Assessments do no good unless they point EXACTLY to the protocols needed to deliver recovery.
Relationship and Responsiveness of Three Outcome Measures of Upper Limb Motor Function after Stroke Rehabilitation
Ershad Ansari1
, Chaitali Shah2
1Late Smt. S.G. Patel Institute of Physiotherapy, S.P University, Gujarat, India
2
Parul Institute of Physiotherapy, Parul University, Gujarat, India
Ethics approval: Institutional Ethics Committee for Human Research (IECHR) Medical College & SSG Hospital, Baroda approved this
study. All participants gave written informed consent before data collection began.
Abstract:
Objective:
To find the assessment tool which can be incorporated as a part of regular assessment by which therapist can
plan their treatment protocol effectively as well as measure the recovery of intervention.
Subjects and Methods:
45 subjects diagnosed
with stroke onset at least 6 months previously were assigned to study. Intervention in form of Conventional, bilateral arm training and
task specific training were given for 3 weeks. Upper extremity function tests were evaluated by Wolf Motor Function Test (WMFT),
Chedoke Arm and Hand Activity Inventory (CAHAI) and Action Research Arm Test (ARAT) pre-and post-treatment. Relationship and
responsiveness of all clinical tests were performed by Spearman’s correlation coefficient and Paired-t test respectively.
Result:
All
correlations were significant at 95% C.I. at baseline as well as three-week time. The highest correlation was found between CAHAI and
WMFT which was 0.637. Responsiveness of all three outcomes was significant at 95% C.I. The responsiveness of CAHAI was
significantly higher of mean difference 10.533 at 95% C.I (10.06to10.99) compared to WMFT and ARAT.
Conclusion:
CAHAI can be
included in regular part of assessment which is having good clinimetric properties and assesses bilateral arm activities and actual
performance of patient.
Keywords:
stroke, upper extremity, outcome measure, rehabilitation.
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