Assessing Arm and Hand Function After Stroke: A Validity Test of the Hierarchical Scoring System Used in the Motor Assessment Scale for Stroke

Objectives. (1) To develop two independent measurement scales for use as items assessing hand movements and hand activities within the Motor Assessment Scale (MAS), an existing instrument used for clinical assessment of motor performance in stroke survivors; (2) To examine the psychometric properties of these new measurement scales.Design. Scale development, followed by a multicenter observational study.Setting. Inpatient and outpatient occupational therapy programs in eight hospital and rehabilitation facilities in the United States and Canada.Participants. Patients(N=332)receiving stroke rehabilitation following left (52%) or right (48%) cerebrovascular accident; mean age 64.2 years (sd 15); median 1 month since stroke onset.Intervention. Not applicable.Main Outcome Measures. Data were tested for unidimensionality and reliability, and behavioral criteria were ordered according to difficulty level with Rasch analysis.Results. The new scales assessing hand movements and hand activities met Rasch expectations of unidimensionality and reliability.Conclusion. Following a multistep process of test development, analysis, and refinement, we have redesigned the two scales that comprise the hand function items on the MAS. The hand movement scale contains an empirically validated 10-behavior hierarchy and the hand activities item contains an empirically validated 8-behavior hierarchy.

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New scoring system improves inter-rater reliability of the Neonatal Oral-Motor Assessment Scale

Acta Paediatrica ◽

10.1111/apa.13461 ◽

2016 ◽

Vol 105 (8) ◽

pp. e339-e344 ◽

Cited By ~ 10

Author(s):

Saakje P. da Costa ◽

Nicole Hübl ◽

Nicole Kaufman ◽

Arend F. Bos

Keyword(s):

Scoring System ◽

Assessment Scale ◽

Motor Assessment ◽

Rater Reliability ◽

Oral Motor ◽

New Scoring

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Motor Assessment Scale--Brazilian Version

PsycTESTS Dataset ◽

10.1037/t76362-000 ◽

2019 ◽

Author(s):

Elaine Lima ◽

Luci Fuscaldi Teixeira-Salmela ◽

Lívia Castro Magalhães ◽

Glória Elizabeth Laurentino ◽

Luan César Simões ◽

...

Keyword(s):

Assessment Scale ◽

Motor Assessment ◽

Brazilian Version

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Development of a clinical feeding assessment scale for very young infants in South Africa

South African Journal of Communication Disorders ◽

10.4102/sajcd.v63i1.148 ◽

2016 ◽

Vol 63 (1) ◽

Cited By ~ 3

Author(s):

Mari Viviers ◽

Alta Kritzinger ◽

Bart Vinck

Keyword(s):

South Africa ◽

High Risk ◽

South African ◽

Delphi Method ◽

Scoring System ◽

Oropharyngeal Dysphagia ◽

Assessment Instrument ◽

Assessment Scale ◽

Young Infants ◽

Feeding Assessment

Background: There is a need for validated neonatal feeding assessment instruments in South Africa. A locally developed instrument may contribute to standardised evaluation procedures of high-risk neonates and address needs in resource constrained developing settings.Objective: The aim of the study was to develop and validate the content of a clinical feeding assessment scale to diagnose oropharyngeal dysphagia (OPD) in neonates.Method: The Neonatal Feeding Assessment Scale (NFAS) was developed using the Delphi method. Five international and South African speech-language therapists (SLTs) formed the expert panel, participating in two rounds of electronic questionnaires to develop and validate the content of the NFAS.Results: All participants agreed on the need for the development of a valid clinical feeding assessment instrument to use with the neonatal population. The initial NFAS consisted of 240 items across 8 sections, and after the Delphi process was implemented, the final format was reduced to 211 items across 6 sections. The final format of the NFAS is scored using a binary scoring system guiding the clinician to diagnose the presence or absence of OPD. All members agreed on the format, the scoring system and the feeding constructs addressed in the revised final format of the NFAS.Conclusion: The Delphi method and the diverse clinical and research experience of participants could be integrated to develop the NFAS which may be used in clinical practice in South Africa or similar developing contexts. Because of demographically different work settings marked by developed versus developing contexts, participants did not have the same expectations of a clinical dysphagia assessment. The international participants contributed to evidence-based content development. Local participants considered the contextual challenges of South African SLTs entering the field with basic competencies in neonatal dysphagia management, thereby justifying a comprehensive clinical instrument. The NFAS is aimed at clinicians working in Neonatal Intensive Care Units where they manage large caseloads of high-risk neonates. Further validation of the NFAS is recommended to determine its criterion validity in comparison with a widely accepted standard such as the modified barium swallow study.

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Psychometric properties of gross motor assessment tools for children: a systematic review

BMJ Open ◽

10.1136/bmjopen-2018-021734 ◽

2018 ◽

Vol 8 (10) ◽

pp. e021734 ◽

Cited By ~ 33

Author(s):

Alison Griffiths ◽

Rachel Toovey ◽

Prue E Morgan ◽

Alicia J Spittle

Keyword(s):

Psychometric Properties ◽

Predictive Validity ◽

Methodological Quality ◽

Clinical Utility ◽

Assessment Tools ◽

Motor Assessment ◽

Gross Motor ◽

Retest Reliability ◽

Validity Test ◽

Test Retest Reliability

ObjectiveGross motor assessment tools have a critical role in identifying, diagnosing and evaluating motor difficulties in childhood. The objective of this review was to systematically evaluate the psychometric properties and clinical utility of gross motor assessment tools for children aged 2–12 years.MethodA systematic search of MEDLINE, Embase, CINAHL and AMED was performed between May and July 2017. Methodological quality was assessed with the COnsensus-based Standards for the selection of health status Measurement INstruments checklist and an outcome measures rating form was used to evaluate reliability, validity and clinical utility of assessment tools.ResultsSeven assessment tools from 37 studies/manuals met the inclusion criteria: Bayley Scale of Infant and Toddler Development-III (Bayley-III), Bruininks-Oseretsky Test of Motor Proficiency-2 (BOT-2), Movement Assessment Battery for Children-2 (MABC-2), McCarron Assessment of Neuromuscular Development (MAND), Neurological Sensory Motor Developmental Assessment (NSMDA), Peabody Developmental Motor Scales-2 (PDMS-2) and Test of Gross Motor Development-2 (TGMD-2). Methodological quality varied from poor to excellent. Validity and internal consistency varied from fair to excellent (α=0.5–0.99). The Bayley-III, NSMDA and MABC-2 have evidence of predictive validity. Test–retest reliability is excellent in the BOT-2 (intraclass correlation coefficient (ICC)=0.80–0.99), PDMS-2 (ICC=0.97), MABC-2 (ICC=0.83–0.96) and TGMD-2 (ICC=0.81–0.92). TGMD-2 has the highest inter-rater (ICC=0.88–0.93) and intrarater reliability (ICC=0.92–0.99).ConclusionsThe majority of gross motor assessments for children have good-excellent validity. Test–retest reliability is highest in the BOT-2, MABC-2, PDMS-2 and TGMD-2. The Bayley-III has the best predictive validity at 2 years of age for later motor outcome. None of the assessment tools demonstrate good evaluative validity. Further research on evaluative gross motor assessment tools are urgently needed.

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New reliable and valid motor assessment scale for stroke patients: Hemiplegic motor behavior tests

Geriatrics and Gerontology International ◽

10.1046/j.1444-1586.2001.00010.x ◽

2001 ◽

Vol 1 (1-2) ◽

pp. 45-51 ◽

Cited By ~ 1

Author(s):

Izumi Ohtsuru ◽

Fumio Eto ◽

Naoki Wada ◽

Ikuko Saotome ◽

Teruhito Furuichi

Keyword(s):

Motor Behavior ◽

Assessment Scale ◽

Stroke Patients ◽

Motor Assessment

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Bedeutsames im Blick

physiopraxis ◽

10.1055/s-0032-1307924 ◽

2005 ◽

Vol 3 (11/12) ◽

pp. 24-27

Author(s):

Renata Horst

Keyword(s):

Assessment Scale ◽

Motor Assessment

Mit der MAS (Motor Assessment Scale) kann man Behandlungsergebnisse reliabel und valide dokumentieren. Allerdings berücksichtigt sie einige Alltagsaktivitäten nicht, die für manche Patienten bedeutsam sind. Lesen Sie in diesem Beitrag von Renata Horst, wie man die MAS an die Bedürfnisse der Patienten anpasst.

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