Psychometric Comparisons of 4 Measures for Assessing Upper-Extremity Function in People With Stroke

被引：201

作者：

Lin, Jau-Hong ^{[2
,3
]}

Hsu, Miao-Ju ^{[2
,3
]}

Sheu, Ching-Fan ^{[4
]}

Wu, Tzung-Shian ^{[5
]}

Lin, Ruey-Tay ^{[6
]}

Chen, Chia-Hsin ^{[7
]}

Hsieh, Ching-Lin ^{[1
,8
]}

机构：

[1] Natl Taiwan Univ, Coll Med, Sch Occupat Therapy, Taipei 100, Taiwan

[2] Kaohsiung Med Univ, Coll Hlth Sci, Dept Phys Therapy, Kaohsiung, Taiwan

[3] Kaohsiung Med Univ Hosp, Dept Rehabil, Kaohsiung, Taiwan

[4] Natl Cheng Kung Univ, Inst Educ, Tainan 70101, Taiwan

[5] Kaohsiung Med Univ, Coll Med, Dept & Grad Inst Neurol, Kaohsiung, Taiwan

[6] Kaohsiung Med Univ Hosp, Dept Neurol, Kaohsiung, Taiwan

[7] Kaohsiung Med Univ Hosp, Dept Phys Med & Rehabil, Kaohsiung, Taiwan

[8] Natl Taiwan Univ Hosp, Dept Phys Med & Rehabil, Taipei, Taiwan

来源：

PHYSICAL THERAPY | 2009年 / 89卷 / 08期

关键词：

RESEARCH ARM TEST; FUGL-MEYER ASSESSMENT; MOTOR-FUNCTION-TEST; HAND ACTIVITY INVENTORY; UPPER-LIMB FUNCTION; REHABILITATION ASSESSMENT; INTERRATER RELIABILITY; MOVEMENT STREAM; ASSESSMENT SCALE; CHEDOKE ARM;

D O I：

10.2522/ptj.20080285

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Background. Functional limitation of the upper extremities is common in patients with stroke. An upper-extremity measure with sound psychometric properties is indispensable for clinical and research use. Objective. The purpose of this stud), was to compare the psychometric properties of 4 clinical measures for assessing upper-extremity motor function in people with stroke: the upper-extremity subscale of the Fugl-Meyer Motor Test (UE-FM), the upper-extremity subscale of the Stroke Rehabilitation Assessment of Movement, the Action Research Arm Test (ARAT), and the Wolf Motor Function Test. Design. This was a prospective, longitudinal study. Methods. Fifty-three people with stroke were evaluated with the 4 measures at 4 time points (14, 30, 90, and 180 days after stroke). Thirty-five participants completed all of the assessments. The ceiling and floor effects, validity (concurrent validity and predictive validity), and responsiveness of each measure were examined. Interrater reliability and test-retest reliability also were examined. Results. All measures, except for the UE-FM, had significant floor effects or ceiling effects at one or more time points. The Spearman rho correlation coefficient for each pair of the 4 measures was >=.81, indicating high concurrent validity. The predictive validity of the 4 measures was satisfactory (Spearman rho, >=.51). The responsiveness of the 4 measures at 14 to 180 days after stroke was moderate (.52 <= effect size <=.79). The 4 measures had good interrater reliability (intraclass correlation coefficient [ICC], >=.92) and test-retest reliability (ICC, >=.97). Only the minimal detectable changes of the UE-FM (8% of the highest possible score) and the ARAT (6%) were satisfactory. Limitations. The sample size was too small to conduct data analysis according to type or severity of stroke. In addition, the timed component of the Wolf Motor Function Test was not used in this study. Conclusions. All 4 measures showed sufficient validity, responsiveness, and reliability in participants with stroke. The UE-FM for assessing impairment and the ARAT for assessing disability had satisfactory minimal detectable changes, supporting their utility in clinical settings.

引用

页码：840 / 850

页数：11

共 52 条

[1] The Stroke Rehabilitation Assessment of Movement (STREAM):: A comparison with other measures used to evaluate effects of stroke and rehabilitation [J].