title: Outcome Measures for Persons With Moderate to Severe Traumatic Brain Injury: Recommendations From the American Physical Therapy Association Academy of Neurologic Physical Therapy TBI EDGE Task Force.
abstract: OBJECTIVE
  The use of standardized outcome measures (OMs) is essential in assessing the effectiveness of physical therapy (PT) interventions. The purposes of this article are (1) to describe the process used by the TBI EDGE task force to assess the psychometrics and clinical utility of OMs used with individuals with moderate to severe traumatic brain injury (TBI); (2) to describe the consensus recommendations for OM use in clinical practice, research, and professional (entry-level) PT education; and (3) to make recommendations for future work.
  
  
  METHODS
  An 8-member task force used a modified Delphi process to develop recommendations on the selection of OMs for individuals with TBI. A 4-point rating scale was used to make recommendations based on practice setting and level of ambulation. Recommendations for appropriateness for research use and inclusion in entry-level education were also provided.
  
  
  RESULTS
  The TBI EDGE task force reviewed 88 OMs across the International Classification of Functioning, Disability, and Health (ICF) domains: 15 measured body functions/structure only, 21 measured activity only, 23 measured participation only, and 29 OMs covered more than 1 ICF domain.
  
  
  CONCLUSIONS
  Recommendations made by the TBI EDGE task force provide clinicians, researchers, and educators with guidance for the selection of OMs. The use of these recommendations may facilitate identification of appropriate OMs in the population with moderate to severe TBI. TBI EDGE task force recommendations can be used by clinicians, researchers, and educators when selecting OMs for their respective needs. Future efforts to update the recommendations are warranted in order to ensure that recommendations remain current and applicable.Video Abstract available for more insights from the authors (see Supplemental Digital Content 1, http://links.lww.com/JNPT/A140).
authors: Division of Physical Therapy, Department of Allied Health Sciences, School of Medicine (K.L.M.) and Division of Physical Therapy (K.L.M.), The University of North Carolina at Chapel Hill; TIRR Memorial Hermann, Houston, Texas (A.L.J.); Craig Hospital, Denver, Colorado (K.H.); Kessler Institute for Rehabilitation, Saddle Brook, New Jersey (E.D.); Casa Colina Centers for Rehabilitation, Pomona, California (T.K.J.); Touchstone Neurorecovery Center, Conroe, Texas (C.D.N.); Rehabilitation Institute of Chicago, Chicago, Illinois (H.R.); Oakland University, Rochester, Michigan (S.S.); and Kessler Institute for Rehabilitation, West Orange, New Jersey (I.W.).
authors: Karen L
authors: KL
authors: McCulloch
authors: Anna Lisa
authors: AL
authors: de Joya
authors: Kaitlin
authors: K
authors: Hays
authors: Erin
authors: E
authors: Donnelly
authors: Tammie Keller
authors: TK
authors: Johnson
authors: Coby D
authors: CD
authors: Nirider
authors: Heidi
authors: H
authors: Roth
authors: Sue
authors: S
authors: Saliga
authors: Irene
authors: I
authors: Ward
mesh_terms: D026683:Advisory Committees; D000070642:Brain Injuries, Traumatic / Q000534:rehabilitation*; D003697:Delphi Technique; D006233:Persons with Disabilities / Q000534:rehabilitation*; D006801:Humans; D017063:Outcome Assessment, Health Care; D026741:Physical Therapy Modalities