2. Evidentiary table upper extremity motor function – First Author Year Design (total no. of subjects) Outcome Measures Grading Conclusion Curt58 1996 Retrosp. Cohort (69) SEP Low Assessment of SEP can predict the outcome of hand function. Neurography can be of prognostic value in cervical SCI to predict Curt59 1996 Retrosp. Cohort (41) MCAP/NCV Low the outcome of hand function. The KBS is useful for assessing daily activities in cervical SCI subjects, but its clinical application is limited due to problems with Dahlgren60 2007 Retrosp. Cohort (55) KBS Low the weight scheme. The 6MAT as a tool for the assessment of cardiovascular fitness Hol61 2007 Cohort (30) 6MAT Moderate shows acceptable values for reliability and validity. It further needs to be tested for responsiveness. AWAnT is a reliable tool to assess upper extremity muscular Jacobs62 2003 Prosp. Cohort (43) AWaNT Moderate power in subjects with complete paraplegia. Quantitative hand strength measurement with a dynamometer Jacquemin18 2004 Cohort (55) Myometer/MMT Moderate and MMT may allow for earlier diagnosis of secondary neurologic complications and for monitoring neurologic recovery. The CUE shows good values for homogeneity, reliability and Marino15 1998 Retrosp. Cohort (154) AMS/CUE/FIM Low validity. It further needs to be tested for sensitivity. CUE was superior to UEMS in predicting motor FIM scores. Most common hand function are advised against due to limitations in their use with tetraplegics. To build evidence for interventions, one or a battery of the following tests should be Mulcahey14 2007 Review Several Very low applied: CUE, MCS, SHFT or THAQ. The GRT is recommended for scientific use. The VLT-SV is a reliable and valid test to assess hand/arm Post63 2006 Prosp. Cohort (67) GRT/VLT-SV Moderate function in tetraplegics. SCIM III scores correlated well with UEMS and MMT. Especially Rudhe16 2009 Case Series (29) AMS/MMT/SCIM Very low its self-care category reflects upper extremity performance in tetraplegics. Schwartz20 1992 Prosp. Cohort (122) Myometer/MMT Moderate Myometry seems to be more specific than MMT.
2. Evidentiary table – upper extremity motor function First Author Year Design (total no. of subjects) Outcome Measures Grading Conclusion Curt58 1996 Retrosp. Cohort (69) SEP Low Assessment of SEP can predict the outcome of hand function. Curt59 1996 Retrosp. Cohort (41) MCAP/NCV Low Neurography can be of prognostic value in cervical SCI to predict the outcome of hand function. Dahlgren60 2007 Retrosp. Cohort (55) KBS Low The KBS is useful for assessing daily activities in cervical SCI subjects, but its clinical application is limited due to problems with the weight scheme. Hol61 2007 Cohort (30) 6MAT Moderate The 6MAT as a tool for the assessment of cardiovascular fitness shows acceptable values for reliability and validity. It further needs to be tested for responsiveness. Jacobs62 2003 Prosp. Cohort (43) AWaNT Moderate AWAnT is a reliable tool to assess upper extremity muscular power in subjects with complete paraplegia. Jacquemin18 2004 Cohort (55) Myometer/MMT Moderate Quantitative hand strength measurement with a dynamometer and MMT may allow for earlier diagnosis of secondary neurologic complications and for monitoring neurologic recovery. Marino15 1998 Retrosp. Cohort (154) AMS/CUE/FIM Low The CUE shows good values for homogeneity, reliability and validity. It further needs to be tested for sensitivity. CUE was superior to UEMS in predicting motor FIM scores. Mulcahey14 2007 Review Several Very low Most common hand function are advised against due to limitations in their use with tetraplegics. To build evidence for interventions, one or a battery of the following tests should be applied: CUE, MCS, SHFT or THAQ. The GRT is recommended for scientific use. Post63 2006 Prosp. Cohort (67) GRT/VLT-SV Moderate The VLT-SV is a reliable and valid test to assess hand/arm function in tetraplegics. Rudhe16 2009 Case Series (29) AMS/MMT/SCIM Very low SCIM III scores correlated well with UEMS and MMT. Especially its self-care category reflects upper extremity performance in tetraplegics. Schwartz20 1992 Prosp. Cohort (122) Myometer/MMT Moderate Myometry seems to be more specific than MMT.