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Titre : | Development of a Computerized Adaptive Testing System of the Fugl-Meyer Motor Scale in Stroke Patients (2012) |
Auteurs : | Wen-Hsuan Hou ; Ching-Lin Shih ; Yeh-Tai Chou ; et al. |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2012/6, 2012) |
Article en page(s) : | pp. 1014-1020 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Rééducation et réadaptation |
Mots-clés: | Cerebrovascular accident ; Stroke |
Résumé : |
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 cat-fm had high reliability for upper-extremity and lower-extremity subscales concurrent validity r motor scale responsiveness was moderate response mean upper extremity=".67," lower patients who completed both assessments at days stroke. field found on average time needed to administer seconds with items.> Conclusions The CAT-FM is an efficient, reliable, valid, and responsive clinical tool for assessing motor function in patients with stroke. |
Disponible en ligne : | Oui |
En ligne : | http://www.archives-pmr.org/article/S0003-9993%2811%2901092-6/abstract |