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Titre : | Development and Rasch Validation of an Observational Assessment Tool of Upper Limb Functional Impairment in Stroke Survivors: Functional Assessment Test for Upper Limb (2023) |
Auteurs : | Giulio Gasperini ; Matteo Rota ; Eleonora Guanziroli ; Luciano Bissolotti ; Fabrizio Balestrieri ; Carmelo Chisari ; Antonio Currà ; Alessandra Del Felice ; Nico Farina ; Paolo Manganotti ; Marzia Millevolte ; Domenico A. Restivo ; Andrea Santamato ; Francesco Sciarrini ; Alessandro Specchia ; Carlo Trompetto ; Stefano Calza ; Franco Molteni |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 104, n° 4, 2023) |
Article en page(s) : | p. 597-604 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Évaluation des résultats des patients ; Membre supérieur ; Psychométrie ; Réadaptation |
Résumé : | Objective To develop and validate a quick observational clinical tool, the Functional ASsessment Test for Upper Limb (FAST-UL), for the evaluation of upper limb impairment in goal-directed functional-oriented motor tasks after stroke. Design Observational, cross-sectional, psychometric study. Setting Inpatient and outpatient rehabilitation clinic. Participants A total of 188 post-stroke survivors (mean age 65.2+17.7 years, 61% men, 48% with ischemic stroke and 66% in the sub-acute phase; N=188). Interventions Not applicable. Main Outcome Measures Principal component analysis and Rasch analysis through a Partial Credit Model were used to assess the structure and psychometric properties of the 5 items of the FAST-UL (Hand to Mouth [HtM], Reach to Target, Prono-Supination, Grasp and Release, and Pinch and Release [PaR]). Results The Cronbach's ? equal to 0.96 was indicative of an acceptable internal consistency; the reliability, as measured through the Person Separation Reliability equal to 0.87, was good. The FAST-UL tool was unidimensional. All the FAST-UL items were found to fit well the Rasch measurement model. The easiest to perform FAST-UL item was the HtM movement while the most difficult was the PaR movement. Conclusions The FAST-UL is a quick, easy-to-administer observational assessment tool of upper limb motor impairment in post-stroke survivors with good item-level psychometric properties. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999322016732 |