scholarly journals Translation and Initial Validation of the Chinese Version of the Action Research Arm Test in People with Stroke

2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Jiang-Li Zhao ◽  
Pei-Ming Chen ◽  
Wen-Feng Li ◽  
Rui-Hao Bian ◽  
Ming-Hui Ding ◽  
...  
Keyword(s):  
Action Research ◽  
Upper Extremity ◽  
Internal Consistency ◽  
Concurrent Validity ◽  
Rank Correlation ◽  
Correlation Coefficients ◽  
Chinese Version ◽  
Floor Effect ◽  
Initial Validation ◽  
Excellent Internal Consistency

Purpose. This study aimed to translate the English version of the Action Research Arm Test (ARAT) into Chinese and to evaluate the initial validation of the Chinese version (C-ARAT) in patients with a first stroke. Methods. An expert group translated the original ARAT from English into Chinese using a forward-backward procedure. Forty-four patients (36 men and 8 women) aged 22–80 years with a first stroke were enrolled in this study. The participants were evaluated using 3 stroke-specific outcome measures: C-ARAT, the upper extremity section of the Fugl–Meyer assessment (UE-FMA), and the Wolf Motor Function Test (WMFT). Internal consistency was analysed using Cronbach’s α coefficients and item-scale correlations. Concurrent validity was determined using Spearman’s rank correlation coefficients. Floor and ceiling effects were considered to be present when more than 20% of patients fell outside the preliminarily set lower or upper boundary, respectively. Results. The C-ARAT items yielded excellent internal consistency, with a Cronbach’s α of 0.98 (p < 0.001) and item-total correlations ranging from 0.727 to 0.948 (p < 0.001). The C-ARAT exhibited good-to-excellent correlations with the UE-FMA and WMFT functional ability (WMFT-FA) scores, with respective ρ values of 0.824 and 0.852 (p < 0.001), and an excellent negative correlation with the WMFT performance time (WMFT-time), with a ρ value of -0.940 (p < 0.001). The C-ARAT subscales generally exhibited good-to-excellent correlations with stroke-specific assessments, with ρ values ranging from 0.773 to 0.927 (p < 0.001). However, the gross subscale exhibited moderate-to-good correlations with the UE-FMA and WMFT-FA scores, with respective ρ values of 0.665 and 0.720 (p < 0.001). No significant floor effect was observed, and a significant ceiling effect was observed only on the WMFT-time. Conclusions. The C-ARAT demonstrated excellent internal consistency and good-to-excellent concurrent validity. This test could be used to evaluate upper extremity function in stroke patients without cognitive impairment.

scholarly journals Responsiveness and Predictive Ability of the Chinese Version of the Action Research Arm Test in People with Cerebral Infarction

2019 ◽  
Vol 2019 ◽  
pp. 1-8
Author(s):  
Jiang-Li Zhao ◽  
Tao Zhang ◽  
Zhi-Qin Xu ◽  
Ming-Hui Ding ◽  
Yan Leng ◽  
...  
Keyword(s):  
Action Research ◽  
Cerebral Infarction ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Rank Correlation ◽  
Correlation Coefficients ◽  
Predictive Ability ◽  
Chinese Version ◽  
Rank Test ◽  
Floor Effect

Purpose. To detect the responsiveness and predictive ability of the Chinese version Action Research Arm Test (C-ARAT) in participants within the first 3 months after cerebral infarction. Methods. Ninety-seven individuals (75 men, mean age 59.87 ± 10.94 years) with a first cerebral infarction were enrolled in this study. The participants were evaluated by two outcome measures: C-ARAT and the Barthel Activities of Daily Living Index (BI) at five time points: 0D, 3W, 3M, 6M and 1Y after enrolment. The standardised response mean (SRM) and the Wilcoxon signed rank test were used to analyse responsiveness. Predictive validity was determined by using Spearman’s rank correlation coefficients. The predicted performance of C-ARAT on activities of daily living (ADLs) was measured by linear regression model. Floor and ceiling effects were estimated by counting the proportion of subjects falling outside the 5% lower or upper boundary, respectively. Results. The C-ARAT showed moderate to large responsiveness in detecting changes over time (SRM = 0.58–0.84). The C-ARAT subscales showed small to large responsiveness (SRM = 0.44–0.90). The C-ARAT at 0D showed moderate to good correlation with the BI scores at 3W, 3M and 6M (ρ = 0.561–0.624, p<0.001), and exhibited fair correlation with the BI score 1Y after enrolment (ρ = 0.384, p<0.05). C-ARAT was a good predictor (adjusted R2 = 0.185–0.249) of BI within 3M follow-up. The C-ARAT total score showed a notable floor effect at 0D and 3W and a notable ceiling effect at 3M, 6M and 1Y. Conclusion. The results of this study support the use of the C-ARAT as a measurement of upper extremity function in individuals with a first cerebral infarction.

scholarly journals Psychometrics of the Wrist Stability and Hand Mobility Subscales of the Fugl-Meyer Assessment in Moderately Impaired Stroke

2015 ◽  
Vol 95 (1) ◽  
pp. 103-108 ◽  
Author(s):  
Stephen J. Page ◽  
Erinn Hade ◽  
Andrew Persch
Keyword(s):  
Upper Extremity ◽  
Internal Consistency ◽  
Concurrent Validity ◽  
Intraclass Correlation ◽  
Rank Correlation ◽  
Correlation Coefficients ◽  
Outpatient Rehabilitation ◽  
Finger Movement ◽  
Intraclass Correlation Coefficients ◽  
Upper Extremity Movement

Background There remains a need for a quickly administered, stroke-specific, bedside measure of active wrist and finger movement for the expanding stroke population. The wrist stability and hand mobility scales of the upper extremity Fugl-Meyer Assessment (w/h UE FM) constitute a valid, reliable measure of paretic UE impairment in patients with active wrist and finger movement. Objective The aim of this study was to determine performance on the w/h UE FM in a stable cohort of survivors of stroke with only palpable movement in their paretic wrist flexors. Design A single-center cohort study was conducted. Method Thirty-two individuals exhibiting stable, moderate upper extremity hemiparesis (15 male, 17 female; mean age=56.6 years, SD=10.1; mean time since stroke=4.6 years, SD=5.8) participated in the study, which was conducted at an outpatient rehabilitation clinic in the midwestern United States. The w/h UE FM and Action Research Arm Test (ARAT) were administered twice. Intraclass correlation coefficients (ICCs), Cronbach alpha, and ordinal alpha were computed to determine reliability, and Spearman rank correlation coefficients and Bland-Altman plots were computed to establish validity. Results Intraclass correlation coefficients for the w/h UE FM and ARAT were .95 and .99, respectively. The w/h UE FM intrarater reliability and internal consistency were greater than .80, and concurrent validity was greater than .70. This also was the first stroke rehabilitative study to apply ordinal alpha to examine internal consistency values, revealing w/h UE FM levels greater than .85. Concurrent validity findings were corroborated by Bland-Altman plots. Conclusions It appears that the w/h UE FM is a promising tool to measure distal upper extremity movement in patients with little active paretic wrist and finger movement. This finding widens the segment of patients on whom the w/h UE FM can be effectively used and addresses a gap, as commonly used measures necessitate active distal upper extremity movement.

scholarly journals Concurrent validity of the Sensory Organization Test measures in unilateral transtibial amputees

2012 ◽  
Vol 37 (1) ◽  
pp. 65-69 ◽  
Author(s):  
Prasath Jayakaran ◽  
Gillian M Johnson ◽  
S John Sullivan
Keyword(s):  
Concurrent Validity ◽  
Rank Correlation ◽  
Correlation Coefficients ◽  
Sensory Organization Test ◽  
Spearman’S Rank Correlation ◽  
Sensory Organization ◽  
Clinical Measures ◽  
Transtibial Amputees ◽  
Lower Limb Amputees ◽  
Strategy Score

Background and Aim: The physical asymmetries associated with a prosthesis raises the question of validity of the Sensory Organization Test (SOT) measures (equilibrium score (ES) and strategy score (SS)) in lower limb amputees. This study explores the validity of these measures in transtibial amputees by correlating with their corresponding centre of pressure (COP) excursion/velocity measures. Technique: Fifteen transtibial amputees (69.5 ± 6.5 years) completed three trials for each of the six SOT conditions. Discussion: The Spearman’s rank correlation coefficients between ESs and global COP excursion/velocity measures ranged from 0.52 to 0.71 for Conditions 1, 4 and 5, 0.79 to 0.85 for Conditions 2 and 3, and 0.39 to 0.43 for Condition 6. The coefficients for SSs ranged between 0.78 and 0.97 for Conditions 1 to 5 and 0.55 to 0.67 for Condition 6. The corresponding sound and prosthetic side COP variables demonstrated varying strengths of association with ES and SS. Clinical relevance Of the two clinical measures examined, the SSs are strongly reflective of COP excursion/velocity measures and these findings have application in the interpretation of SOT when evaluating balance in transtibial amputees.

scholarly journals Psychometric Analyses of the Indian (Hindi) Version of the Child Perception Questionnaire (CPQ11–14)

Children ◽  
2020 ◽  
Vol 7 (10) ◽  
pp. 175 ◽  
Author(s):  
Santosh Kumar Tadakamadla ◽  
Garima Mangal ◽  
Mir Faeq Ali Quadri ◽  
Maryam Nayeem ◽  
Jyothi Tadakamadla
Keyword(s):  
Oral Health ◽  
Internal Consistency ◽  
Concurrent Validity ◽  
Reliability And Validity ◽  
Correlation Coefficients ◽  
Repeated Administration ◽  
Cross Sectional Study ◽  
Validity And Reliability ◽  
Cross Sectional ◽  
Child Perception

The current research aims to evaluate the reliability and validity of the Hindi Child Perception Questionnaire (CPQ11–14) in a child population of India. A randomly selected sample of children aged 11–14 years (n = 331) and their parents completed the Hindi translation of CPQ11–14 and the Parental-Caregiver Perceptions Questionnaire (P-CPQ), respectively, in this cross-sectional study. Children also provided a self-rating of oral health and were examined for dental caries. Exploratory Factor Analysis (EFA) was conducted to assess the dimensionality of the Hindi-CPQ11–14. Internal consistency and reliability on repeated administration were evaluated. Convergent and divergent validities were determined by estimating correlation coefficients between items and the hypothesised subscales. Concurrent validity was assessed using multiple linear regression analyses. The four factors extracted in EFA had a total variance of 38.5%, comprising 31 items. Cronbach’s alpha for the internal consistency of the overall scale was 0.90; reliability on repeated administration was 0.92. All the Hindi CPQ11–14 items had an item-hypothesised subscale correlation coefficient of ≥0.4, and these were greater than item-other hypothesised subscale correlations, demonstrating good convergent and divergent validities respectively. Hindi-CPQ11–14 was associated with self-ratings of the oral health and overall P-CPQ scores demonstrating good concurrent validity. Hindi-CPQ11–14 showed a factor structure different from the English CPQ11–14 and exhibited good validity and reliability.

scholarly journals A study of the reliability and validity of the Chinese version of the Nociception Coma Scale–Revised

2020 ◽  
Vol 34 (8) ◽  
pp. 1112-1121
Author(s):  
Jing Wang ◽  
Haibo Di ◽  
Wen Hua ◽  
Liwen Cheng ◽  
Zhigang Xia ◽  
...  
Keyword(s):  
Internal Consistency ◽  
Concurrent Validity ◽  
Reliability And Validity ◽  
Disorders Of Consciousness ◽  
Chinese Version ◽  
Rater Reliability ◽  
Validity Data ◽  
Retest Reliability ◽  
Coma Scale ◽  
Test Retest Reliability

Objective: The aim of the study was to check on the reliability and validity of the translated version of Nociception Coma Scale–Revised. Design: Prospective psychometric study. Setting: Rehabilitation and neurology unit in hospital. Subjects: Patients with prolonged disorders of consciousness. Interventions: None. Main measures: The original English version of the Nociception Coma Scale–Revised was translated into Chinese. The reliability and validity were undertaken by trained raters. Intraclass correlation coefficients were used to assess inter-rater reliability and test–retest reliability. Cronbach’s alpha test was used to investigate internal consistency. Spearman’s correlation was used to calculate concurrent validity. The Coma Recovery Scale–revised was used to assess the consciousness of patients. Results: Eighty-four patients were enrolled in the study. Inter-rater reliability of the Chinese version of Nociception Coma Scale–Revised was high for total scores and motor and verbal subscores and good for facial subscores. Test–retest reliability was high for total score and for all subscores. Analysis revealed a moderate internal consistency for subscores. For the concurrent validity, a strong correlation was found between the Nociception Coma Scale–Revised and the Face, Legs, Activity, Cry, and Consolability behavioral scale for all patients. A moderate correlation was found between the Nociception Coma Scale–Revised and the Coma Recovery Scale–revised scores for all patients. Conclusion: The Chinese version of Nociception Coma Scale–Revised has good reliability and validity data for assessing responses to pain in patients with prolonged disorders of consciousness.

scholarly journals Validation of an Evidence-Based Medicine Critically Appraised Topic Presentation Evaluation Tool (EBM C-PET)

2013 ◽  
Vol 5 (2) ◽  
pp. 252-256 ◽  
Author(s):  
Hans B. Kersten ◽  
John G. Frohna ◽  
Erin L. Giudice
Keyword(s):  
Internal Consistency ◽  
Evidence Based Medicine ◽  
Interrater Reliability ◽  
Intraclass Correlation ◽  
Correlation Coefficients ◽  
Evidence Based ◽  
Evaluation Tool ◽  
Intraclass Correlation Coefficients ◽  
Excellent Internal Consistency ◽  
Based Medicine

Abstract Background Competence in evidence-based medicine (EBM) is an important clinical skill. Pediatrics residents are expected to acquire competence in EBM during their education, yet few validated tools exist to assess residents' EBM skills. Objective We sought to develop a reliable tool to evaluate residents' EBM skills in the critical appraisal of a research article, the development of a written EBM critically appraised topic (CAT) synopsis, and a presentation of the findings to colleagues. Methods Instrument development used a modified Delphi technique. We defined the skills to be assessed while reviewing (1) a written CAT synopsis and (2) a resident's EBM presentation. We defined skill levels for each item using the Dreyfus and Dreyfus model of skill development and created behavioral anchors using a frame-of-reference training technique to describe performance for each skill level. We evaluated the assessment instrument's psychometric properties, including internal consistency and interrater reliability. Results The EBM Critically Appraised Topic Presentation Evaluation Tool (EBM C-PET) is composed of 14 items that assess residents' EBM and global presentation skills. Resident presentations (N  =  27) and the corresponding written CAT synopses were evaluated using the EBM C-PET. The EBM C-PET had excellent internal consistency (Cronbach α  =  0.94). Intraclass correlation coefficients were used to assess interrater reliability. Intraclass correlation coefficients for individual items ranged from 0.31 to 0.74; the average intraclass correlation coefficients for the 14 items was 0.67. Conclusions We identified essential components of an assessment tool for an EBM CAT synopsis and presentation with excellent internal consistency and a good level of interrater reliability across 3 different institutions. The EBM C-PET is a reliable tool to document resident competence in higher-level EBM skills.

Nigerian (Yoruba) version of Disabilities of the Arm, Shoulder and Hand questionnaire (DASH-Y): Cross-cultural adaptation and initial validation

Hand Therapy ◽  
2016 ◽  
Vol 21 (4) ◽  
pp. 140-150 ◽  
Author(s):  
Adesola C Odole ◽  
Nse A Odunaiya ◽  
Chidinma F Mbaike ◽  
Peter O Ibikunle ◽  
Adefemi A Akinseloyin ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Upper Extremity ◽  
Rank Correlation ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Data Set ◽  
Initial Validation ◽  
Culturally Adapted ◽  
Conceptual Equivalence ◽  
Dash Questionnaire

Introduction The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire is a widely used upper extremity outcome measure. However, it is yet to be translated into any of the major languages in Nigeria, thus limiting its utility in the Nigerian clinical setting. The aim of this study was to cross-culturally adapt the DASH questionnaire into Yoruba, a major Nigerian language and investigate its initial validation. Methods The English version of DASH was adapted into Yoruba through forward–back translations, experts’ committee meetings, pretesting and cognitive debriefing interview in accordance with the guidelines recommended by the developers of DASH. Fifty-two purposively selected patients with upper extremity musculoskeletal disorders participated in a cross-sectional survey. Factor analysis was performed to ensure structural validity of Yoruba version, and construct validity was investigated with Spearman rank correlation coefficient. Results The Yoruba version of DASH has semantic, idiomatic, linguistic and conceptual equivalence with the English DASH. Thirty linear components were identified within the data set. Principal factor analysis of the Yoruba DASH revealed a seven factor scale, having fulfilled all the necessary conditions. The Kaiser-Meyer-Olkin measure of sampling adequacy was 0.61, and Barlett’s test of Sphericity was adequate and significant (χ2 (1066) = 435, p = 0.001). Significant correlation (r = 0.994, p = 0.001) exists between scores obtained on English and Yoruba versions of DASH. Conclusion A cross-culturally adapted, valid Yoruba version of DASH is available for use in in south western Nigeria and other similar populations.

scholarly journals Reliability, Internal Consistency, and Validity of Data Obtained With the Functional Gait Assessment

2004 ◽  
Vol 84 (10) ◽  
pp. 906-918 ◽  
Author(s):  
Diane M Wrisley ◽  
Gregory F Marchetti ◽  
Diane K Kuharsky ◽  
Susan L Whitney
Keyword(s):  
Internal Consistency ◽  
Concurrent Validity ◽  
Physical Therapist ◽  
Rank Order ◽  
Intraclass Correlation ◽  
Correlation Coefficients ◽  
Vestibular Disorders ◽  
Intraclass Correlation Coefficients ◽  
Gait Assessment ◽  
Functional Gait

Background and Purpose. The Functional Gait Assessment (FGA) is a 10-item gait assessment based on the Dynamic Gait Index. The purpose of this study was to evaluate the reliability, internal consistency, and validity of data obtained with the FGA when used with people with vestibular disorders. Subjects. Seven physical therapists from various practice settings, 3 physical therapist students, and 6 patients with vestibular disorders volunteered to participate. Methods. All raters were given 10 minutes to review the instructions, the test items, and the grading criteria for the FGA. The 10 raters concurrently rated the performance of the 6 patients on the FGA. Patients completed the FGA twice, with an hour's rest between sessions. Reliability of total FGA scores was assessed using intraclass correlation coefficients (2,1). Internal consistency of the FGA was assessed using the Cronbach alpha and confirmatory factor analysis. Concurrent validity was assessed using the correlation of the FGA scores with balance and gait measurements. Results. Intraclass correlation coefficients of .86 and .74 were found for interrater and intrarater reliability of the total FGA scores. Internal consistency of the FGA scores was .79. Spearman rank order correlation coefficients of the FGA scores with balance measurements ranged from .11 to .67. Discussion and Conclusion. The FGA demonstrates what we believe is acceptable reliability, internal consistency, and concurrent validity with other balance measures used for patients with vestibular disorders.

scholarly journals Development and psychometric evaluation of performance-based upper extremity motor control test (PB-UE-MCT) for people with cerebral palsy

2021 ◽  
Vol 29 ◽  
Author(s):  
Fatemeh Etemad Shams ◽  
Malek Amini ◽  
Afsoon Hassani Mehraban ◽  
Mehdi Alizadeh Zarei ◽  
Dorsa Kalani
Keyword(s):  
Cerebral Palsy ◽  
Motor Control ◽  
Upper Extremity ◽  
Internal Consistency ◽  
Convergent Validity ◽  
Interrater Reliability ◽  
Correlation Coefficients ◽  
Psychometric Evaluation ◽  
Control Test ◽  
Intrarater Reliability

Abstract Introduction Upper extremity disorders limits the performance in the activities of daily living, especially, in bilateral (two-handed) activities. Objective This study was designed to develop a performance-based upper extremity motor control test (PB-UE-MCT) and to measure its psychometric properties (including, convergent validity, intrarater reliability, and interrater reliability) for people with cerebral palsy (CP). Method The PB-UE-MCT was developed in three phases, including planning, construction, and psychometric evaluation. The participants included 50 people with CP with an age range of 6 to 18 years. To measure internal consistency, Cronbach's alpha was run (n=50). Intrarater and interrater reliability was measured for 25 participants. To assess convergent validity, the correlations of the PB-UE-MCT with the Manual Ability Classification System (MACS) and with the Selective Control Upper Extremity Scale (SCUES) were calculated. Results The values obtained for Cronbach's alpha (.90 to .96) indicated the excellent internal consistency of the PB-UE-MCT. The ICC values for intrarater reliability and interrater reliability were between .84 and .99 and between .89 and .99, respectively. The correlation coefficients obtained for the items of the PB-UE-MCT and those of the MACS were between .51 and .73. The correlation coefficients of the items of the PB-UE-MCT with those of the SCUES were in the range of .67 to .98, which proves the PB-UE-MCT's good to excellent levels of convergent validity. Conclusion The results confirm that the PB-UE-MCT is a valid and reliable tool for evaluating the upper extremity performance of people with CP through task analysis.

scholarly journals CHILD-ORAL IMPACTS ON DAILY PERFORMANCES INDEX IN INDONESIA: CROSS-CULTURAL ADAPTATION AND INITIAL VALIDATION

2019 ◽  
Vol 19 (2) ◽  
pp. 68-77
Author(s):  
Avina Anin Nasia ◽  
Wulandari Arumrahayu ◽  
Robbykha Rosalien ◽  
Ayu Maharani ◽  
Melissa Adiatman
Keyword(s):  
Internal Consistency ◽  
Cultural Adaptation ◽  
Discriminant Validity ◽  
Correlation Coefficients ◽  
Internal Consistency Reliability ◽  
Cross Cultural ◽  
Cross Sectional ◽  
Cross Cultural Adaptation ◽  
Initial Validation ◽  
Oral Impacts

The study was conducted to develop and provide initial validation results for an Indonesian version of the Child-Oral Impacts on Daily Performances measure among children aged 12-15 years in Jakarta. The Child-OIDP followed an established process of cross cultural adaptation. The face and content validity, internal consistency reliability, and discriminant validity of the Indonesian version of the Child-OIDP were assessed by evaluating its psychometric properties. This was accomplished through a cross-sectional study of 502 participants using a random sampling method to select 6 of 287 schools among all public junior high schools in Jakarta. Clinical assesment was done according to the Indonesian version of the Child-OIDP. Result of this study confirmed that the cross-cultural adaptation process of  the Indonesian Child-OIDP was well established. All the inter-item correlation coefficients among the eight items of Child-OIDP ranged from 0.12 to 0.41. The corrected item-total correlation coefficients ranged from 0.37 to 0.51. The Cronbach’s alpha coefficient was 0.74. The measure was able to discriminate between different clinical groups in terms of pulpal involvement, ulceration, fistula, and abscess (PUFA), gingival index (GI), and plaque index (PI). Overall, 64.9% of the participants reported at least one oral impact in the past 3 months. The Indonesian version of the Child-OIDP demonstrated excellent internal consistency reliability and was well able to discriminate between different clinical groups among children aged 12-15 years in Jakarta.

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