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Assessment instruments used in acute stroke considering the International Classification of Functioning, Disability, and Health (ICF) as reference: a scoping review

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The instruments that assess individuals with acute stroke are restricted to body function/structure and activity domains. Thus, understanding the measures used will enhance a rigorous assessment, monitoring neurological deficits. Analyzing the instruments used in the evaluation of acute stroke disability, considering the ICF as a reference. Review of the psychometric properties of the most used instruments. The methodology was carried out according to the recommendations of Joana Briggs Institute. We used the PubMed, Pedro and Web of Science databases in March 2022 and randomized controlled trials, non-randomized controlled trials, cohort study, case-control study, and cross-sectional analytic study. It was focused on the concept of assessment tools in an adult population with acute stroke. 94 of the 223 studies met the inclusion criteria. From these, 125 assessment measures were extracted, the most used measures were National Institute Health Stroke Scale, Barthel Index, Functional Independence Measure, Modified Rankin Scale, Mini-Mental State Examination and Fugl-Meyer Assessment. These tools were performance-based measures and were found to be valid and reliable. It was clarified that the assessment in acute stroke becomes pertinent, however most of the tools did not clarify the assessor. The most used measures were valid and reliable.

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Acute stroke Assessment measures International classification of functioning Scoping review.

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