學院

醫學院

系所

職能治療學系

題名

Responsiveness and validity of three dexterous function measures in stroke rehabilitation

作者

Lin, K-C., Chuang L-L., Wu, C-Y., Hsieh, W-Y. & Chang, W-Y.

期刊名稱

Journal of Rehabilitation Research & Development(SCI期刊)

發表日期

2010

著作性質

原著

語文

英文

關鍵字

Cerebrovascular accident, Rehabilitation, Outcome, Dexterity, Clinimetrics, Bootstrapping.

摘要

Abstract－This study compared the responsiveness and validity of the Box and Block Test (BBT), the Nine-Hole Peg Test (NHPT), and the Action Research Arm Test (ARAT). Fifty-nine patients with stroke were randomized into 1 of 3 rehabilitation treatments for 3 weeks. Six outcome measures (BBT, NHPT, ARAT, Fugl-Meyer Assessment [FMA], Motor Activity Log [MAL], and Stroke Impact Scale [SIS] hand function domain) were administered pretreatment and posttreatment. The standardized response mean (SRM) was used to examine responsiveness, and the Spearman correlation coefficient (ρ) examined concurrent validity. The BBT, NHPT, and ARAT were moderately responsive to change and not significantly different (SRM, 0.64 to 0.79). The correlations within the BBT, NHPT, and ARAT were moderate to good at pretreatment (Spearman ρ = –0.55 to –0.80) and posttreatment (Spearman ρ = –0.57 to –0.71). The BBT and ARAT showed fair to moderate correlations with the FMA, MAL, and SIS hand domain at pretreatment and posttreatment (ρ = 0.31 to 0.59), whereas the NHPT demonstrated low to fair correlations with the FMA and MAL (ρ = –0.16 to –0.33) and moderate correlations with the SIS hand domain (ρ = –0.58 to –0.66). Our results indicate that the BBT, NHPT, and ARAT are suitable to detect changes over time. While simultaneously considering the responsiveness and validity attributes, the BBT and ARAT can be considered more appropriate for evaluating dexterous function than the NHPT. Further studies with larger samples are needed to validate these findings.