Test-retest reliability, validity, and sensitivity of the Chedoke Arm and Hand Activity Inventory: A new measure of upper-limb function for survivors of stroke
Test-retest reliability, validity, and sensitivity of the Chedoke Arm and Hand Activity Inventory: A new measure of upper-limb function for survivors of stroke
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DOI：
10.1016/j.apmr.2005.03.017
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发表时间：
2005-08-01
影响因子：
4.3
通讯作者：
Streiner, DL
中科院分区：
文献类型：
--
作者：
Barreca, SR;Stratford, PW;Streiner, DL
Barreca SR，Stratford PW，Lambert CL，Masters LM，Streiner DL。Chedoke手臂和手活动量表的重测信度、效度和灵敏度：卒中幸存者上肢功能的一种新测量方法目的：评估Chedoke-McMaster中风评估量表（CMSA）和行动研究手臂测试（ARAT）的重测信度和效度，并检验Chedoke-McMaster中风评估量表（CMSA）和行动研究手臂测试（ARAT）对上肢功能变化的敏感性。设计：结构验证过程。住院/门诊康复设施。参与者：39名中风幸存者的分层样本：24名早期（平均年龄，71.4岁;平均卒中后天数，27.3天）和15例慢性（平均年龄64.0岁，平均卒中后天数101.7天）。干预：常规治疗。主要结果测量：组内相关系数（ICC）、受试者工作特征（ROC）、测量标准误和相关系数。ICC为0.98（95%置信区间[CI]，0.96 - 0.99），建立了较高的评价者间可靠性。最小可检测变化评分为6.3 CAHAI分。CAHAI与ARAT和CMSA评分之间的相关性高于CMSA肩痛评分（单侧，P=.001）。ROC曲线下面积分别为：CAHAI，.95（95%CI，0.87-1.00），CMSA，.76（95%CI，.61-.92），ARAT，.88（95%CI，0.76-1.00）。CAHAI比ARAT对临床重要变化更敏感。(c)2005年由美国康复医学大会和美国物理医学和康复学会。
Barreca SR, Stratford PW, Lambert CL, Masters LM, Streiner DL. Test-retest reliability, validity, and sensitivity of the Chedoke Arm and Hand Activity Inventory: a new measure of upper-limb function for survivors of stroke. Arch Phys Med Rehabil 2005;86:1616-22.Objectives: To estimate the test-retest reliability and validity of the Chedoke Arm and Hand Activity Inventory (CAHAI) and to test whether the CAHAI was more sensitive to change in upper-limb function than the Impairment Inventory of the Chedoke-McMaster Stroke Assessment (CMSA) and the Action Research Arm Test (ARAT).Design: Construct validation process.Setting: Inpatient/outpatient rehabilitation facilities.Participants: Stratified sample of 39 survivors of stroke: 24 early (mean age, 71.4y; mean days poststroke, 27.3) and 15 chronic (mean age, 64.0y; mean days poststroke, 101.7).Intervention: Regular therapy.Main Outcome Measures: Intraclass correlation coefficients (ICCs), receiver operating characteristic (ROC), standard error of measurement, and correlation coefficients.Results: High interrater reliability was established with an ICC of .98 (95% confidence interval [CI],.96-.99). The minimal detectable change score was 6.3 CAHAI points. Higher correlations were obtained between the CAHAI and the ARAT and CMSA scores compared with the CMSA shoulder pain scores (1-sided, P=.001). Areas under the ROC curves were as follows: CAHAI,.95 (95% Cl, 0.87-1.00); CMSA,.76 (95% Cl,.61-.92); and ARAT,.88 (95% Cl, 0.76-1.00).Conclusions: High interrater reliability and convergent and discriminant cross-sectional validity were established for the CAHAI. The CAHAI is more sensitive to clinically important change than the ARAT. (c) 2005 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation.