Assessing Arm and Hand Function After Stroke: A Validity Test of the Hierarchical Scoring System Used in the Motor Assessment Scale for Stroke
Sabari JS, Lim AL, Velozo CA, Lehman L, Kieran O, Lai JS. Assessing arm and hand function after stroke: a validity test of the hierarchical scoring system used in the motor assessment scales for stroke. To evaluate the validity of the scoring hierarchy for the 3 upper-limb items on the Motor Assessm...
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| Veröffentlicht in: | Archives of physical medicine and rehabilitation 2005-08, Vol.86 (8), p.1609-1615 |
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| creator | Sabari, Joyce S. Lim, Ai Lian Velozo, Craig A. Lehman, Leigh Kieran, Owen Lai, Jin-Shei |
| description | Sabari JS, Lim AL, Velozo CA, Lehman L, Kieran O, Lai JS. Assessing arm and hand function after stroke: a validity test of the hierarchical scoring system used in the motor assessment scales for stroke.
To evaluate the validity of the scoring hierarchy for the 3 upper-limb items on the Motor Assessment Scale (MAS).
Application of Rasch analysis to 3 independent measurement scales, each representing the upper-arm function, hand movements, and advanced hand activities items of the MAS.
Inpatient and outpatient occupational therapy (OT) programs in a department of rehabilitation of an urban hospital center.
One hundred patients (67 men, 33 women; average age, 54.3±14.4y; average time since stroke onset, 104d) attending OT for stroke rehabilitation.
Not applicable.
The MAS for stroke (upper-arm function, hand movements, and advanced hand activities sections).
Rasch analysis provided support for the validity of hierarchical scoring criteria for the upper-arm scale. This analysis, however, identified inconsistencies in the hierarchical scoring criteria for the hand function and advanced hand activities scales and, when considering measurement error, only small differences in difficulty level between several behavioral criteria.
The findings lead to suggestions for changes in the behavioral criteria hierarchy for upper-limb items on the MAS and highlight the importance of using statistical analyses to test the validity of proposed hierarchies of behavioral criteria in functional assessments. |
| doi_str_mv | 10.1016/j.apmr.2004.12.028 |
| format | Article |
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To evaluate the validity of the scoring hierarchy for the 3 upper-limb items on the Motor Assessment Scale (MAS).
Application of Rasch analysis to 3 independent measurement scales, each representing the upper-arm function, hand movements, and advanced hand activities items of the MAS.
Inpatient and outpatient occupational therapy (OT) programs in a department of rehabilitation of an urban hospital center.
One hundred patients (67 men, 33 women; average age, 54.3±14.4y; average time since stroke onset, 104d) attending OT for stroke rehabilitation.
Not applicable.
The MAS for stroke (upper-arm function, hand movements, and advanced hand activities sections).
Rasch analysis provided support for the validity of hierarchical scoring criteria for the upper-arm scale. This analysis, however, identified inconsistencies in the hierarchical scoring criteria for the hand function and advanced hand activities scales and, when considering measurement error, only small differences in difficulty level between several behavioral criteria.
The findings lead to suggestions for changes in the behavioral criteria hierarchy for upper-limb items on the MAS and highlight the importance of using statistical analyses to test the validity of proposed hierarchies of behavioral criteria in functional assessments.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2004.12.028</identifier><identifier>PMID: 16084815</identifier><identifier>CODEN: APMHAI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Arm ; Arm - physiopathology ; Biological and medical sciences ; Disability Evaluation ; Female ; Hand ; Hand - physiopathology ; Humans ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Motor skills ; Motor Skills - classification ; Neurology ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Rehabilitation ; Stroke ; Stroke - physiopathology ; Stroke Rehabilitation ; Vascular diseases and vascular malformations of the nervous system</subject><ispartof>Archives of physical medicine and rehabilitation, 2005-08, Vol.86 (8), p.1609-1615</ispartof><rights>2005 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation</rights><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-98b0bdf0ff9dcf232cec14cdf7456cb31bbf9466651646691ea1769b05d62a4f3</citedby><cites>FETCH-LOGICAL-c384t-98b0bdf0ff9dcf232cec14cdf7456cb31bbf9466651646691ea1769b05d62a4f3</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.2004.12.028$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17091288$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16084815$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sabari, Joyce S.</creatorcontrib><creatorcontrib>Lim, Ai Lian</creatorcontrib><creatorcontrib>Velozo, Craig A.</creatorcontrib><creatorcontrib>Lehman, Leigh</creatorcontrib><creatorcontrib>Kieran, Owen</creatorcontrib><creatorcontrib>Lai, Jin-Shei</creatorcontrib><title>Assessing Arm and Hand Function After Stroke: A Validity Test of the Hierarchical Scoring System Used in the Motor Assessment Scale for Stroke</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>Sabari JS, Lim AL, Velozo CA, Lehman L, Kieran O, Lai JS. Assessing arm and hand function after stroke: a validity test of the hierarchical scoring system used in the motor assessment scales for stroke.
To evaluate the validity of the scoring hierarchy for the 3 upper-limb items on the Motor Assessment Scale (MAS).
Application of Rasch analysis to 3 independent measurement scales, each representing the upper-arm function, hand movements, and advanced hand activities items of the MAS.
Inpatient and outpatient occupational therapy (OT) programs in a department of rehabilitation of an urban hospital center.
One hundred patients (67 men, 33 women; average age, 54.3±14.4y; average time since stroke onset, 104d) attending OT for stroke rehabilitation.
Not applicable.
The MAS for stroke (upper-arm function, hand movements, and advanced hand activities sections).
Rasch analysis provided support for the validity of hierarchical scoring criteria for the upper-arm scale. This analysis, however, identified inconsistencies in the hierarchical scoring criteria for the hand function and advanced hand activities scales and, when considering measurement error, only small differences in difficulty level between several behavioral criteria.
The findings lead to suggestions for changes in the behavioral criteria hierarchy for upper-limb items on the MAS and highlight the importance of using statistical analyses to test the validity of proposed hierarchies of behavioral criteria in functional assessments.</description><subject>Arm</subject><subject>Arm - physiopathology</subject><subject>Biological and medical sciences</subject><subject>Disability Evaluation</subject><subject>Female</subject><subject>Hand</subject><subject>Hand - physiopathology</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Motor skills</subject><subject>Motor Skills - classification</subject><subject>Neurology</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Rehabilitation</subject><subject>Stroke</subject><subject>Stroke - physiopathology</subject><subject>Stroke Rehabilitation</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>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcGO0zAQhi0EYsvCC3BAvsAtwXYSN0ZcohVLkRZx6C7iZjn2mHVJ7GK7SH0JnhmHFu2Ny4xG-uYf-_8ReklJTQnlb3e12s-xZoS0NWU1Yf0jtKJdw6qe0W-P0YoQ0lRCiOYCPUtpV0beNfQpuqCc9G1PuxX6PaQEKTn_HQ9xxsobvFnK9cHr7ILHg80Q8TbH8APe4QF_VZMzLh_xLaSMg8X5HvDGQVRR3zutJrzVIS5622PKMOO7BAY7_5f7HHKI-HRyBp8LqybANvy78Bw9sWpK8OLcL9Hd9Yfbq0118-Xjp6vhptJN3-ZK9CMZjSXWCqMta5gGTVtt7LrtuB4bOo5WtJzzjvLSBAVF11yMpDOcqdY2l-jNSXcfw89D-YmcXdIwTcpDOCTJ-7br1qIvIDuBOoaUIli5j25W8SgpkUsKcieXFOSSgqRMlhTK0quz-mGcwTysnG0vwOszoFJxwEbltUsP3JoIyvpF6P2Jg-LFr2KyTNqB12BcBJ2lCe5_7_gD9hCm7w</recordid><startdate>20050801</startdate><enddate>20050801</enddate><creator>Sabari, Joyce S.</creator><creator>Lim, Ai Lian</creator><creator>Velozo, Craig A.</creator><creator>Lehman, Leigh</creator><creator>Kieran, Owen</creator><creator>Lai, Jin-Shei</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>20050801</creationdate><title>Assessing Arm and Hand Function After Stroke: A Validity Test of the Hierarchical Scoring System Used in the Motor Assessment Scale for Stroke</title><author>Sabari, Joyce S. ; Lim, Ai Lian ; Velozo, Craig A. ; Lehman, Leigh ; Kieran, Owen ; Lai, Jin-Shei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-98b0bdf0ff9dcf232cec14cdf7456cb31bbf9466651646691ea1769b05d62a4f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Arm</topic><topic>Arm - physiopathology</topic><topic>Biological and medical sciences</topic><topic>Disability Evaluation</topic><topic>Female</topic><topic>Hand</topic><topic>Hand - physiopathology</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Motor skills</topic><topic>Motor Skills - classification</topic><topic>Neurology</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Rehabilitation</topic><topic>Stroke</topic><topic>Stroke - physiopathology</topic><topic>Stroke Rehabilitation</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sabari, Joyce S.</creatorcontrib><creatorcontrib>Lim, Ai Lian</creatorcontrib><creatorcontrib>Velozo, Craig A.</creatorcontrib><creatorcontrib>Lehman, Leigh</creatorcontrib><creatorcontrib>Kieran, Owen</creatorcontrib><creatorcontrib>Lai, Jin-Shei</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>Sabari, Joyce S.</au><au>Lim, Ai Lian</au><au>Velozo, Craig A.</au><au>Lehman, Leigh</au><au>Kieran, Owen</au><au>Lai, Jin-Shei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessing Arm and Hand Function After Stroke: A Validity Test of the Hierarchical Scoring System Used in the Motor Assessment Scale for Stroke</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2005-08-01</date><risdate>2005</risdate><volume>86</volume><issue>8</issue><spage>1609</spage><epage>1615</epage><pages>1609-1615</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><coden>APMHAI</coden><abstract>Sabari JS, Lim AL, Velozo CA, Lehman L, Kieran O, Lai JS. Assessing arm and hand function after stroke: a validity test of the hierarchical scoring system used in the motor assessment scales for stroke.
To evaluate the validity of the scoring hierarchy for the 3 upper-limb items on the Motor Assessment Scale (MAS).
Application of Rasch analysis to 3 independent measurement scales, each representing the upper-arm function, hand movements, and advanced hand activities items of the MAS.
Inpatient and outpatient occupational therapy (OT) programs in a department of rehabilitation of an urban hospital center.
One hundred patients (67 men, 33 women; average age, 54.3±14.4y; average time since stroke onset, 104d) attending OT for stroke rehabilitation.
Not applicable.
The MAS for stroke (upper-arm function, hand movements, and advanced hand activities sections).
Rasch analysis provided support for the validity of hierarchical scoring criteria for the upper-arm scale. This analysis, however, identified inconsistencies in the hierarchical scoring criteria for the hand function and advanced hand activities scales and, when considering measurement error, only small differences in difficulty level between several behavioral criteria.
The findings lead to suggestions for changes in the behavioral criteria hierarchy for upper-limb items on the MAS and highlight the importance of using statistical analyses to test the validity of proposed hierarchies of behavioral criteria in functional assessments.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>16084815</pmid><doi>10.1016/j.apmr.2004.12.028</doi><tpages>7</tpages></addata></record> |
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| subjects | Arm Arm - physiopathology Biological and medical sciences Disability Evaluation Female Hand Hand - physiopathology Humans Male Medical sciences Middle Aged Miscellaneous Motor skills Motor Skills - classification Neurology Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Rehabilitation Stroke Stroke - physiopathology Stroke Rehabilitation Vascular diseases and vascular malformations of the nervous system |
| title | Assessing Arm and Hand Function After Stroke: A Validity Test of the Hierarchical Scoring System Used in the Motor Assessment Scale for Stroke |
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