Development of a Computerized Adaptive Testing System of the Fugl-Meyer Motor Scale in Stroke Patients
Abstract Hou W-H, Shih C-L, Chou Y-T, Sheu C-F, Lin J-H, Wu H-C, Hsueh I-P, Hsieh C-L. Development of a computerized adaptive testing system of the Fugl-Meyer motor scale in stroke patients. Objective To develop a computerized adaptive testing system of the Fugl-Meyer motor scale (CAT-FM) to efficie...
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| creator | Hou, Wen-Hsuan, MD Shih, Ching-Lin, PhD Chou, Yeh-Tai, MS Sheu, Ching-Fan, PhD Lin, Jau-Hong, PhD Wu, Hung-Chia, MSc Hsueh, I-Ping, MA Hsieh, Ching-Lin, PhD |
| description | Abstract Hou W-H, Shih C-L, Chou Y-T, Sheu C-F, Lin J-H, Wu H-C, Hsueh I-P, Hsieh C-L. Development of a computerized adaptive testing system of the Fugl-Meyer motor scale in stroke patients. Objective To develop a computerized adaptive testing system of the Fugl-Meyer motor scale (CAT-FM) to efficiently and reliably assess motor function in patients with stroke. Design First, a simulation study was used to develop and examine the psychometric properties of the CAT-FM. Second, a field study was employed to determine the administration efficiency of the CAT-FM. Setting One medical center and 1 teaching hospital. Participants Patients' responses (n=301) were used for the simulation study; 49 patients participated in the field study. Interventions Not applicable. Main Outcome Measures The 2 CAT-FM item banks (upper extremity and lower extremity) include 37 items from the original Fugl-Meyer scale. The reliability, validity, and responsiveness of the CAT-FM were determined by the simulation study. Results Two stopping rules (reliability ≥0.9 or an increase of reliability |
| doi_str_mv | 10.1016/j.apmr.2011.12.005 |
| format | Article |
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Development of a computerized adaptive testing system of the Fugl-Meyer motor scale in stroke patients. Objective To develop a computerized adaptive testing system of the Fugl-Meyer motor scale (CAT-FM) to efficiently and reliably assess motor function in patients with stroke. Design First, a simulation study was used to develop and examine the psychometric properties of the CAT-FM. Second, a field study was employed to determine the administration efficiency of the CAT-FM. Setting One medical center and 1 teaching hospital. Participants Patients' responses (n=301) were used for the simulation study; 49 patients participated in the field study. Interventions Not applicable. Main Outcome Measures The 2 CAT-FM item banks (upper extremity and lower extremity) include 37 items from the original Fugl-Meyer scale. The reliability, validity, and responsiveness of the CAT-FM were determined by the simulation study. Results Two stopping rules (reliability ≥0.9 or an increase of reliability <.01 after testing an item) were used. The simulation study showed that the CAT-FM had high reliability (≥.93 for upper-extremity and lower-extremity subscales) and concurrent validity (Pearson r ≥.91 for the upper-extremity and lower-extremity subscales and motor scale). The responsiveness was moderate (standardized response mean for the upper extremity=.67, lower extremity=.79, and motor=.77) for the 226 patients who completed both assessments at 14 and 90 days after stroke. The field study found that, on average, the time needed to administer the CAT-FM was 242 seconds with 4.7 items. Conclusions The CAT-FM is an efficient, reliable, valid, and responsive clinical tool for assessing motor function in patients with stroke.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2011.12.005</identifier><identifier>PMID: 22440481</identifier><identifier>CODEN: APMHAI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adaptation, Physiological ; Aged ; Biological and medical sciences ; Cerebrovascular accident ; Computer Simulation ; Diagnosis, Computer-Assisted - methods ; Disability Evaluation ; Diseases of the osteoarticular system ; Female ; Hospitals, Teaching ; Humans ; Lower Extremity - physiopathology ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Motor Skills - physiology ; Neurology ; Physical Medicine and Rehabilitation ; Psychometrics ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Rehabilitation ; Reproducibility of Results ; Sampling Studies ; Severity of Illness Index ; Stroke - diagnosis ; Stroke Rehabilitation ; Taiwan ; Task Performance and Analysis ; Upper Extremity - physiopathology ; Vascular diseases and vascular malformations of the nervous system</subject><ispartof>Archives of physical medicine and rehabilitation, 2012-06, Vol.93 (6), p.1014-1020</ispartof><rights>American Congress of Rehabilitation Medicine</rights><rights>2012 American Congress of Rehabilitation Medicine</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-87813119705b47ee25adebcc7de38893d68d10b23fe8ea45cd7653623a0a66d83</citedby><cites>FETCH-LOGICAL-c441t-87813119705b47ee25adebcc7de38893d68d10b23fe8ea45cd7653623a0a66d83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.apmr.2011.12.005$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27904,27905,45975</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25951962$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22440481$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hou, Wen-Hsuan, MD</creatorcontrib><creatorcontrib>Shih, Ching-Lin, PhD</creatorcontrib><creatorcontrib>Chou, Yeh-Tai, MS</creatorcontrib><creatorcontrib>Sheu, Ching-Fan, PhD</creatorcontrib><creatorcontrib>Lin, Jau-Hong, PhD</creatorcontrib><creatorcontrib>Wu, Hung-Chia, MSc</creatorcontrib><creatorcontrib>Hsueh, I-Ping, MA</creatorcontrib><creatorcontrib>Hsieh, Ching-Lin, PhD</creatorcontrib><title>Development of a Computerized Adaptive Testing System of the Fugl-Meyer Motor Scale in Stroke Patients</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>Abstract Hou W-H, Shih C-L, Chou Y-T, Sheu C-F, Lin J-H, Wu H-C, Hsueh I-P, Hsieh C-L. Development of a computerized adaptive testing system of the Fugl-Meyer motor scale in stroke patients. Objective To develop a computerized adaptive testing system of the Fugl-Meyer motor scale (CAT-FM) to efficiently and reliably assess motor function in patients with stroke. Design First, a simulation study was used to develop and examine the psychometric properties of the CAT-FM. Second, a field study was employed to determine the administration efficiency of the CAT-FM. Setting One medical center and 1 teaching hospital. Participants Patients' responses (n=301) were used for the simulation study; 49 patients participated in the field study. Interventions Not applicable. Main Outcome Measures The 2 CAT-FM item banks (upper extremity and lower extremity) include 37 items from the original Fugl-Meyer scale. The reliability, validity, and responsiveness of the CAT-FM were determined by the simulation study. Results Two stopping rules (reliability ≥0.9 or an increase of reliability <.01 after testing an item) were used. The simulation study showed that the CAT-FM had high reliability (≥.93 for upper-extremity and lower-extremity subscales) and concurrent validity (Pearson r ≥.91 for the upper-extremity and lower-extremity subscales and motor scale). The responsiveness was moderate (standardized response mean for the upper extremity=.67, lower extremity=.79, and motor=.77) for the 226 patients who completed both assessments at 14 and 90 days after stroke. The field study found that, on average, the time needed to administer the CAT-FM was 242 seconds with 4.7 items. Conclusions The CAT-FM is an efficient, reliable, valid, and responsive clinical tool for assessing motor function in patients with stroke.</description><subject>Adaptation, Physiological</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cerebrovascular accident</subject><subject>Computer Simulation</subject><subject>Diagnosis, Computer-Assisted - methods</subject><subject>Disability Evaluation</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Hospitals, Teaching</subject><subject>Humans</subject><subject>Lower Extremity - physiopathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Motor Skills - physiology</subject><subject>Neurology</subject><subject>Physical Medicine and Rehabilitation</subject><subject>Psychometrics</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Rehabilitation</subject><subject>Reproducibility of Results</subject><subject>Sampling Studies</subject><subject>Severity of Illness Index</subject><subject>Stroke - diagnosis</subject><subject>Stroke Rehabilitation</subject><subject>Taiwan</subject><subject>Task Performance and Analysis</subject><subject>Upper Extremity - physiopathology</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9ks2KFDEURoMoTtv6Ai4kG8FNlblJ_YIIQ-uoMINCj-AupJNbY3qqKmWSamif3hTdKrhwFQLn-3JzEkKeA8uBQfV6n6tp8DlnADnwnLHyAVlBKXjWcPj2kKwYYyJr21ZckCch7NO2KgU8JhecFwUrGliR7h0esHfTgGOkrqOKbtwwzRG9_YmGXho1RXtAeosh2vGObo8h4rCQ8TvSq_muz27wiJ7euOg83WrVI7Uj3Ubv7pF-UdGm5vCUPOpUH_DZeV2Tr1fvbzcfs-vPHz5tLq8zXRQQs6ZuQAC0NSt3RY3IS2Vwp3VtUDRNK0zVGGA7LjpsUBWlNnW6UcWFYqqqTCPW5NWpd_Lux5xmloMNGvtejejmIJO3uoKyYHVC-QnV3oXgsZOTt4PyxwQtXCX3cvErF78SuEx-U-jFuX_eDWj-RH4LTcDLM6BCctF5NWob_nJlW0KbBl6TNycOk42DRS-DTqY0GutRR2mc_f8cb_-J696ONp14n14j7N3sx-RZggwpILfLT1g-AqRC1vJK_ALADq1t</recordid><startdate>20120601</startdate><enddate>20120601</enddate><creator>Hou, Wen-Hsuan, MD</creator><creator>Shih, Ching-Lin, PhD</creator><creator>Chou, Yeh-Tai, MS</creator><creator>Sheu, Ching-Fan, PhD</creator><creator>Lin, Jau-Hong, PhD</creator><creator>Wu, Hung-Chia, MSc</creator><creator>Hsueh, I-Ping, MA</creator><creator>Hsieh, Ching-Lin, PhD</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120601</creationdate><title>Development of a Computerized Adaptive Testing System of the Fugl-Meyer Motor Scale in Stroke Patients</title><author>Hou, Wen-Hsuan, MD ; Shih, Ching-Lin, PhD ; Chou, Yeh-Tai, MS ; Sheu, Ching-Fan, PhD ; Lin, Jau-Hong, PhD ; Wu, Hung-Chia, MSc ; Hsueh, I-Ping, MA ; Hsieh, Ching-Lin, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-87813119705b47ee25adebcc7de38893d68d10b23fe8ea45cd7653623a0a66d83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adaptation, Physiological</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cerebrovascular accident</topic><topic>Computer Simulation</topic><topic>Diagnosis, Computer-Assisted - methods</topic><topic>Disability Evaluation</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Hospitals, Teaching</topic><topic>Humans</topic><topic>Lower Extremity - physiopathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Motor Skills - physiology</topic><topic>Neurology</topic><topic>Physical Medicine and Rehabilitation</topic><topic>Psychometrics</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Rehabilitation</topic><topic>Reproducibility of Results</topic><topic>Sampling Studies</topic><topic>Severity of Illness Index</topic><topic>Stroke - diagnosis</topic><topic>Stroke Rehabilitation</topic><topic>Taiwan</topic><topic>Task Performance and Analysis</topic><topic>Upper Extremity - physiopathology</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hou, Wen-Hsuan, MD</creatorcontrib><creatorcontrib>Shih, Ching-Lin, PhD</creatorcontrib><creatorcontrib>Chou, Yeh-Tai, MS</creatorcontrib><creatorcontrib>Sheu, Ching-Fan, PhD</creatorcontrib><creatorcontrib>Lin, Jau-Hong, PhD</creatorcontrib><creatorcontrib>Wu, Hung-Chia, MSc</creatorcontrib><creatorcontrib>Hsueh, I-Ping, MA</creatorcontrib><creatorcontrib>Hsieh, Ching-Lin, PhD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hou, Wen-Hsuan, MD</au><au>Shih, Ching-Lin, PhD</au><au>Chou, Yeh-Tai, MS</au><au>Sheu, Ching-Fan, PhD</au><au>Lin, Jau-Hong, PhD</au><au>Wu, Hung-Chia, MSc</au><au>Hsueh, I-Ping, MA</au><au>Hsieh, Ching-Lin, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Development of a Computerized Adaptive Testing System of the Fugl-Meyer Motor Scale in Stroke Patients</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2012-06-01</date><risdate>2012</risdate><volume>93</volume><issue>6</issue><spage>1014</spage><epage>1020</epage><pages>1014-1020</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><coden>APMHAI</coden><abstract>Abstract Hou W-H, Shih C-L, Chou Y-T, Sheu C-F, Lin J-H, Wu H-C, Hsueh I-P, Hsieh C-L. Development of a computerized adaptive testing system of the Fugl-Meyer motor scale in stroke patients. Objective To develop a computerized adaptive testing system of the Fugl-Meyer motor scale (CAT-FM) to efficiently and reliably assess motor function in patients with stroke. Design First, a simulation study was used to develop and examine the psychometric properties of the CAT-FM. Second, a field study was employed to determine the administration efficiency of the CAT-FM. Setting One medical center and 1 teaching hospital. Participants Patients' responses (n=301) were used for the simulation study; 49 patients participated in the field study. Interventions Not applicable. Main Outcome Measures The 2 CAT-FM item banks (upper extremity and lower extremity) include 37 items from the original Fugl-Meyer scale. The reliability, validity, and responsiveness of the CAT-FM were determined by the simulation study. Results Two stopping rules (reliability ≥0.9 or an increase of reliability <.01 after testing an item) were used. The simulation study showed that the CAT-FM had high reliability (≥.93 for upper-extremity and lower-extremity subscales) and concurrent validity (Pearson r ≥.91 for the upper-extremity and lower-extremity subscales and motor scale). The responsiveness was moderate (standardized response mean for the upper extremity=.67, lower extremity=.79, and motor=.77) for the 226 patients who completed both assessments at 14 and 90 days after stroke. The field study found that, on average, the time needed to administer the CAT-FM was 242 seconds with 4.7 items. Conclusions The CAT-FM is an efficient, reliable, valid, and responsive clinical tool for assessing motor function in patients with stroke.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>22440481</pmid><doi>10.1016/j.apmr.2011.12.005</doi><tpages>7</tpages></addata></record> |
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| subjects | Adaptation, Physiological Aged Biological and medical sciences Cerebrovascular accident Computer Simulation Diagnosis, Computer-Assisted - methods Disability Evaluation Diseases of the osteoarticular system Female Hospitals, Teaching Humans Lower Extremity - physiopathology Male Medical sciences Middle Aged Miscellaneous Motor Skills - physiology Neurology Physical Medicine and Rehabilitation Psychometrics Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Rehabilitation Reproducibility of Results Sampling Studies Severity of Illness Index Stroke - diagnosis Stroke Rehabilitation Taiwan Task Performance and Analysis Upper Extremity - physiopathology Vascular diseases and vascular malformations of the nervous system |
| title | Development of a Computerized Adaptive Testing System of the Fugl-Meyer Motor Scale in Stroke Patients |
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