Evaluation of psychometric properties of the activities of daily living scale          of motor function used by caregivers using Rasch analysis

BACKGROUND: The relationship between pain and motor function is not well understood, especially for children and adolescents with communication and motor impairments associated with cerebral palsy (CP).OBJECTIVES: To determine whether a predictive relationship between motor function and musculoskeletal pain exists in children with CP.METHODS: Following informed consent, caregivers of 34 pediatric patients with CP (mean [± SD] age 9.37±4.49 years; 80.0% male) completed pain- and function-related measures. Parents completed the Dalhousie Pain Interview and the Brief Pain Inventory based on a one-week recall to determine whether pain had been experienced in the past week, its general description, possible cause, duration, frequency, intensity and interference with daily function. The Gross Motor Function Classification System (GMFCS) was used to classify the motor involvement of the child based on their functional ability and their need for assistive devices for mobility.RESULTS: GMFCS level significantly predicted parent-reported musculoskeletal pain frequency (P<0.02), duration (P=0.05) and intensity (P<0.01). Duration of pain was significantly related to interference with activities of daily living (P<0.05).CONCLUSIONS: Children with CP with greater motor involvement, as indexed by GMFCS level, may be at risk for increased pain (intensity, frequency and duration) that interfers with activities of daily living. The clinical index of suspicion should be raised accordingly when evaluating children with developmental disability who cannot self-report reliably.

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Functional electrical stimulation early after stroke improves lower limb motor function and ability in activities of daily living

Neurorehabilitation ◽

10.3233/nre-141129 ◽

2014 ◽

Vol 35 (3) ◽

pp. 381-389 ◽

Cited By ~ 8

Author(s):

Guoqing You ◽

Huiying Liang ◽

Tiebin Yan

Keyword(s):

Electrical Stimulation ◽

Activities Of Daily Living ◽

Motor Function ◽

Functional Electrical Stimulation ◽

Lower Limb ◽

Daily Living

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Relationship between upper limb motor function and activities of daily living after removing the influence of lower limb motor function in subacute patients with stroke: A cross-sectional study

Hong Kong Journal of Occupational Therapy ◽

10.1177/1569186120926609 ◽

2020 ◽

pp. 156918612092660

Author(s):

Haruka Yamamoto ◽

Kazuya Takeda ◽

Soichiro Koyama ◽

Keisuke Morishima ◽

Yuichi Hirakawa ◽

...

Keyword(s):

Activities Of Daily Living ◽

Motor Function ◽

Upper Limb ◽

Lower Limb ◽

Daily Living ◽

Functional Independence Measure ◽

Functional Independence ◽

Motor Score ◽

Cross Sectional ◽

The Relationship

Background Previous studies have reported a relationship between upper limb motor function and activities of daily living. However, their relationship after removing the influence of lower limb motor function has not been clarified. Objective This study aimed to investigate the relationship between Fugl-Meyer assessment upper limb and total Functional Independence Measure motor score and between Fugl-Meyer assessment upper limb and each item contained in Functional Independence Measure motor score after eliminating the influence of the motor function of the affected lower limb. Methods This retrospective cross-sectional study included 58 subacute stroke patients. To investigate the relationship between the Fugl-Meyer assessment upper limb and total Functional Independence Measure motor score before and after removing the influence of Fugl-Meyer assessment lower limb, Spearman’s rank correlation coefficient and partial correlation analysis were used. Additionally, the relationship between Fugl-Meyer assessment upper limb and each item of Functional Independence Measure motor score after removing the influence was assessed. Results Before removing the influence of Fugl-Meyer assessment lower limb, Fugl-Meyer assessment upper limb was strongly correlated with total Functional Independence Measure motor score (r = 0.74, p < 0.001). However, it became weak after removing the influence (r = 0.27, p = 0.04). Regarding each item of Functional Independence Measure motor score, Fugl-Meyer assessment upper limb was correlated with grooming (r = 0.27, p = 0.04), bathing (r = 0.28, p = 0.03), dressing upper body (r = 0.33, p = 0.01), dressing lower body (r = 0.31, p = 0.02), and stair-climbing (r = 0.31, p = 0.02) after removing the influence. Conclusion These findings suggest that the relationship between the upper limb motor function and activities of daily living is strongly influenced by lower limb motor function.

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Relationships between Motor Function Evaluation and Activities of Daily Living in Stroke Patients

Rigakuryoho Kagaku ◽

10.1589/rika.29.721 ◽

2014 ◽

Vol 29 (5) ◽

pp. 721-724

Author(s):

Atsushi SATO ◽

Takaaki FUJITA ◽

Yuichi YAMAMOTO ◽

Taizo SHIOMI

Keyword(s):

Activities Of Daily Living ◽

Motor Function ◽

Daily Living ◽

Function Evaluation ◽

Stroke Patients

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Psychometric properties of the Greek version of Jacelon Attributed Dignity Scale

Nursing Ethics ◽

10.1177/0969733015617341 ◽

2016 ◽

Vol 24 (5) ◽

pp. 612-625 ◽

Cited By ~ 2

Author(s):

Evridiki Papastavrou ◽

Paraskevi Charitou ◽

Christiana Kouta

Keyword(s):

Standard Deviation ◽

Activities Of Daily Living ◽

Psychometric Properties ◽

Internal Consistency ◽

Successful Aging ◽

Daily Living ◽

Greek Version ◽

Cronbach’S Alpha ◽

Cronbach's Alpha ◽

Instrumental Activities

Background: Maintaining dignity is important for successful aging, but there is lack of validated research instruments in the nursing literature to investigate dignity as perceived by the old people. Objective: This is a methodological study aiming to investigate the psychometric properties of the Greek version of Jacelon Attributed Dignity Scale as translated in the Greek language. Research design: A methodological approach consisting of translation, adaptation, and cross-cultural validation. A sample of 188 Greek-speaking old Cypriot persons drawn from the Hospital outpatient departments was asked to complete the Greek versions of Jacelon Attributed Dignity Scale and the Instrumental Activities of Daily Living. Data analyses included internal consistency reliability (Cronbach’s alpha coefficient), item analysis, and exploratory factor analysis using principal component method with orthogonal varimax rotation. Ethical considerations: The study protocol was approved by the National Bioethics committee according to the national legislation. Permission to use the research instrument was granted from the author. Information about the aim and the benefits of the study was included in the information letter. Findings: Cronbach’s alpha for Greek version of Jacelon Attributed Dignity Scale was 0.90. Four factors emerged explaining 65.28% of the total variance, and item to total correlation values ranged from 0.25 to 0.74 indicating high internal consistency and homogeneity. Mean item score in Instrumental Activities of Daily Living was 5.6 (standard deviation = 1.7) for men and 6.7 (standard deviation = 1.7) for women, and the correlations between demographics, Instrumental Activities of Daily Living, and the four factors of the Greek version of Jacelon Attributed Dignity Scale were low; also in multiple linear regression, the values of R2 are presented low. Discussion: Demographic characteristics and degree of functionality seem to be associated with some of the dimensions of dignity but with low correlations; therefore, they cannot predict attributed dignity. Conclusion: The Greek version of Jacelon Attributed Dignity Scale is a valid and reliable tool to measure attributed dignity in Greek-speaking older adults, but further testing of the psychometric properties and other potential factors that may affect the attributed dignity is needed.

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