Responsiveness and validity of three dexterous function measures in stroke rehabilitation
Responsiveness and validity of three dexterous function measures in stroke rehabilitation
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DOI：
10.1682/jrrd.2009.09.0155
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发表时间：
2010-01-01
影响因子：
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通讯作者：
Chang, Wan-ying
中科院分区：
文献类型：
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作者：
Lin, Keh-Chung;Chuang, Li-ling;Chang, Wan-ying
在本研究中，我们比较了盒子和区块测验(BBT)、九孔钉测验(NERT)和行动研究手臂测验(ARAT)的反应性和效度。我们将59名中风患者随机分为三种康复治疗之一，为期3周。我们在治疗前和治疗后进行了6项结果测量(BBT、NHPT、AR.AT、Fugl-Meyer评估[FMA]、运动活动日志[MAL]和卒中影响量表[SIS手功能领域])。我们使用标准化反应平均数(SRM)来检验反应性，使用Spearman等级相关系数(Rho)来检验同时效度。BBT、NHPT和ARAT对变化的反应中等，没有显著差异(SRM=0.64-0.79)。BBT、NHPT和ARAT在治疗前(Rho=-0.55~-0.80)和治疗后(Rho=-0.57~-0.71)呈中等至良好的相关性。治疗前后BBT、ARAT与FMA、MAL、SIS手功能区呈中度相关(Rho=0.31~0.59)，NHPT与FMA、MAL呈低至中等相关(Rho=-0.16~-0.33)，与SIS手功能区呈中度相关(Rho=-0.58~-0.66)。我们的结果表明，BBT、NHPT和AR.AT适合于检测随时间的变化。在同时考虑反应性和有效性的同时，BBT和ARAT可以被认为比NHPT更适合于灵巧功能的评估。需要用更大的样本进行进一步的研究来验证这些发现。
In this study, we compared the responsiveness and validity of the Box and Block Test (BBT), the Nine-Hole Peg Test (NEWT), and the Action Research Arm Test (ARAT). We randomized 59 patients with stroke into one of three rehabilitation treatments for 3 weeks. We administered six outcome measures (BBT, NHPT, AR.AT, Fugl-Meyer Assessment [FMA], Motor Activity Log [MAL], and Stroke Impact Scale [SIS] hand function domain) pretreatment and posttreatment. We used the standardized response mean (SRM) to examine responsiveness and the Spearman rank correlation coefficient (rho) to examine concurrent validity. The BBT, NHPT, and ARAT were moderately responsive to change and not significantly different (SRM = 0.64-0.79). The correlations within the BBT, NHPT, and ARAT were moderate to good at pretreatment (rho = -0.55 to -0.80) and posttreatment (rho = -0.57 to -0.71). The BBT and ARAT showed fair to moderate correlations with the FMA, MAL, and SIS hand function domain at pretreatment and posttreatment (rho = 0.31-0.59), whereas the NHPT demonstrated low to fair correlations with the FMA and MAL, (rho = -0.16 to -0.33) and moderate correlations with the SIS hand function domain (rho = -0.58 to -0.66). Our results indicate that the BBT, NHPT, and AR.AT 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.