Dimensionality and item-difficulty hierarchy of the Fugl-Meyer assessment of the upper extremity among Japanese patients who have experienced stroke
Dimensionality and item-difficulty hierarchy of the Fugl-Meyer assessment of the upper extremity among Japanese patients who have experienced stroke
复制标题
日本中风患者上肢 Fugl-Meyer 评估的维度和项目难度等级
DOI：
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发表时间：
2021
影响因子：
2.2
通讯作者：
Takashi Takebayashi
中科院分区：
文献类型：
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作者：
Yuta Tauchi;M. Kyougoku;Kayoko Takahashi;Yuho Okita;Takashi Takebayashi
Fugl-Meyer上肢评估（FMA-UE）已被用于许多临床研究和脑卒中康复。在评估心理测量特性的研究中，验证性因子分析（CFA）表明FMA-UE是一个多维工具。项目反应理论单参数Logistic （IRT1PL）支持项目难度等级可以作为上肢功能中风恢复的治疗指标。然而，对亚洲人群FMA-UE的心理测量特性研究较少。目的探讨日本脑卒中康复患者FMA-UE量表的维度和项目难度等级。方法采用横断面研究。参与者包括来自日本22家医院的268名新发中风患者（中位年龄为70.0岁；中位中风发病天数为78.5天）。FMA-UE的维度使用选定项目的CFA进行评估。在确定维度后，使用IRT1PL分析验证了使用适当选择模型的FMA-UE的项目难度层次。结果利用地板效应和天花板效应去除两个反射项目。31项和30项FMA-UE在CFA中表现出较好的单维性模型拟合。通过模型比较发现30项FMA-UE是一个很好的模型（31项与30项）。30项FMA-UE的项目难度等级与预期的项目顺序不一致。结论FMA-UE具有多维性，30项FMA-UE可作为脑卒中后上肢功能损害的有效测量工具。
ABSTRACT Background The Fugl-Meyer Assessment of the Upper Extremity (FMA-UE) has been used in many clinical studies and in stroke rehabilitation. In studies evaluating psychometric properties, confirmatory factor analysis (CFA) indicated that the FMA-UE is a multidimensional tool. Item Response Theory One-Parameter Logistic (IRT1PL) supports that item-difficulty hierarchy can be used as a treatment index of upper extremity function for stroke recovery. However, studies on the psychometric properties of the FMA-UE in Asian populations are lacking. Objectives To investigate the dimensionality and item-difficulty hierarchy of the FMA-UE for stroke rehabilitation in Japanese patients. Methods This was a cross-sectional study. The participants comprised 268 individuals admitted for de novo stroke (median age, 70.0 years; median days since stroke onset, 78.5) in 22 hospitals in Japan. The dimensionality of the FMA-UE was evaluated using CFA of selected items. The item-difficulty hierarchy of the FMA-UE using the appropriately selected model was demonstrated using IRT1PL analysis after confirming dimensionality. Results Two reflex items were removed by utilizing the floor and ceiling effects. The 31- and 30-item FMA-UE exhibited a good model fit of the unidimensionality in the CFA. The 30-item FMA-UE was found to be a good model by model comparison (the 31-item vs. the 30-item). The item-difficulty hierarchy of the 30-item FMA-UE was found not to be consistent with the expected item order. Conclusions This study provides evidence that the FMA-UE has multidimensionality and the 30-item FMA-UE is a valid instrument for measuring upper-extremity impairment after stroke.
影响因子：
4.3
作者：
Woytowicz EJ;Rietschel JC;Goodman RN;Conroy SS;Sorkin JD;Whitall J;McCombe Waller S
通讯作者：
McCombe Waller S
影响因子：
7
作者：
Flora, DB;Curran, PJ
通讯作者：
Curran, PJ
DOI：
10.1016/j.apmr.2007.02.036
发表时间：
2007-06-01
影响因子：
4.3
作者：
Woodbury, Michelle L.;Velozo, Craig A.;Lai, Sue-Min
通讯作者：
Lai, Sue-Min