學院

醫學院

系所

職能治療學系

題名

Validity, responsiveness, and clinically important difference of the ABILHAND questionnaire in patients with stroke

作者

Wang, T-N.†, Lin, K-C.†, Wu, C-Y.*, Chung, C-Y., Pei, Y-C., & Teng, Y-K.

期刊名稱

Archives of Physical Medicine and Rehabilitation (SCI 期刊)

發表日期

2011

著作性質

原著

語文

英文

關鍵字

Clinimetrics; upper extremity; stroke; rehabilitation

摘要

Objective: This study investigated the criterion-related validity, responsiveness, and clinically important differences of the ABILHAND questionnaire in patients with stroke. Design: Validation and clinimetric study. Setting: Three medical centers. Participants: Patients with stroke (n = 51). Interventions: A total of 51 patients with stroke received 1 of 3 upper extremity rehabilitation programs for 4 weeks. Main Outcome Measures: The ABILHAND and the criterion measures, including the Stroke Impact Scale (SIS), Functional Independence Measure (FIM), Nottingham Extended Activities of Daily Living (NEADL), and accelerometers were administered at pretreatment and posttreatment. The score of the ABILHAND, given in logits, was based on the conversion of the ordinal score into a linear measure of ability. Results: Correlation coefficients (Pearson r) were moderate to large between the ABILHAND and SIS physical domains (.54-.66), fair to moderate between the ABILHAND and FIM-motor and NEADL (.28- .48), and moderate between the ABILHAND and accelerometer data (.45-.54). The responsiveness of the ABILHAND was large (SRM = 1.27). The minimal clinically important difference range for the ABILHAND was .26 to .35, and 51.0% of the patients showed a positive change that exceeded the lower bound of a clinically important difference after intervention. Conclusions: The results support that the ABILHAND is an appropriate outcome measure for assessing upper extremity performance in daily activities in patients with stroke and is sensitive to detect change after rehabilitative interventions. The change score of a stroke patient on the ABILHAND should reach .26 to .35 logits points to be regarded as a clinically important change.