The capabilities of upper extremity instrument: Reliability and validity of a measure of functional limitation in tetraplegia
The capabilities of upper extremity instrument: Reliability and validity of a measure of functional limitation in tetraplegia
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DOI：
10.1016/s0003-9993(98)90412-9
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发表时间：
1998-12-01
影响因子：
4.3
通讯作者：
Stineman, MG
中科院分区：
文献类型：
--
作者：
Marino, RJ;Shea, JA;Stineman, MG
目的：为了评估上肢功能（CUE）仪器的可靠性和有效性，该仪器旨在测量四肢瘫痪患者的上肢功能限制，功能限制是指达到或抓握等动作，并且是损伤和残疾领域之间的联系。设计：慢性脊髓损伤患者的调查。设置：区域脊髓损伤中心。受试者：154例患者（140例男性）在受伤后至少1年四肢瘫痪，并由该中心随访。平均年龄为36.7岁（SD = 11.1）。68%的运动complete.Methods：32项CUE通过电话采访两次约2周间隔管理。在第一次访谈中收集了功能独立性测量（FIMSM）的运动部分。上肢运动评分和运动水平从门诊病历中的最近评估中获得。该工具进行了内部一致性，可靠性和有效性的评价。结果：量表的同质性良好。Cronbach's或为0.96，项目总相关范围为0.49至0.78，重测信度高（ICC = 0.94）。除三个项目外，所有项目都具有理想的一致性水平（Kappa > .60）。方差分析表明，CUE区分运动水平的四肢瘫痪超过一个层次分开。CUE与运动成绩和运动能力均高度相关。回归分析表明，CUE比上肢运动评分更能预测肢体运动评分。包含CUE的模型解释了73%的方差，并且没有通过添加运动评分来增强。FATTER分析建议四个潜在的分量表：手臂功能（双边），右手功能，左手功能，并达到down.Conclusion：CUE具有良好的同质性，信度和效度，需要进一步的工作，以确定IFS的功能变化的敏感性。(C)1998年由美国康复医学大会和美国物理医学和康复学会。
Objective: To evaluate the reliability and validity of the Capabilities of Upper Extremity (CUE) instrument, designed to measure upper extremity functional limitations in individuals with tetraplegia, Functional limitations are actions such as reaching or grasping and are a link between the domains of impairment and disability.Design: Survey of people with chronic spinal cord injury.Setting: Regional spinal cord injury center.Subjects: One hundred fifty-four individuals (140 male) with tetraplegia at least 1 year after injury and followed by the center. Mean age was 36.7 years(SD = 11.1). Sixty-eight percent were motor complete.Methods: The 32-item CUE was administered by telephone interview twice about 2 weeks apart. The motor portion of the Functional Independence Measure (FIMSM) was collected during the first interview. Upper extremity motor scores and motor levels were obtained from the most recent assessment in the outpatient chart. The instrument was evaluated for internal consistency, reliability, and validity. Exploratory factor analysis was performed to examine scale structure.Results: Homogeneity of the scale was excellent. Cronbach's or was .96, and item-total correlations ranged from .49 to .78, Test-retest reliability was high (ICC = .94). All but three items had desired levels of agreement (kappa > .60). Analysis of variance indicated that the CUE distinguished between motor levels of tetraplegia more than one level apart. The CUE was correlated highly with both motor scores and FIM. Regression analysis indicated that the CUE was better than upper extremity motor scores for predicting FIM scores. The model containing the CUE explained 73% of the variance in FIM and was not enhanced by the addition of motor scores. Fatter analysis suggested four potential subscales: arm function (bilateral), right hand function, left hand function, and reaching down.Conclusion: The CUE exhibits good homogeneity, reliability, and validity; further work is needed to determine ifs sensitivity to change in function. (C) 1998 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation.