (2) the presence of these assessment tools in the Italian context.

Study Design And Setting: For this Systematic Review Medline, CINAHL, and PsycINFO were searched for articles published up to 4 July 2017. Two authors independently identified eligible studies on the basis of predefined inclusion criteria and extracted data. Study quality and risk of bias were assessed using the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies.

Results: Of 370 publications identified and screened, 46 studies fell within the inclusion criteria and were critically reviewed. The most commonly used tools were: the Frenchay Activities Index and the Functional Independence Measure.

Conclusion: This review has emphasized the need for agreement among researchers as to which tool must be studied in depth or adapted to other national contexts in order to develop universal norms and standards.
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http://dx.doi.org/10.1080/10749357.2019.1574060DOI Listing
April 2019