Evidence-based rating of upper-extremity motor function tests used for people following a stroke
Evidence-based rating of upper-extremity motor function tests used for people following a stroke
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DOI：
10.1093/ptj/84.1.62
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发表时间：
2004-01-01
期刊：
影响因子：
3.2
通讯作者：
Barnes, C
中科院分区：
文献类型：
--
作者：
Croarkin, E;Danoff, J;Barnes, C
介绍。已经描述了用于中风后患者的上肢运动功能的测试，但通过这些测试获得的测量的可靠性和有效性（心理测量特性）尚未一致确定。这项调查的目的是：（1）回顾与中风后康复期间上肢运动功能测试相关的文献，（2）制定用于识别文献中这些测试的选择标准，以及（3）根据其心理测量特性对测试进行评级。方法。使用两个数据库进行文献检索。寻求 4 个心理测量属性的报告：参与者间可靠性、重测可靠性、收敛效度或并发效度以及预测效度。结果。九项测试符合文献中报道的具有心理测量特性的纳入标准。没有测试提供所有 4 项心理测量特性的证据。 4 个属性中只有 3 个支持九孔钉测试。大多数测试有 2 个受支持的属性。最常描述的是同时效度或收敛效度；重测可靠性的描述最少。结论。中风后进行的上肢运动功能测试需要更完整的心理测量支持。然而，缺乏心理测量支持并不意味着测试没有价值。临床医生应注意不要概括心理测量证据。 [Croarkin E、Danoff J、Barnes C. 用于中风患者的上肢运动功能测试的循证评级]。
Introduction. Tests of upper-extremity motor function used for people following a stroke have been described, but reliability and validity (psychometric properties) of measurements obtained with these tests have not been consistently established. This investigation was performed: (1) to review literature relative to upper-extremity motor function testing during rehabilitation following a stroke, (2) to develop selection criteria for identifying these tests in the literature, and (3) to rate the tests relative to their psychometric properties. Method. Literature searches were done using 2 databases. Reports of 4 psychometric properties were sought: interrater reliability, test-retest reliability, convergent validity or concurrent validity, and predictive validity. Results. Nine tests met the inclusion criteria of having psychometric properties reported in the literature. No test had evidence for all 4 psychometric properties. Only the Nine-Hole Peg Test was supported by 3 out of 4 properties. Most tests had 2 properties Supported. Concurrent validity or convergent validity was most frequently described; test-retest reliability was least frequently described. Conclusions. More complete psychometric support is needed for upper-extremity motor function tests applied following a stroke. The absence of psychometric support, however, does not mean that a test has no value. Clinicians are cautioned not to generalize psychometric evidence. [Croarkin E, Danoff J, Barnes C. Evidence-based rating of upper-extremity motor function tests used for people following a stroke].