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Titre : | Reliability of the Modified Frenchay Scale for the Assessment of Upper Limb Function in Adults With Hemiparesis (2023) |
Auteurs : | Zoé Laclergue ; Mouna Ghédira ; Caroline Gault-Colas ; Laurène Billy ; Jean-Michel Gracies ; Marjolaine Baude |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 104, n° 10, 2023) |
Article en page(s) : | p. 1596-1605 |
Note générale : | https://doi.org/10.1016/j.apmr.2023.04.003 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Hémiplégie ; Membre supérieur ; Réadaptation ; Rééducation neurologique ; Reproductibilité des résultats ; Spasticité musculaire |
Résumé : | Objectives To investigate the reliability of the Modified Frenchay Scale (MFS) in adults with hemiparesis. Design Prospective analysis of videos. Setting Study conducted in a Neurorehabilitation Unit of a University Hospital. Participants Fifty-one patients (17 women [33%], age 46+15, time since injury 5.2+6.7 years) with hemiparesis secondary to stroke (N=47), tumor (N=3), or spinal cord injury (N=1) were enrolled. Intervention The MFS measures active upper limb function in spastic hemiparesis based on a video recording of 10 daily living tasks, each rated from 0 to 10. Six tasks are bimanual and 4 are unimanual with the paretic hand. MFS videos performed in routine care of patients with hemiparesis between 2015 and 2021 were collected. After a 3-hour group training session, each MFS video was assessed twice, 1 week apart by 4 rehabilitation professionals with various levels of experience in using the scale. Main Outcome Measures Internal consistency was determined using Cronbach's alpha. Intra- and inter-rater reliability was measured using intraclass correlation coefficients (ICC, mean [95% CI]), mean differences between ratings and minimal detectable change (MDC). Bland-Altman plots were also performed for inter-rater assessments. Results The mean overall MFS score was 4.95+1.20 with no floor or ceiling effect. Cronbach's ? was 0.97. For the overall MFS score, intra- and inter-rater ICCs were 0.99[0.99;1.00] and 0.97[0.95;0.98], respectively; mean intra- and inter-rater differences were 0.10+0.04 and 0.24+0.12, respectively; and MDC were 0.17 and 0.37, respectively. Conclusions The MFS is an internally consistent and reliable scale to assess upper limb function in adults with hemiparesis. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999323002435 |